Corporate Coding Manager Radiation Oncology

Penn Medicine; Philadelphia (Philadelphia County); On-site; USD 120,000 - 160,000; Full time

Job summary

Penn Medicine is seeking a Corporate Coding Manager in the Radiation Oncology department. You will supervise coding staff, manage post-discharge queries, and ensure accurate DRG assignments and audits across entities.

As a coding expert, you will train staff, address questions, report quality and productivity, and coordinate CDI with enterprise teams to optimize documentation and reimbursement.

Qualifications

• CCS or RHIA or RHIT required.
• Bachelor of Arts or Science in Health Information Management or related field required.
• 5+ years acute care hospital coding/clinical experience required.
• 2+ years overseeing provider queries required.
• 2+ years leadership experience required.

Responsibilities

• Provide oversight of post-discharge physician queries to clarify documentation.
• Train new coding staff and cross-train on DRG coding and POA assignment.
• Respond to coding questions and quality issues from internal/external departments.
• Communicate with coders, management, physicians and staff on documentation and reimbursement.
• Summarize and report quality results and coder productivity weekly and monthly.
• Audit ICD-10 and CPT codes to ensure accuracy and guidelines compliance.
• Coordinate CDI and coding policies with regulatory and enterprise teams.
• Work with Vizient data and external measures to ensure accurate documentation.

Skills

Leadership experience

Overseeing provider queries

Coding quality oversight

Education

Bachelor of Arts or Science in Health Information Management or related field

Job description

Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Job Title

Corporate Coding Manager

Department

Radiation Oncology

Entity

Clinical Practices of the University of Pennsylvania (CPUP)

Location

Perelman Center for Advanced Medicine-3400 Civic Center Blvd

Hours

M-F, 8-4:30 with flexibility in hours based on operational need

Summary

• The Coding Manager is responsible for timely and accurately coding, DRG assignment and auditing of the coding and staff across all entities. This includes entity coders and coding and auditing support provided by vendors. This shall be performed in conjunction with the Coding Coordinators and the Manager of the Coding Academy. All coding staff shall have quality audits performed on a consistent basis, the results of which are incorporated into their performance reviews along with their productivity monitoring. The Coding Managers will serve as the organizational coding experts and will represent the department at meetings related to documentation improvement and monitoring, coding compliance and coding guidelines and interpretation.

Responsibilities

• Provide oversight and management to post discharge physician queries to assist in clarifying vague or unclear documentation. Oversee data on query response rate and report to management.


• Provide training to new coding staff and cross training to existing staff on coding guidelines, including but not limited to MS DRG coding and POA assignment.


• Research, review and respond to coding questions and coding quality issues from various internal and external departments.


• Communicate with coders, management, physicians, and other hospital staff regarding clinical documentation and reimbursement issues.


• Summarize and report quality results and coder productivity on a weekly basis and submit or management monthly.


• Oversee the performance of audits of the assigned ICD-10 and /or CPT codes to insure that charts are coded according to coding conventions and official coding guidelines with 95% accuracy. Present on Admission (POA) assignment is reviewed as part of the auditing process.


• Identify and communicate documentation issues and concerns that influence coding, DRG assignment, and severity of illness assessment to management as identified. Provide coding awareness and education as necessary to coding/service lines/CDI etc.


• Manages the performance of Patient Safety Indicator (PSI) reviews, complication and queries conducted for accuracy and compliance.


• Coordinates communication between the corporate coding the Clinical Documentation Improvement (CDI) departments to achieve optimal documentation and coding efficiencies.


• Works with the CEQI department on Vizient data and other external measures to ensure documentation is as accurate and thorough as possible.


• Works closely with the Revenue Cycle Manager to insure that all accounts are addressed and processed in a timely and complete manager.


• Monitor coding record assignment and completion to ensure that high dollar records, long lengths of stay and older records are prioritized for coding purposes.


• Facilitate any account completion activities necessary i.e. contacting CRM for disposition, contacting Surgeons for OP notes, answering coder questions, Query completion, missing documentation as needed to positively impact DNFB.


• Actively coordinate the development of institutional and organizational coding policies.


• Assist with CFB goals and maintenance of the IP and OP DNFB.


• Adhere to the American Health Information Management Association code of ethics.

Credentials

• CCS or RHIA or RHIT (Required)

Education or Equivalent Experience

• Bachelor of Arts or Science in Health Information Management or related field (Required)


• And 5+ years acute care hospital coding/clinical experience (Required)


• 2+ years Overseeing provider queries (Required)


• 2+ years Leadership experience(Required)

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.