Hospital Coding Manager

Position Summary
The Hospital Coding Manager will be responsible overseeing the Hospital Coding services and coding team, developing goals and objectives, and establishing policies and procedures for team operations, as well as ensuring proficiency, value and education related to Hospital Coding guidelines. Additionally, they will be a subject matter expert in coding and have a clear understanding of the professional revenue cycle in its entirety.
The Hospital Coding Manager position will be based in Orlando, Florida. It follows a hybrid workplace model consisting of both in office and remote work.
Responsibilities

• Oversees and monitors coding of hospital inpatient and outpatient service within Orlando Health.
• Monitors all coding and abstracting of health records meet established standards of accuracy, timeline, quality, and productivity.
• Monitors respective coding Workqueues and assist coders in developing plans related to volume increases/decreases.
• Collaborate with the Revenue Management Departments to manage Workqueue on the DNF reports to meet the turn-around time.
• Mentors and effectively coaches individual coders by addressing errors, performance issues, and trends identified through reporting.
• Develop reports as needed to analyze data to identify trends and take appropriate steps to assist resolving coding issues impacting hospital charges and revenue.
• Perform monthly quality assurances for direct reports to ensure accuracy of the coding to provide education and training.
• Responsible for productivity standards, performance evaluations, personnel issues and staff development, core competencies, coaching plans, and daily coaching for staff.
• Determines whether services ordered by physicians and rendered to patients are accurately coded and billed and supported by documentation in the clinical record through the auditing process.
• Collaborate with the HIM Managers on missing documents impacting coding completion.
• Effective and consistent communication with Hospital Coding Director/HIM and Hospital Coding Senior Director for any issue or opportunity to improve coding accuracy and quality.
• Exceptional understanding of Orlando Health's Clinical Health Record and coding Workqueue for the timely management.
• Interacts with Health Information Management, Physician & Professional Services, Patient Accounting, Information Services (IS), Interacts with CDE, Health Information Management, Patient Accounting, Information Services (IS), and other departments as necessary for appropriate follow-up.
• Possess proficient knowledge in Microsoft Office Word, Outlook, and PowerPoint, and moderate to expert knowledge with Microsoft Excel due to high volumes of data management and organization.
• Exceptional understanding of Orlando Health's Comprehensive Health Record to ensure documentation is available for the coding functions.
• Collects data and provides reports to management as designated.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
• Maintains compliance with all Orlando Health policies and procedures.

Other Related Functions

• Develops and updates internal departmental processes as needed.
• Assumes responsibility for professional growth and development through educational programs, research, etc.
• Assists and/or participates in facilitation of programs, task forces, and committees as assigned.
• Participates and assists with all educational and productivity standards and programs.
• Demonstrates thorough knowledge of skills required within subject area and understands all requirements of the Hospital Coding functions.

Qualifications
Education/Training

• Associate Degree or higher (Bachelor) in Health Information Management (HIM), Business, Health Administration, or closely related field ; Four (4) years of directly related work experience may substitute for the Associate Degree (in addition to the requirements listed in the experience section).
• Completion of medical coding certificate program.
• Computer literacy, knowledge of Anatomy, Physiology and Medical Terminology required.
• Thorough knowledge of official coding guidelines as per AMA, AHA, and CMS as evidenced by results of coding skills test of 90% or better.

Licensure/Certification
Must maintain one (1) of the following national certifications:

• Certified Professional Coder (CPC) through the American Academy of Professional Coders.
• Certified Coding Specialist (CCS).
• Certified Coding Specialist-Physician (CCS-P).
• Registered Health Information Administrator (RHIA).
• Registered Health Information Technician (RHIT).

Experience

• Knowledge of ICD-10, CPT, HCPCS coding, and other third-party billing rules, reimbursement, and covereage guidelines.
• Strong MS-DRF and APR-DRG knowledge required.
• Four (4) years of medical coding experience within a healthcare facility setting.
• Working knowledge of Medicare, Medicaid, managed care and commercial insurance reimbursement policies.
• Demonstrated relationship-building skills in a managed healthcare environment.
• Proficient experience in Microsoft Word and Excel or similar computer software is required.