CentraState Healthcare System

  • HIM Coding Manager

    Posted Date 2 months ago(5/24/2018 5:08 PM)
    ID
    2018-8538
    Position Type
    Regular Full-Time
    Location
    CentraState Medical Center
    Shift
    Day
    Work Schedule
    8:30-4:30
  • Overview

    Responsible for overall management and support of Health Information Management systems including implementation, planning and maintenance. Supervises the coding staff.

    Responsibilities

    • Current knowledge of coding clinics and other guidelines.
    • Coordinate coding educational needs.
    • Perform coding quality audits, create benchmarks, evaluate coding vulnerabilities and make recommendations .
    • Perform scheduled and non scheduled coding audits on: coders, payers, DRGs, physicians and Non-DRG coding impacts.
    • Responsible for DRG denials evaluation and follow up from Denials Management.
    • Monitor coding productivity on a daily, weekly and monthly basis.
    • Responsible for developing coding policies, documentation policies to ensure HIM compliance with OIG, CMS and hospital policies.
    • Schedule, coordinate, assign and evaluate external resources for coding.
    • Collaboration with Clinical Documentation Integrity Manager and Nurses.
    • Reconciliation and evaluation of final DRG selections with CDI.
    • Responsible for coding accuracy of all 2ndlevel reviews – Hospital Acquired Conditions, Patient Safety Indicators and other hospital based initiatives.
    • Works in collaboration with Patient Financial Services.
    • Oversees and is responsible for unbilled accounts for inpatient and outpatient services.
    • Works in collaboration with the Coding Coordinator to complete daily task assignments.

    Qualifications

    Education:

    Bachelor's degree preferred.

     

    Work Experience:

    Must have at least 3 years of managerial experience in an acute care setting.

    Must have at least 5 years experience as a Certified Coding Specialist.

     

    Certifications and Licenses:

    Certified Coding Specialist (CCS) required.

    Registered Health Information Administrator (RHIA) preferred.

     

    Required Knowledge and Skills:

    Current knowledge of coding clinics and other guidelines.
    Strong professional, organizational, and interpersonal skills to effectively relate with all members of the healthcare team.

    Physical Demands

    Working Conditions:

    Normal office environment with occasional visits to locations across the system and off-site.

     

    Exposure:

    No expected exposure to blood and/or body fluids.

     

    Physical Demands:

    Sitting – Frequently

    Standing/Walking - Rarely

    Kneeling/Stooping - Never

    Bending/Climbing - Rarely

    Reaching above shoulder, at waist or below waist - Rarely

    Lifting/Pushing or Pulling up to 40 pounds - Rarely

    Lifting/Pushing or Pulling over 40 pounds – Rarely

    Typing/Filing - Frequently

     

    Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

     

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