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Manager Coding & Clinical Abstraction

3151 S. 17Th Street
Wilmington, NC
Job ID: 9630
Date Posted: Jul 25, 2022

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Job Description

Description

About NHRMC

NHRMC, established in 1967 in Wilmington, NC, is recognized as a preeminent healthcare organization focused on leading our community to outstanding health. We have an 855 bed network of hospitals and multi-specialty physician group practices with more than 200 physicians. With a network of primary, specialty, neighborhood clinics and regional medical centers; you will find our culture is the very definition of best in practice. Join us and find out how many ways NHRMC offers you the chance to focus on what really matters - our patients and community.

About the Job

Location: NHRMC Business Center A

Department: Coding and Revenue Integrity

Full Time Equivalent: fulltime

Work Type: 64 to 80 Hours Pay Period

Work Schedule: STD HRS - Standard-Exe or Office w flex

Exempt from Overtime: Exempt: Yes

What You'll Do

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.

Position Requirements

Credentials:
* Cert Coding Specialist

Education:
* Associate Degree

Other information:
1. Education: Bachelor of Science in Health Information Management or Associates degree in Health Information Technology required.
2. Licensure / Certifications: Credentialing by the American Health Information Management Association as a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) preferred. Certified Coding Specialist (CCS) Required.
3. Experience: At least 2 years leadership, supervisory experience in an acute care facility, including Coding and DRG validation. Prefer 3-5 years experience in large medical center with knowledge of coding, billing, and information systems, as well as successful implementation of optimized reimbursement strategies.

Other Information

This position description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications which may be required of the employee assigned to the position. Depending on the location of the job, duties may vary. Receipt of the job description does not imply nor create a promise of employment, nor an employment contract of any kind; my employment with the Company is at will.

Consider a career at NHRMC and become part of this award winning team!

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