Serves as a corporate resource for coding, abstracting and related reimbursement, charging and billing issues. Provides direct supervision of coding and coding charge capture staff at a corporate level, including monitoring performance to achieve optimal efficiency. Ensures staff are adequately trained and maintain both quantitative and qualitative productivity standards. Manages workload, coding systems and Solventum and makes appropriate adjustments needed for optimal workflow and related revenue cycle management. Maintains coding and related databases and assists with internal and external requests for data.
ResponsibilitiesResponsible for corporate HIM Coding Operations, systems and staff.
Qualifications• Generally, requires a bachelor’s degree in Health Information Management or related field; equivalent experience, education and training considered. Certification as an RHIA or RHIT required. Preference to RHIAs.
• Two years management experience or related training preferably coding related. Successful candidates must also have at least two years of acute care coding experience (inpatient and outpatient).
• Extensive knowledge of inpatient and outpatient ICD-10 and CPT-4 coding conventions, DRGs, APCs and other prospective payments systems.
• Advanced knowledge of anatomy, physiology, and medical terminology.
• Coding certification by exam (i.e. CCS or CPC) from a national organization which is recognized by the AMA, AHA, or AHIMA.
• Knowledge in and the ability to apply the principles of HIM and related regulatory and documentation standards in the daily management of coding and charge capture functions.
• Familiarity with Epic and related coding, reimbursement, and Revenue Cycle Management (RCM) workflows to include impact of registration, billing, ADT and related patient type revisions.
• Working knowledge of Clinical Documentation Improvement