Position Summary

The Manager, Coding Operations offers leadership and guidance to team leads, coders, and coding support staff. This role is accountable for overseeing daily coding, charge capture, and reconciliation activities. The manager closely collaborates with Clinical Documentation Integrity (CDI) and Coding Quality leadership to identify educational opportunities and workflow enhancements, address complex coding issues, and strategize and execute coding initiatives.

Responsibilities & Duties

• Maintains current knowledge of coding principles and government regulations through reading materials and attending educational meetings or seminars.
• Manages, supervises, and monitors daily work activities and evaluates staff performance.
• Monitors coding work, unbilled accounts, missing charges, and aging of uncoded accounts.
• Participates in developing, implementing, and maintaining new features and functionalities that impact coding and charge capture processes with a deep understanding of downstream effects.
• Participate in workgroup meetings and forecast impact on coding operations including workflow changes, coders’ education, and physician documentation.
• Contributes to the development and maintenance of an effective remote coding staff. Makes meaningful contributions to department-wide coding decisions and the coding knowledge base.
• Maintains positive relationships and facilitates effective communication amongst Coding Operations, Clinician Education, Compliance, Front & Back-end RCM, etc.
• Administers human resource matters, including recruiting, hiring, scheduling, career development, performance evaluations, and corrective action.
• Ensures that employees are adhering to company and department policies and procedures.
• Performs and assists with other duties as needed.

Knowledge, Skills and Abilities Required

• Expertise in medical coding and quality assurance with knowledge of billing, coding, and documentation practices in inpatient and outpatient hospital settings
• High-level understanding of all federal/governmental regulations, coding guidance, and revenue cycle policies and procedures
• Proficiency in Microsoft Office suite and EMR platforms
• Excellent written and oral communication skills
• Ability to identify emerging issues and communicate to leadership
• Ability to work effectively under pressure due to changing priorities, interruptions, and workload variability
• Ability to exhibit leadership by demonstrating a commitment to teamwork, supporting the alignment of USHV goals and objectives, assisting others to develop their knowledge of the department, adapting to change positively that exemplifies commitment, and working proactively with minimal supervision
• Ability to resolve conflict by persuading others through explanation to accept a course of action and approaching conflict from a positive viewpoint

Education & Experience

• Associate or bachelor’s degree in health information management or related field (or equivalent professional experience required)
• Registered Health Information Technician (RHIT),
• Certified Coding Specialist (CCS),
• Certified Coding Specialist-Physician-based (CCS-P),
• Certified Professional Coder (CPC)
• Strong coding leadership experience in cardiology or multi-specialty

Work Environment

• Long periods of standing or sitting
• Normal range of hearing, voice, and vision to perform work and communication
• Repetitive use of hands and fingers (e.g. use of computer keyboard)
• Busy, complex office environment requiring detailed, focused attention
• Normal office environment with minimal discomfort due to noise, temperature or dust
• Ability to meet physical demands of the job which include, but are not limited to: standing, bending, pushing, pulling, lifting, transporting supplies or equipment, walking for extended periods of time, and occasionally lifting, pushing, pulling and carrying items which may weigh up to 40 pounds.
• Ability to perform the essential functions of the job description with or without accommodation (Any accommodations requests can be directed to your HR Business Partner)

Environmental characteristics described herein are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.