Manager, Coding

Adventist Health; Oregon; Hybrid; USD 90,000 - 130,000; Full time

Job summary

Adventist Health is seeking an experienced leader to manage and coordinate professional and hospital coding functions across Portland locations. The role ensures accurate coding, HIPAA compliance, and alignment with regulations and organizational standards.

It also oversees staffing, training, audits, and performance improvement initiatives. The ideal candidate has CPC/CCS certification, a bachelor’s degree (master’s preferred), and several years of coding leadership experience.

Qualifications

• Bachelor’s Degree or equivalent combination of education/experience required.
• Master's Degree preferred.
• Five years' related experience preferred.
• One year's leadership experience preferred.

Responsibilities

• Oversees and monitors the coding program.
• Develops and coordinates educational and training programs for coding staff and related departments.
• Ensures dissemination of regulatory policy changes and coding guidelines.
• Conducts and oversees coding audit efforts and monitors accuracy and documentation adequacy.
• Reports noncompliance issues and corrective action plans to HIM Director and Compliance officer.
• Interacts with diverse stakeholders to facilitate the coding program and motivates staff.
• Evaluates impact of program changes and designs systems to improve data accessibility.
• Reviews denials related to coding and medical necessity and implements preventive actions.

Skills

Leadership

Education management

Regulatory compliance

Education

Bachelor's Degree

Master's Degree

CPC

CCS

Job description

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.

Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.

Job Summary

Manages, monitors, and coordinates the professional and hospital coding functions within all locations of Adventist Health, Portland. Ensures that the coding staff performs their duties accurately and efficiently and handle records and data according to Health Insurance Portability & Accountability Act (HIPPA) and Adventist Health regulations. Ensures that all work products of the coding department conform with all federal, state and local regulations as well as institution/organization standards, practices, policies and procedures. Oversees the daily operations of the coding departments including workload and staffing; hiring, disciplining and performance appraisals; training, monitoring quality of work and productivity. Makes sure coded data accurately represents the services provided and results in optimal reimbursement for the organization.

Job Requirements

Education and Work Experience

• Bachelor’s Degree or equivalent combination of education/experience: Required
• Master's Degree: Preferred
• Five years' related experience: Preferred
• One year's leadership experience: Preferred

Licenses/Certifications

• Certified Professional Coder (CPC) or Certified Coding Specialist (CCS): Required

Essential Functions

• Oversees and monitors the coding program.
• Develops and coordinates educational and training programs regarding elements of the coding program such as compliance, appropriate documentation and accurate coding to all appropriate staff including coding staff, providers, billing staff and ancillary departments.
• Ensures the appropriate dissemination and communication of regulatory policy and guideline changes.
• Conducts and oversees coding audit efforts and coordinates monitoring of coding accuracy and documentation adequacy.
• Reports noncompliance issues detected through auditing and monitoring, the nature of corrective action plans and the results of follow-up audits to the HIM Director and the Compliance officer.
• Interacts with a variety of people who impact the success of the coding program and functions as a facilitator, liaison and/or motivator.
• Evaluates the impact of innovations and changes in programs, policies and procedures for the coding team.
• Designs and implements systems and methods to improve data accessibility.
• Identifies, assesses and resolves problems.
• Prepares administrative reports.
• Reviews claim denials and rejections pertaining to coding and medical necessity issues and, when necessary, implements corrective action plan to prevent similar denials and rejections from recurring.
• Conducts trend analyses to identify patterns and variations in coding practices and case-mix-index.
• Monitors key coding performance indicators such as discharged, not final coded (DNFC), discharged, not final billed (DNFB), days in coding and others as identified by leadership.
• Performs other job-related duties as assigned.

Organizational Requirements

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Adventist Health participates in E-Verify. Visit careers/everify/ for more information about E-Verify.

Company Overview

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.