Director of Coding

Nebraska Methodist Health System; Omaha (NE); On-site; USD 95,000 - 120,000; Full time

Job summary

Nebraska Methodist Health System in Omaha seeks a leader to oversee all medical coding and billing operations within our facility. You will manage a team of coders, ensure ICD-10-CM, CPT, HCPCS compliance, and align with revenue cycle processes.

This role emphasizes training, audits, staying current with coding changes, and collaborating with finance and compliance to optimize reimbursement and accuracy.

Qualifications

• Bachelor's degree in Health Information Management or related field, or equivalent combination.
• 5+ years in medical coding with at least 2 years in leadership roles.
• CCS or CPC certification required; CRC required; CPMA preferred.
• Proficient with coding software and EHR systems.
• Strong knowledge of ICD-10-CM, CPT, HCPCS Level II; HIPAA/CMS regulations.

Responsibilities

• Establish and maintain coding policies and procedures per industry standards and regulations.
• Oversee a team of medical coders; provide guidance, performance feedback, and training.
• Maintain high coding accuracy and ensure compliance; conduct audits and corrective actions.
• Stay informed of coding changes and industry regulations; participate in workshops.
• Collaborate with revenue cycle, compliance, and clinical documentation improvement teams.
• Provide ongoing education to staff on coding guidelines and practices.
• Oversight of MPC billing in collaboration with revenue cycle, finance and billing; monitor denials.
• Oversee staff and analytics related to physician compensation; monitor wRVU changes.

Skills

Coding knowledge

Leadership

Communication

Analytical skills

EHR proficiency

Regulatory compliance

Education

Bachelor's degree in Health Information Management or related field

Tools

Coding software

Electronic Health Records (EHR)

HIPAA/CMS guidelines

Job description

Why work for Nebraska Methodist Health System?

At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.

Job Summary

Location: Methodist Corporate Office

Address: 825 S 169th St. - Omaha, NE

Work Schedule: Full time, Mon - Fri

Responsible for overseeing and managing all aspects of professional medical coding and billing operations within our healthcare facility. A strong understanding of medical coding practices and guidelines, as well as the ability to lead a team and ensure compliance with industry standards.

Responsibilities

Essential Job Functions

• Establish and maintaining coding policies and procedures in accordance with industry standards and regulations. This includes ensuring compliance with coding guidelines such as ICD-10-CM, CPT, and HCPCS Level II.
• Oversee a team of medical coders and providing guidance and support to ensure accurate and timely coding. This includes assigning work, conducting performance evaluations, and providing necessary training and education to keep the team up to date with coding changes.
• Maintain a high level of coding accuracy and ensuring compliance with coding regulations and guidelines. This includes conducting regular audits and reviews to identify and address coding errors, as well as implementing corrective actions when necessary.
• Continuously stay informed of coding changes and updates, as well as industry regulations, to ensure compliance. This includes attending workshops, seminars, and conferences, and staying connected with professional coding organizations.
• Collaborate with other departments within the healthcare facility, such as revenue cycle management, compliance, and clinical documentation improvement, to ensure effective communication and coordination of coding processes.
• Provide ongoing education and training to healthcare providers, coders, and other relevant staff to ensure they are knowledgeable about coding guidelines and practices. This includes conducting training sessions, creating educational materials, and providing guidance on coding-related queries.
• Oversight of all billing practices related to MPC in collaboration with revenue cycle, finance and billing departments for the health system. This will include pricing structures as well as best practice for professional billing. Monitor relevant denial and payer rejection trends for escalation to payers.
• Oversee staff and analytics related to physician compensation. Stay up to date on change in wRVus and CMS changes related to fee schedules. Responsible for assignment of wRVU value analysis and policies and resolution of provider wRVU inquiries and discrepancies.

Schedule

Full time, Mon - Fri

Job Requirements

Education

• Bachelor's degree in Health Information Management or related field OR equivalent combination of education/experience combined (one year of education equals one year of experience) required.

Experience

• Minimum of 5 years of experience in medical coding, with at least 2 years in a leadership or supervisory role required.

License/Certifications

• Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification required.
• Certified Risk Adjustment Coder (CRC) certification required.
• Certified Professional Medical Auditor (CPMA) certification preferred.

Skills/Knowledge/Abilities

• Extensive knowledge of medical coding systems, practices, guidelines and regulations, including ICD-10-CM, CPT, and HCPCS Level II.
• Familiarity with industry coding guidelines and regulations, including HIPAA and CMS regulations.
• Strong leadership and management skills, with the ability to effectively manage a team and drive results.
• Excellent communication and interpersonal skills, with the ability to collaborate with various stakeholders and build strong relationships.
• Detail-oriented and analytical, with the ability to review and analyze coding data and identify areas for improvement.
• Strong understanding of healthcare reimbursement methodologies and payment systems.
• Proficiency in using coding software and electronic health record systems.
• Problem-solving skills, with the ability to identify coding issues and develop solutions to ensure compliance and accuracy.

Physical Requirements

Weight Demands

• Light Work - Exerting up to 20 pounds of force.

Physical Activity

• Not necessary for the position (0%):
• Climbing
• Crawling
• Kneeling
• Occasionally Performed (1%-33%):
• Balancing
• Carrying
• Crouching
• Distinguish colors
• Lifting
• Pulling/Pushing
• Standing
• Stooping/bending
• Twisting
• Walking
• Frequently Performed (34%-66%):
• Grasping
• Keyboarding/typing
• Reaching
• Repetitive Motions
• Sitting
• Speaking/talking
• Constantly Performed (67%-100%):
• Hearing
• Seeing/Visual

Job Hazards

• Not Related:
• Chemical agents (Toxic, Corrosive, Flammable, Latex)
• Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
• Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
• Equipment/Machinery/Tools
• Explosives (pressurized gas)
• Electrical Shock/Static
• Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc.)
• Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
• Mechanical moving parts/vibrations

About Methodist

Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission.

Nebraska Methodist Health System is an Affir­mative Action/Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law.