Conifer Health Solutions
Outpatient Coding Manager - Remote
Conifer Health Solutions, Frisco, Texas, United States, 75034
Overview
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Coding Manager - Remote
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Conifer Health Solutions . Job Summary: Manages the Coding Section of Health Information Management (HIM) and functions as a resource and facilitator for all areas of hospital coding operations. Assures compliance with CMS, AMA and AHIMA standards for ethical coding, The Joint Commission Standards, Medical Staff Bylaws, Rules and Regulations, State and Federal Guidelines and department/organizational policies and procedures. Essential Duties And Responsibilities
Plans, organizes, and supervises the work and systems of one or more of the following Health Information Management programs: In Patient, Observation, Day Surgery, Emergency Department and Outpatient Coding 3M Encoder processes Coding Compliance Plan Dissemination of coding changes and updates Identification of coder educational needs through continual monitoring and auditing of coder accuracy Continual monitoring of charts not final coded. Establish DNFC targets by patient type and coder Monitor and report individual coder productivity. Coach and counsel under performers Assignment and reassignment of un-coded charts to specific coders as necessary to better manage the DNFC Evaluate individual coder accuracy through focused audits. Identify education needs to facilitate coding accuracy improvement Review all DRG reclassifications before and after assigning correction to the coder who completed the original coding. Track and trend patterns by payer, coder, MS-DRG and physician Monitor the coding compliance manual. Monitor industry publications and implement changes as necessary Gives input regarding section needs in preparation of annual budget and monitors expenditures for budget compliance Attend meetings within and outside the facility as needed or requested to provide input and act as a coding information resource Financial Responsibility
Provides input regarding departmental budget specific to area of responsibility Directly impacts days not final billed (DNFB), overall A/R and monthly revenue collection Supervisory Responsibilities
This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. No. Direct Reports
Inpatient and Outpatient Coders Coding Analyst Coding Supervisor Knowledge, Skills, Abilities
Computer training: HBOC Star; 3M Coding & Reimbursement software; SoftMed Systems; MS OFFICE; Horizon Patient Folder; Groupwise; DVI Dictation System; External Transcription Agency Systems Extensive knowledge of medical record documentation requirements mandated by Medical Staff Bylaws, Rules and Regulations State and federal regulations regarding patient confidentiality Excellent verbal/written communication and interpersonal skills Thorough/detailed knowledge of ICD-10-CM, ICD-10-PCS and CPT coding systems Skilled in formulating and writing statistical reports Skilled in performing quality assessment/analysis Must display strong interpersonal skills Works collaboratively with CDI, quality, and other facility leaders Education / Experience
Associate Degree in Health Science Administration/HIM Technology, minimum Bachelor’s degree, preferred Registered Health Information Technician (RHIT) certification Registered Health Information Administrator (RHIA) certification Minimum three years supervision of coding staff, required Five years of progressive management experience CERTIFICATES, LICENSES, REGISTRATIONS
Required: RHIA, RHIT, CCS, CCA, CCS-P, and/or CPC-H PHYSICAL DEMANDS
Duties may require bending, twisting and lifting of materials up to 25 lbs Duties may require driving an automobile to off-site locations Ability to sit for extended periods of time WORK ENVIRONMENT
Work environment is at a moderate noise level Capacity to work independently in a virtual office setting or at hospital setting if required to travel for assignment Works in a private office space in the coder’s home per conifer Telecommuter Policy Other
Duties may require travel via plane, car, train, bus, and taxi Compensation and Benefit Information and other company content removed for clarity and compliance. This description retains the core job information and responsibilities for the Coding Manager role.
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Join to apply for the
Coding Manager - Remote
role at
Conifer Health Solutions . Job Summary: Manages the Coding Section of Health Information Management (HIM) and functions as a resource and facilitator for all areas of hospital coding operations. Assures compliance with CMS, AMA and AHIMA standards for ethical coding, The Joint Commission Standards, Medical Staff Bylaws, Rules and Regulations, State and Federal Guidelines and department/organizational policies and procedures. Essential Duties And Responsibilities
Plans, organizes, and supervises the work and systems of one or more of the following Health Information Management programs: In Patient, Observation, Day Surgery, Emergency Department and Outpatient Coding 3M Encoder processes Coding Compliance Plan Dissemination of coding changes and updates Identification of coder educational needs through continual monitoring and auditing of coder accuracy Continual monitoring of charts not final coded. Establish DNFC targets by patient type and coder Monitor and report individual coder productivity. Coach and counsel under performers Assignment and reassignment of un-coded charts to specific coders as necessary to better manage the DNFC Evaluate individual coder accuracy through focused audits. Identify education needs to facilitate coding accuracy improvement Review all DRG reclassifications before and after assigning correction to the coder who completed the original coding. Track and trend patterns by payer, coder, MS-DRG and physician Monitor the coding compliance manual. Monitor industry publications and implement changes as necessary Gives input regarding section needs in preparation of annual budget and monitors expenditures for budget compliance Attend meetings within and outside the facility as needed or requested to provide input and act as a coding information resource Financial Responsibility
Provides input regarding departmental budget specific to area of responsibility Directly impacts days not final billed (DNFB), overall A/R and monthly revenue collection Supervisory Responsibilities
This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. No. Direct Reports
Inpatient and Outpatient Coders Coding Analyst Coding Supervisor Knowledge, Skills, Abilities
Computer training: HBOC Star; 3M Coding & Reimbursement software; SoftMed Systems; MS OFFICE; Horizon Patient Folder; Groupwise; DVI Dictation System; External Transcription Agency Systems Extensive knowledge of medical record documentation requirements mandated by Medical Staff Bylaws, Rules and Regulations State and federal regulations regarding patient confidentiality Excellent verbal/written communication and interpersonal skills Thorough/detailed knowledge of ICD-10-CM, ICD-10-PCS and CPT coding systems Skilled in formulating and writing statistical reports Skilled in performing quality assessment/analysis Must display strong interpersonal skills Works collaboratively with CDI, quality, and other facility leaders Education / Experience
Associate Degree in Health Science Administration/HIM Technology, minimum Bachelor’s degree, preferred Registered Health Information Technician (RHIT) certification Registered Health Information Administrator (RHIA) certification Minimum three years supervision of coding staff, required Five years of progressive management experience CERTIFICATES, LICENSES, REGISTRATIONS
Required: RHIA, RHIT, CCS, CCA, CCS-P, and/or CPC-H PHYSICAL DEMANDS
Duties may require bending, twisting and lifting of materials up to 25 lbs Duties may require driving an automobile to off-site locations Ability to sit for extended periods of time WORK ENVIRONMENT
Work environment is at a moderate noise level Capacity to work independently in a virtual office setting or at hospital setting if required to travel for assignment Works in a private office space in the coder’s home per conifer Telecommuter Policy Other
Duties may require travel via plane, car, train, bus, and taxi Compensation and Benefit Information and other company content removed for clarity and compliance. This description retains the core job information and responsibilities for the Coding Manager role.
#J-18808-Ljbffr