| Summary:
Works under the supervision of the Director of the Health Information Management, is a self motivated individual with experience and excellent leadership, communication, and organizational skills. Effectively and efficiently manages the staff of the Coding Department including all personnel issues such as hiring, terminations, evaluations, review of job descriptions, and progressive disciplinary actions. Revises and implements policies and procedures in response to changing departmental and organizations needs. Ensures appropriate dissemination, communication, education and training of policy and procedures to affected personnel. Responsible for supervision of all coding for inpatient, outpatient surgery, ancillary, emergency room, and clinic records, as well as the data abstracting, charge posting and reporting functions. Works in conjunction with other hospital departments (Patient Financial Services, Information Services, Clinical Resource Services, Clinical Audit Services, etc.) to structure, implement, and maintain, appropriate internal data collection and reporting systems to optimize management of payment systems. Plays an active role in Revenue Cycle management, ensuring correct charges and timely billing. Serves as a resource to administration, the medical staff, and other hospital departments on the IPPS, OPPS, and case mix analysis. Ensures that facility coding is in compliant with Federal and State regulations, implements education and actions plans as updates/changes occur. Provides direction and coordination of activities to ensure the department moves towards the same goal, consistent with the service excellence philosophies and mission for the medical center.
Responsibilities:
1. Responsible for managing the daily operations/functions of the HIM Coding department. Monitors and ensures staff coverage that facilitates excellent revenue cycle management. Hires, orients, and trains new staff as needed to develop competence in job duties
2. Fosters appropriate utilization of human resources and supplies to maintain budget and provide quality service.
3. Works and communicates in a positive and cooperative manner with department leadership, staff, physicians, co-workers, administration, and internal/external customers when providing information and services.
4. Reviews quality of documentation to ensure optimization of coding, initiates corrective action to ensure resolution of issues identified during auditing/monitoring activity. Responds to inquiries from 3rd party payors regarding coding inconsistencies or denials.
5. Monitors and evaluates staff performance to ensure optimal productivity and quality, initiates education/action plan to resolve issues as identified.
6. Oversees the coding and abstracting of all accounts, ensuring compliance with coding guidelines, correct charges, and timely billing within department standard.
7. Ensures that facility coding is in compliant with Federal and State regulations, implements education and actions plans as updates/changes occur. Revises and implements policies and procedures in response to changing departmental and organizational needs. Ensures appropriate dissemination and communication of policy changes to affected personnel.
8. Works in conjunction with other hospital departments (Patient Financial Services, Information Services, Clinical Resource Services, Clinical Audit Services, etc.) to structure, implement, and maintain, appropriate internal data collection and reporting systems to optimize management of payment systems.
9. Serves as an internal resource to administration, the medical staff, and other hospital departments on the IPPS, OPPS, and case mix analysis. |
