Regional Coding Manager

Omega Healthcare Management Services; United States; On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Medical insurance

Vision insurance

401(k)

Child care support

Disability insurance

Job summary

A leading health care management organization is seeking a Manager of Recruitment for Health Care Information Management. This mid-senior level role involves overseeing coding operations, ensuring compliance, and providing training for staff. Key responsibilities include managing data audits, preparing management reports, and maintaining knowledge of coding methodologies. Applicants should have experience in health information management and familiarity with tools like EPIC and 3M. The position offers full-time employment with comprehensive benefits.

Qualifications

• Experience managing coding operations and compliance in a health care setting.
• Strong understanding of health information flow in electronic health records.

Responsibilities

• Oversee coding and abstracting activities.
• Provide training and in-service programs for coding staff.
• Prepare monthly management reports on productivity and quality.

Skills

Microsoft Office Suite

Auditing

ICD-10 CM/PCS

Leadership

Health Information Management

Tools

EPIC

3M

Compass/Allscripts

Job description

Manager of Recruitment - Health Care Information Management at Omega Healthcare

Summary/Objective

The Coding Manager is responsible assisting in the development and evolution of the overall strategy for the coding operations and for the overall coding compliance and daily coding operations including management of coding specific unbilled functions. This position will oversee both onshore coding resources to include inpatient, outpatient, ED, and pro fee coders. The position will also coordinate with Omega offshore coding management and resources for offshore Outpatient and ED coding and act as a liaison to the client.

Essential Job Functions

• Provides overall management and direction of coding and abstracting activities. Oversee all duties and responsibilities of the coding staff.
• Must understand and demonstrate skill with the use of all Microsoft Office Suite of products such as Microsoft Word, Excel, and PowerPoint.
• Responds to Coding/Abstracting data and report requests made by Client, physicians, and other internal customers.
• Utilizes database queries and reports to perform various auditing functions.
• Works with the Medical Staff and other departments for resolution and education of coding, documentation, and reimbursement issues.
• Develops and provides oversight for internal and external coding validation programs in conjunction with established client programs. Identifies cases, monitors timeliness of data collection, aggregates, analyzes, and trends data. Provides summary and individual feedback to coding staff for performance improvement and compliance purposes. Reports validation findings to Client on a monthly basis and identifies area for clinical documentation improvement and coder education.
• Maintains a knowledge base of various payment methodologies, grouping classifications and ICD-10 CM and ICD-10 PCS, as well as ICD-9.
• Provides ongoing training and in-service programs for coding staff to support corporate compliance.
• Prepares and updates policies and procedures for Coding/Abstracting section, including internal coding guidelines.
• Oversees that month end coding activity is closed out for abstracting purposes within the established client timelines.
• Prepares monthly management reports on section productivity and quality.
• Completes performance reviews, recommend and/or initiate employee selection, promotion, disciplinary and/or discharge actions.
• Coordinates coding staff meetings, keeps staff informed of HIMS and regulatory changes, developments, and events.
• Provides leadership and expertise in the areas of coding, compliance, reimbursement, and reporting of coded data. Understands flow of health information in the electronic health record from registration through documentation, discharge, coding, and billing. Ensures compliance with OIG, CMS, state Medicaid third party payer, RAC and additional state and federal auditing contractor regulations regarding coding and data reporting.
• Assists with system analysis, implementation, testing, database management, maintenance, accuracy, regulatory compliance, troubleshooting, and security of coding/abstracting systems, interfaces, databases, and reporting tools for systems using coding/abstracting data (e.g., 3M, Compass/Allscripts, EPIC, etc.).

Seniority level

• Mid-Senior level

Employment type

• Full-time

Job function

• Health Care Provider and Other
• Hospitals and Health Care

Benefits

• Medical insurance
• Vision insurance
• 401(k)
• Child care support
• Disability insurance