Coding Manager

Tanana Chiefs Conference; Alaska; On-site; USD 65,000 - 85,000; Full time

Job summary

A healthcare organization in the United States seeks a coding supervisor with advanced knowledge of coding and compliance. This role involves supervising a coding team, auditing medical records for accuracy, and providing ongoing training and education. Candidates must hold current certification and have a strong understanding of HIPAA regulations, medical terminology, and coding guidelines. This position requires strong analytical and interpersonal skills as well as a commitment to confidentiality.

Qualifications

• Current coding certification from AAPC or AHIMA required.
• Knowledge of CFR 42 part 2, HIPAA and HITECH.
• Four years of coding experience preferred.

Responsibilities

• Supervise coding team & provide continuous training.
• Audit medical record documentation for accuracy.
• Research and respond to inquiries about compliance.
• Train medical staff on coding compliance.

Skills

Medical terminology

Interpersonal skills

Analytical skills

Written communication

Verbal communication

Education

High School Diploma or GED equivalent

Associate's or Bachelor's degree in related field

Job description

Job Summary

Job incumbent uses advanced knowledge of coding and compliance to coordinate the training, implementation and ongoing education of staff that support coding for Tanana Chiefs Conference.

Adhere to the TCCCh'eghwtsen' model of service and guiding principle which requires providing timely and effective service along with the ability to interact with others in a way that inspires trust and demonstrates respect, compassion and empathy.

Essential Functions

This list is ILLUSTRATIVE ONLY and is not a comprehensive listing of all functions and tasks performed by incumbent(s).

Representative Duties

1. Directly supervise coding team & provide continuous training and education. Directly responsible for assuring coders meet accuracy and productivity standards.
2. Audit medical record documentation to identify undercoded and upcoded services; prepare reports of findings and meet with providers to provide education and training on accurate coding practices and compliance issues.
3. Research, analyze, and respond to inquiries regarding compliance, inappropriate coding, denials, and billable services.
4. Interact with physicians and other patient care providers regarding billing and documentation policies, procedures, and regulations; obtain clarification of conflicting, ambiguous, or non-specific documentation.
5. Train, instruct, and/or provide technical support to Medical Providers and Medical Coders as appropriate regarding coding compliance documentation, regulatory provisions, and third‑party payer requirements.
6. Interact with providers and management to review and / or implement codes and to update charge documents.
7. Ensure strict confidentiality of records.
8. Attend coding conferences, workshops, and in‑house sessions to receive updated coding information and changes in coding and/or regulations.
9. Code encounters and ensure that the coding queue is up to date.
10. Perform miscellaneous job‑related duties as assigned.

Minimum Qualifications

1. High School Diploma or GED equivalent; Associate's or Bachelor's degree in related field preferred.
2. Any combination of education, training or experience that demonstrates the ability to perform the duties of the position may be substituted for the degree preference.
3. Must have current coding certification from American Academy of Professional Coders or American Health Information Management Association.
4. Knowledge of CFR 42 part 2, HIPAA and HITECH required.
5. Four years of coding experience preferred.
6. Must maintain strict confidentiality in compliance with HIPAA and HITECH Act standards.
7. Must pass background check pursuant to federal Indian Child Protection and Family Violence Prevention Act requirements.
8. Must pass background check pursuant to Alaska DHSS and federal Indian Child Protection and Family Violence Prevention Act requirements.
9. Membership in AAPC and/or AHIMA required.

Knowledge, Skills and Abilities

1. Advanced knowledge of medical terminology, anatomy, coding guidelines, ICD‑10CM, CPT‑4, and HCPCS coding.
2. Knowledge of current and developing issues and trends in medical coding procedure requirements.
3. Knowledge of auditing concepts and principles.
4. Knowledge of patient care charts and documentation standards.
5. Strong verbal, written, analytical, and interpersonal skills.
6. Demonstrated ability to prioritize tasks and work independently.

Supervision

This position supervises up to 15 coding positions.

Physical Demands

Work is performed in a typical office work environment. Extensive hours will be spent at the computer and reading different fonts and handwriting styles. Incumbent has high contact with providers and other patient care providers which make communication and interpersonal skills important. Strict confidentiality is required.

Summation

Job incumbent must have advanced knowledge of medical coding compliance consistent with State and Federal standards.