Manager - Inpatient Coding (Remote)

This is a fully remote position approved for a 1.0 FTE (80 hours per pay period) on the day shift.

This position is responsible for leadership and the daily operations of hospital inpatient coding staff for the M Health Fairview area hospitals.   The physician documentation and related diagnosis and procedure documentation is reflected in accurate diagnoses and procedure codes which is then used to determine hospital reimbursement, risk-adjust quality outcomes, patient severity, and cost of care metrics.  The manager guides and directs the staff, maintains a comprehensive knowledge of the EHR, assists IT with maintaining the computer applications, is knowledgeable with CDI and coding practices, assists with coordinating meetings with other departments, and completes metrics reporting is required. Works directly with other revenue cycle departments, CDI, Quality, Practice Leadership, Denials, and Compliance to ensure quality, education and record reconciliation occurs as appropriate to ensure documentation compliance with regulatory requirements.   

• Oversees inpatient coding staff to ensure daily operations meet and/or exceed departmental objectives, goals, and benchmarks.
• Selects, hires, orients, and trains qualified employees to perform inpatient coding job responsibilities.
• Prioritizes the Epic work queues for coding staff to meet established goals.
• Reviews and approves timecards; monitors employees time around absenteeism, tardiness; monitor staff productivity.
• Utilizes reports in Epic, Power BI, and CAC to monitor and ensure the system is working as expected and productivity is optimized; works with team members to report coding and CDI program results to established committees; ensures coders and CDI staff are working collaboratively to achieve desired results.
• Provides input to manage operational budget within assigned authority to ensure appropriate utilization of resources.
• Manages and coordinates employee goals and performance; ensure staff are trained and developed to effectively perform job responsibilities; manages performance appropriately and ensures development plans for staff are in place; sets performance standards and provides feedback and recognition on job performance on an ongoing and timely basis.
• Conducts regular team meetings ensuring a sense of community and conducts employee rounding, annual performance evaluations, coaching, and performance management.
• Ensures adherence to financial forecast for area; identifies and implements cost saving opportunities; fosters a culture of improvement, efficiency and innovative thinking; maintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures and standards.
• Support revenue cycle governance and taskforce team projects that focus on continuous process improvement initiatives to achieve goals and objectives.
• Identifies and helps activate automation opportunities within applications and electronic medical record optimize workflows and documentation outcomes as appropriate.
• Acts as a resource and helps to validate post claim DRG downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial activity and work with teams to create transparency and improvements to mitigate and prevent denials.
• Oversees professional competency and training of all staff functions system wide.
• Responsible for coordinating DRG reconciliation processes between coding and CDI teams.
• Works collaboratively with vendors to assure performance expectations are being met.
• Identifies and actively participates in deploying new technology, system optimization, and workflow automation.
• Perform ongoing staffing analysis based on current business needs to make recommendations as appropriate.

Organization Expectations, as applicable:

• Provide on-going learning to staff regarding coding and documentation practices.
• Complete projects as assigned.
• Share payer specific guidelines to ensure correct coding.
• Fulfills all organizational requirements:
  • Completes all required learning relevant to the role.
  • Complies with and maintains knowledge of all relevant laws, regulation, policies, procedures, and standards.
• Fosters a culture of improvement, efficiency, and innovative thinking.
• Performs other duties as assigned.
• Respect the confidentiality of all information, including information regarding patients, staff members or Fairview business issues, and share information only with those who need to know per Fairview policy.

Required Education

• Associate or bachelor's degree in health information management, Business, or other healthcare-related field or six years of related work experience.

Required Experience

• Three years of supervisory experience
• At least three years of coding or clinical documentation improvement (CDI) experience.

Required License/Certification/Registration

• (1) of the following: Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA)

Preferred Education

• Bachelor's degree in Health Information Management (HIM), Nursing, Education, or other healthcare related field.

Preferred Experience

• 5 years of coding.
• 3 years of management experience

Preferred License/Certification/Registration

• One of the following: Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA)

Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: https://www.fairview.org/careers/benefits/noncontract

The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical.