Manager, Coding Hospital – Physician Services

Posted 1hrs ago

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Job Description

Coding manager overseeing hospital and physician coding operations for Children’s Healthcare of Atlanta. Ensuring accuracy, compliance, audits, education, staffing, and process improvement.

Responsibilities:

  • Establish and maintain efficient, timely, accurate, and high-quality coding and abstraction processes across hospital campuses, physician services, and remote facilities
  • Provide education to coders, physicians, and clinical staff on documentation, coding, and regulatory compliance
  • Advise Coding and clinical staff and collaborate with the Director, HIS & Coding to improve coding services
  • Manage daily Hospital Coding and Physician Practice Coding Department operations
  • Research coding questions, provide coder feedback, and ensure timely correction of coding errors and edits
  • Ensure concurrent coding audits, updated audit areas, accurate audit reports, and corrective action plans
  • Monitor aging and DNB accounts, coding timeliness, quality, and productivity benchmarks
  • Conduct audits and trend analysis of coding accuracy, productivity, documentation practices, and case mix index
  • Lead hiring, training, workflow assignment, performance appraisal, complaint resolution, production, and quality control
  • Identify and implement Coding department process improvements
  • Review coding and medical necessity claim denials and rejections and implement corrective actions
  • Coordinate ICD-10-CM/PCS and CPT code updates with Coding Supervisors and Information Systems & Technology
  • Maintain coding information, manuals, resources, and materials
  • Monitor and reconcile budget expenditures and identify operational cost savings
  • Participate in Internal Audit Process exit conferences
  • Collaborate with coding managers and business partners regarding coding policies, procedures, practice, and unbilled activities
  • Mentor team members and encourage continued education and professional growth
  • Apply critical thinking, problem solving, and change management to resolve systemic issues

Requirements:

  • 3 years of experience in health information management or coding management in a hospital or physician practice/clinic setting
  • Associate degree in Health Information Management/Health Information Technology, or related healthcare field, or 3 years of managerial experience in Health Information Management or Coding
  • Certification as RHIA, RHIT, CCS, CCS-P, or CPC
  • Knowledge of complete and accurate clinical documentation across healthcare settings and disciplines
  • Experience with acute care hospital and physician/clinic coding and billing practices
  • Knowledge of ICD-10 diagnosis and procedures, CPT, and Evaluation & Management coding systems
  • Knowledge of reimbursement systems including MS-DRG and APC
  • Knowledge of clinical documentation improvement methodologies
  • Ability to interpret and implement NCCI and MUE regulatory standards
  • Strong analytical and critical thinking skills
  • Ability to pass the Basic Microsoft Office Skill Assessment at 80% or higher during the pre-employment interview process

Benefits:

  • Equal employment opportunity commitment
  • Day shift, Monday-Friday, 8:00 AM–4:30 PM
  • Regular employment status