Manager of Medical Coding

Yarmouth, MA

The Coding Manager is responsible for managing the daily operations of the Coding Section and guiding the efficient and effective process for coding, abstracting, and data reporting of inpatient, outpatient, emergency, and ancillary services. Provide leadership for coding staff with training, coding compliance reviews, regulatory guidance, work distribution, and monitoring of accounts receivable issues related to coding. Serve as a key participant in the revenue cycle process. Work closely with Patient Financial Services (PFS), Clinical Documentation Improvement Program and other services to assist and/or coordinate in resolving account, coding, and charge capture issues.

Essential Functions:

  • Assists Director in writing and maintaining policies, procedures, and training materials for the section.
  • Direct the training of new employees and ensure ongoing training of all staff. Conduct performance appraisal reviews and routine assessment of staff competency providing timely and appropriate feedback. Take appropriate organization, system and personnel actions as necessary.
  • Ensure coding process and guidelines meet state, federal, and Hospital requirements and standards. Works with the medical staff to improve clinical documentation to facilitate accurate coding. Enforce the use of physician query when appropriate.
  • Monitor and review accuracy of reports and facilitate error corrections.
  • Manage internal  clinical data and statistical reports for clinicians, researchers, financial and business planning, and clinical quality support services.
  • Manage the daily operations and activities in the coding section to ensure accurate and timely coding of inpatient, outpatient, emergency, and ancillary services.
  • Monitor the Information System infrastructure supporting coding and data reporting including the abstracting and encoder software, billing and decision support applications, and electronic interfaces.
  • Provides leadership and expertise in coding systems and payment systems.
  • Supervise and ensures productivity, turn-around-time, and quality of work are met. Address personnel, production and system issues as they arise.

Minimum Qualifications:

  • Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.
  • Education: Bachelor's degree in Health Information Management and Systems from an accredited college or university or equivalent work / education experience
  • Experience: Five (5) years of progressively responsible and directly related work experience
  • License/Certification: Certified Coding Specialist (CCS) and certification by the American Health Information Management Association (AHIMA) OR Cert Professional Coder (CPC)

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