MHN Coding Manager

St. Mary's Medical Center - Huntington, WV; Huntington (WV); On-site; USD 110,000 - 160,000; Full time

Job summary

Marshall Health Network, Inc. seeks a Manager of Coding to oversee coding operations across its system, align HIM, CDI, and Revenue Cycle with organizational goals, and ensure accurate reimbursement and regulatory compliance.

The role involves leadership of daily coding department activities, performance management, and ongoing process improvements to optimize coding accuracy, productivity, and audit outcomes. This is a full-time, on-site leadership position based in Huntington, WV.

Responsibilities

• Lead the daily operations of the coding department, including staffing, workload management, employee development, performance evaluations, and quality monitoring.
• Maintain expert knowledge of coding regulations, documentation requirements, reimbursement methodologies, and payer guidelines.
• Oversee the coding compliance program, including education, training, communication of regulatory updates, and compliance monitoring.
• Direct coding audit activities, monitor coding quality and documentation accuracy, and develop corrective action plans as needed.
• Monitor and manage Discharged Not Final Coded (DNFC) performance, implementing process improvements to achieve organizational goals.
• Analyze coding trends, case mix index, reimbursement patterns, claim denials, and documentation issues to identify opportunities for improvement.
• Collaborate with HIM, CDI, Revenue Cycle, Business Office, Medical Staff, and clinical departments to improve coding accuracy, documentation quality, and operational performance.
• Perform operational assessments across the system and recommend process improvements to enhance coding efficiency and outcomes.
• Evaluate and implement coding technology, system enhancements, and workflow improvements to increase efficiency and support organizational initiatives.
• Assist in developing departmental goals, budgets, staffing plans, and long-range strategic initiatives in collaboration with the System Director of HIM.
• Ensure accurate payroll administration and maintain department records and reports.
• Maintain confidentiality and perform other duties as assigned.

Job description

Overview

Manager of Coding – Marshall Health Network, Inc.

The Manager of Coding is responsible for the operational management, planning, and organization of coding services across Marshall Health Network and its affiliated hospitals. This position oversees coding operations, compliance, quality, staffing, and performance while supporting organizational goals related to revenue integrity, regulatory compliance, and accurate reimbursement. The Manager of Coding collaborates with Health Information Management (HIM), Clinical Documentation Improvement (CDI), Revenue Cycle, and clinical leadership to promote coding accuracy, optimize workflows, and implement best practices across the system.

Essential Responsibilities

• Lead the daily operations of the coding department, including staffing, workload management, employee development, performance evaluations, and quality monitoring.
• Maintain expert knowledge of coding regulations, documentation requirements, reimbursement methodologies, and payer guidelines.
• Oversee the coding compliance program, including education, training, communication of regulatory updates, and compliance monitoring.
• Direct coding audit activities, monitor coding quality and documentation accuracy, and develop corrective action plans as needed.
• Monitor and manage Discharged Not Final Coded (DNFC) performance, implementing process improvements to achieve organizational goals.
• Analyze coding trends, case mix index, reimbursement patterns, claim denials, and documentation issues to identify opportunities for improvement.
• Collaborate with HIM, CDI, Revenue Cycle, Business Office, Medical Staff, and clinical departments to improve coding accuracy, documentation quality, and operational performance.
• Perform operational assessments across the system and recommend process improvements to enhance coding efficiency and outcomes.
• Evaluate and implement coding technology, system enhancements, and workflow improvements to increase efficiency and support organizational initiatives.
• Assist in developing departmental goals, budgets, staffing plans, and long-range strategic initiatives in collaboration with the System Director of HIM.
• Ensure accurate payroll administration and maintain department records and reports.
• Maintain confidentiality and perform other duties as assigned.