Coding Manager

POSITION SUMMARY:
Under the direction of the Director of Health Information Management and according to established CVPH policies and procedures, the Manager, HIM (Facility Coding) is responsible for planning and organizing the Facility Coding program at CVPH and ensures that all hospital, state and federal reporting guidelines are followed.  The Manager, HIM (Facility Coding) acts as a liaison with the business office, patient registration, medical, and ancillary staff to resolve problems and improve work processes.  The manager communicates regularly with the Manager, HIM (Clerical).

POSITION REQUIREMENTS:

• Bachelors degree in HIM or HIM related field preferred. 

• RHIA, RHIT, CCS or CCS-P coding credential required. 

• Minimum of five years of prior coding/CDI management experience in an acute care facility and a strong grasp of MS-DRGs, APR-DRGs, and APCs. Must also possess an understanding of daily functions/processes/responsibilities of Health Information Management clerical staff and be knowledgeable in HIPPA and ROI regulations. Must also actively work and understand the DNFB process and be aware of current differences in payment processes amongst insurance payers. Solid grasp of the charge master, revenue codes, processing patient type changes, cancelled accounts, and CMS code edits is required.

• Good communication, organization, and problem-solving skills. Interpersonal skills to interact with subordinates, Medical Staff members, and other departmental and Medical Center personnel. Work requires knowledge of anatomy and physiology, medical terminology, ICD-9 CM, CPT-4, HCPCS coding rules and regulations.  Manager must be able to code and/or audit inpatient and/or outpatient accounts as needed.  Manager must also have experience with a CDI program and understand the relationship between the CDI specialist(s) and the medical/coding staff. Experience in process improvement strategies, mentoring, and guidance to the CDI specialist is required.

• Basic office equipment experience required. 

• Demonstrated knowledge of computer technology and automated system designs for Health Information Management required. Strong hands-on experience with MS Office including Excel, Word, and PowerPoint.