Manager Coding Operations

Parrish Medical Center; Titusville (FL); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Health, Dental and Vision Insurance

403(b) Retirement Program

Tuition Reimbursement

Job summary

Parrish Medical Center in Titusville, FL, is seeking a supervisor for the Coding section of professional fee coding operations within the Health Information Management department. You will oversee coding, quality reviews, and act as the liaison between medical staff and ancillary departments for documentation and assignment.

The role requires a Bachelor’s degree in health information or related field, CCS/CPC or equivalent, and 3+ years of professional fee coding experience (RHIA/RHIT

Qualifications

• Bachelor’s degree or equivalent in health information or related field required.
• CCS, CPC or equivalent coding certification required; RHIA or RHIT strongly preferred.
• Minimum 3 years of professional fee coding experience, with emphasis on E/M coding.

Responsibilities

• Coordinates and manages the coding workflow for professional fee coding operations.
• Conducts coding quality studies and ensures accuracy in documentation and assignment.
• Educates medical staff and departments on coding standards and guidelines.
• Maintains knowledge of coding documentation requirements and CMS guidelines.
• Develops and maintains coding policies and procedures; communicates CMS updates.
• Reviews incomplete abstracts and AHCA reporting; prepares training materials.
• Leads special projects to improve coding operations and supports organizational goals.

Education

Bachelor’s Degree in health information or related field

Associates in related field (equivalent)

Job description

General Description

Reporting to PMC Director of Health Information Management and working closely with the PMG AVP of Parrish Medical Group will supervise and coordinate the Coding section of professional fee coding operations. Performs coding, quality reviews, and acts as the liaison to medical staff members and ancillary department personnel, re: coding documentation and assignment.

Reporting to PMC Director of Health Information Management and working closely with the PMG AVP of Parrish Medical Group will supervise and coordinate the Coding section of professional fee coding operations. Performs coding, quality reviews, and acts as the liaison to medical staff members and ancillary department personnel, re: coding documentation and assignment.

Department

Health Information Management

Schedule/Status

7:00am-3:30pm; Full Time

Standard Hours/Week

40

• ON-SITE POSITION**

Key Responsibilities

• Coordinates and manages the overall workflow to include leading accuracy and efficiency in coding and abstracting functions working in collaboration with the central business office acting as liaison between internal and external operations.
• Conducts coding quality studies on a regular basis.
• Assists medical staff, ancillary departments, and other direct patient care providers on documentation, coding assignments through education, communication and review of coding standards, chart documentation and organizational guidelines.
• Maintains and continuously improves knowledge base of professional fee coding documentation requirements through review, study of resources (coding clinic, Medicare guidelines, etc.) and continuing education.
• Develops, implements, and maintains coding policies and procedures. Sends updates on CMS guideline changes, weekly newsletters for education and ensures set up quarterly education sessions with providers based on specialty.
• Reviews and verifies Incomplete Abstracts (unbilled) Report on a regular basis. Prepares and distributes training materials to facilitate understanding and compliance with coding standards.
• Reviews and corrects any information for all AHCA reporting.
• Establishes and informs each employee or provider of their productivity and quality. Sets up educational sessions as needed for individual providers.
• Identifies, evaluates, and assigns diagnostic and procedural codes based on record documentation with a minimum departmental accuracy level and within the established time parameters utilizing established coding classification methodologies.
• Requires occasional travel between sites for orientation and educational visits.
• With a minimum departmental accuracy level, clinical administrative and financial information abstracts into the hospitals and clinic’s RCM databases. Verify accuracy of existing information, making the appropriate corrections.
• Leads and participates in special projects to improve coding operations and support organizational initiatives. Collaborates with service line leadership within assigned medical groups to address complex coding questions and ensure accurate coding practices.
• Performs similar or related duties as assigned.
• Knows fire, disaster and safety procedures and regulations as it pertains to the work area

Requirements

Formal Education

• Bachelor’s Degree in health information or related field is required. Equivalent combination of education (Associates in related field) and relevant coding experience, with a CCS, CPC or equivalent coding certification may be substituted for Bachelor’s Degree.

Work Experience

• Minimum 3 years recent experience professional fee coding with emphasis on E/M surgical coding preferred. Previous review and education consulting experience preferred.

Required Licenses, Certifications, Registrations

• Certified Coding Specialist (CCS), Certified Professional (CPC) or equivalent coding certification required.
• Also certified as RHIA or RHIT is strongly preferred.

Full Time Benefits

Eligible to participate in a number of PMG-sponsored benefits, including:

• Benefits Start on Day 1
• Health, Dental and Vision Insurance
• 403(b) Retirement Program
• Tuition Reimbursement/Educational Assistance
• EAP, Flex Spending, Accident, Critical and Other Applicable Benefits