Coding Manager

Business Center 1; San Antonio (TX); On-site; USD 90,000 - 120,000; Full time

Job summary

Business Center 1 seeks an experienced HIM supervisor to oversee outpatient and inpatient coders, educators, and denial clerks. You will ensure adherence to ICD-10-CM, PCS, CPT, DRG, APC, and ASC standards and oversee quality reviews for compliance with federal and state rules.

Responsibilities include developing policies, improving workflows, and assisting with annual budget planning while promoting compliant, efficient coding practices across the facility.

Qualifications

• Requires leadership of coding staff across outpatient and inpatient services.
• Expert knowledge of ICD-10CM, PCS, CPT, DRG, APC, ASC classification systems.
• Experience ensuring compliance with federal and state regulations.

Responsibilities

• Directly supervises the coding staff including Outpatient and Inpatient Coders, Educators, and denials clerks.
• Maintains expert knowledge of coding systems and clinical information requirements for accreditation and licensing.
• Develops and implements HIM policies and procedures under the HIM Executive Director.
• Plans improvements in work processes and personnel functions and assists with budget requests.

Skills

Staff supervision

Health information management

Policy development

Education

Associate's or Bachelor's in Health Information Management

Job description

POSITION SUMMARY/RESPONSIBILITIES

Directly supervises the coding staff to include, Outpatient and Inpatient Coders, Coding Educators, unbilled and denials clerks. Maintains expert knowledge of all coding and classification systems used in health care (ICD-10CM, PCS, CPT, DRG, APC, and ASC) key information that impacts reimbursement and statistical reporting systems, and the clinical information requirements of both accreditation and licensing agencies. Responsible for conducting reviews to assess the quality of coding and documentation to ensure compliance with federal and state laws and regulations. Under the direction of the HIM Executive Director, develops and implements policies and procedures. Plans improvements in work processes and personnel functions. Assists in the preparation of annual budget requests and monitors expenditures against allocated budget funds. Promotes the University Health System’s guest relations policy.

EDUCATION/EXPERIENCE

An Associate's Degree or Bachelor's Degree from an approved program for Health Information Management or a related field is preferred. Two years of experience managing/supervising health information management processes, coding and or billing functions in a medical facility is preferred. Five years of Inpatient/Outpatient Health Information Coding experience is required. Expert knowledge of Joint Commission standards and applicable licensure regulations are required. Must possess excellent verbal and written communication skills.

LICENSURE

Certification from one of the following credentialing bodies is acceptable: American Academy of Professional Coders, American Health Information Management Association, National Association for Health Professions: (AAPC, AHIMA, or NAHP).