Manages Facility coding department for both Inpatient and Outpatient services. Additionally, manages outsource coding companies and provides quality checks for outsource coders.   Recommends and implements policy and staffing changes based on schedules, quality monitors and financial goals.  This includes monitoring Discharged Not Final Billed (DNFB) worklists to ensure timely coding/billing. Performs DRG review and works with outsource company for DRG disputes.  Work with outsource company on PACT reviews. Participates in on-going in-service education as well as annual inpatient and outpatient coding educational sessions.

 

The manager is expected to administer both hospital and departmental polices appropriately and consistently. Responsible for developing, interpreting, setting and enforcing policies and procedures for the department. Initiates and develops Quality Improvement Team who work independently to improve the work environment and develop the training programs to educate coding.

 

Responsible for continually developing team building skills and giving staff the initiative to take ownership of assigned duties. Creates an atmosphere where employee's responsibilities can spark curiosity and encourage self-motivated goals towards our Mission Statement. Concurrently works with CDI department to review provider documentation accuracy. Reports findings, irregularities or trends to their director and other relevant department heads. Activities will include the ability to change job responsibilities as needed to facilitate the requirements set down by governing agencies and the needs of the hospital at that time.

 

 

 

 

SECTION II

 

EDUCATION AND EXPERIENCE REQUIREMENTS:

 

Bachelor's Degree, Health Information Management Administration, or Associates Degree, Health Information Management Plus credential as RHIA (Registered Health Information Administrator or RHIT (Registered Health Information Technologists), or CCS.  At least 5 years working experience in a Health Information Office as a coder or supervisor.

 

 

 

SECTION III

 

PHYSICAL REQUIREMENTS:

 

The position is located indoors under normal working conditions.  Should be able to push/pull 25 lb., lift/move 15 lb. from floor to table, be able to perform moderately difficult manual manipulations such as using a key board, writing and filing for extended periods of time, must be able to perform tasks which require hand-eye coordination such as data entry, typing and using photo copiers.  Mobility requirements may include the ability to sit at a computer terminal or work station for a prolonged period of time in addition to being able to squat, stand and walk for a reasonable length of time and distance.  Sensory requirements include the ability to articulate and comprehend the spoken English language in addition to being able to read the English language.

 

PRIMARY RESPONSIBILITIES OF THE POSITION:

Ability to work independently, requesting assistance when needed, meeting deadlines Ability to anticipate problems and work to solve them Work is accurate and thorough, attention to detail is evident Coordinate and cooperate with relevant departments for resolution of operational issues, when identified Maintains current knowledge and skills necessary to perform competently Discusses patient and staff related issues only in a confidential manner and setting, and only with those who have the right to know Assists in maintaining the integrity and confidentiality of all data. Communicate effectively and professionally. Treat others with consideration, courtesy, and respect, even in stressful situations. Must have excellent communication skills - both oral and written. Reassigns staff as required by the workflow. Responsible for the training of all new employees on all aspects of their duties so they achieve higher job satisfaction and excellence Ability to address difficult workers and turn problems into opportunities for improvement/teamwork.  Mediate disputes both internal and external Has the ability to lead meetings that stay on track and move everyone into action. Generate reports for various departments, resolves issues on inpatient enhanced worklists in Soarian Financials-investigating cancelled charges/visits using Cerner Millennium. Research new product lines when informed by departments of new technology Build effective relationships and collaborate with medical staff to ensure the documentation supports the proper diagnosis for inpatient and outpatient encounters Ensure timely reporting to NYS DOH Birth Defects Registry of required submission following DOH guidelines of reporting.  Complete DOH BDR audits timely as well as SPARCS audits. Maintain UDS/Clintegrity databases to include DRG/Code Updates, Provider database-work with DataGen who oversees these databases to resolve issues with interfaces. Manage and perform external and internal coding audits on outpatient/inpatient coding staff (contract staff and internal staff). Collaborate and identify issues pertaining to Case Management medical necessity/inpatient denials. Consult on any other coding issues as needed

Ellis Medicine is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, creed, color, religion, sex/gender, age, national origin, disability, genetic information, predisposition or carrier status, military or veteran status, prior arrest, or conviction record, marital or familial status, sexual orientation, transgender status, gender identity, gender expression, reproductive health decisions, or domestic violence victim status.

 

Salary Range:  $36.07-54.10     /hour                   Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.