The CHRISTUS Health Coding Manager is considered a system support position that provides leadership, support, and direction, for the Director of HIM/Coding Operations and the coding staff. Coding Managers works collaboratively with system Revenue Cycle, the facility Health Information and Records Services departments, Patient Access Teams, Patient Financial Services, Shared Services, Case Management, Physicians, hospital leadership and management. The Coding Manager is responsible for supporting compliance with CHRISTUS standards and directives, the American Health Information Management (AHIMA) and American Hospital Association (AHA) coding rules and guidelines, and other regulatory requirements including CMS, the Joint Commission, and HIPPA standards related to HIM operations. As a Manager, this position ensures that Coding operations are standardized, meet regulatory requirements, and support optimal department performance to support hospital operations and revenue cycle initiatives. This position performs timely monitoring and analysis of HIM coding operations to ensure performance objectives are met to support quantity and quality. This position is expected to maintain effective professional relationships as appropriate to instruct, share ideas, and implement actions related to coding functions and improvements. This position monitors and reports KPIs as determined by the System Director of HIM.
Ensure records are coded accurately in regards to the ICD-10-CM/PCS Official Guidelines for Coding and Reporting, CPT/HCPCS Guidelines and corporate requirements.
Ensure coding staff maintains a high quality and productivity standard, per CHRISTUS Health benchmark.
Collaborate with CDI for physician education regarding coding and documentation requirements.
Acts as a resource for the coding staff as well as serves as a liaison in the organization to address coding related issues and questions.
Disseminates changes in coding rules such as correct coding initiative and Coding Clinic.
Monitor changes in laws, regulations, and policies that impact clinical documentation, reimbursement and coding to assure compliance.
Produce clinical data and statistical reports for clinicians, researchers, financial and business planning, and clinical quality support services which is used to measure hospital's efficiency, quality assurance program, administrative planning and for the reports to state and federal agencies, and medical research.
Demonstrate an ability to utilize coding/abstracting systems and ensure that appropriate computer systems.
Monitor reports such as ABS Hold, Unbilled and other alike to maintain grasp on regional coding numbers.
Counsel employees in performance improvement, conflict resolution, disciplinary action, and coordination of employee schedules for adequate coverage.
Coach coding staff on coding expectations and meeting goals related to both quality and productivity.
Promote morale by effectively communicating goals, standards and needs of the department and organization.
Foster an environment of teamwork and service excellence within the department.
Provide leadership for process improvement and redesign to improve customer satisfaction, reduce costs, and/or meet departmental and institutional goals and objectives.
Work and communicate with all departments, coding professionals, and medical staff to improve documentation in the medical record.
Facilitate cross training opportunities for coders.
Interview, assess and hire new coding associates.
Manages and monitor departmental budget.
Ensure compliance with the Office of Inspector General, Centers for Medicare & Medicaid Services, and state and federal regulations steering committee and plays a key role in denials management involving HIM-related issues.
Bachelor degree, medical record science or medical record administration preferred or equivalent hospital leadership experience required.
Must have extensive knowledge of health information management functions including coding and compliance (ICD-10/PCS, CPT coding systems, MS-DRGs, and APCs).
Must possess a strong working knowledge in internal integrity requirements and procedures.
Knowledge of governmental, federal, state and local regulations related to billing rules and compliance.
Knowledge of healthcare industry financial statistical indicators.
Must possess strong analytical skills.
Excellent oral and written communication skills required.
Must have strong knowledge of common office software applications including Power Point, Excel, Word, etc.
Minimum of five(5) year's experience in a medical record department of a mid-large inpatient facility including three(3) year's in a coding management capacity
Experience with a centralized staffing model preferred
Experience with remote work force operations required
Licenses, Registrations, or Certifications:
Registered Health Information Administrator (RHIA), preferred
Registered Health Information Technician (RHIT), or
CHRISTUS HEALTH is an international Catholic, faith-based, not-for-profit health system comprised of almost more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. CHRISTUS operates in 6 U.S. states, Colombia, Chile and 6 states in Mexico. To support our health care ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on medical staffs who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.