What are the responsibilities and job description for the Manager Facility Based Coding position at Lehigh Valley Hospital?
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Summary
Manages hospital based coding operations across the network. Manages and mentors internal and contracted staff, including management of productivity and coding quality. Implements and utilizes a variety of coding and healthcare technology. Anticipates and resolves barriers, ensuring that compliance and revenue cycle goals are achieved. Administers the monitoring and auditing program; designs and conducts the coding educational plan. Implements and manages revenue cycle initiatives. Handles coding denials. Assists with capital and operational budgets, benchmarking, and analysis of metrics.
Job Duties
- Directs functions, activities, and workflows across the enterprise to ensure revenue targets are achieved. Maintains a focus on monitoring DNFC (discharged, not final coded) to achieve cash flow to support network operating and strategic plans.
- Develops and documents uniform coding and use of technology processes and guidelines across the network that support both compliant and optimal coding practices. Ensures communication and education of same is provided to direct reports.
- Directs staff resources for optimal efficiency and productivity. Projects staffing needs and proactively plans for resources to med workload demands.
- Builds and maintains a culture of coding compliance across the network and manages the quality output. Encourages staff to code in a compliant fashion that accurately captures and reflects the severity of patient case mix. Ensures that coding practices optimize facility revenue within the scope of compliance and standards of ethical coding.
- Hires, onboards, evaluates, disciplines, and terminates staff according to performance. Monitors productivity and quality metrics and coaches staff toward optimal efficiency and effectiveness.
- Participates in documentation improvement activities and in denial mediation, allowing for accurate hospital reimbursement.
- Orients, educates, and develops coding staff and communicates regulation, policy, and guideline changes. Oversees education provided by QA specialists.
- Serves as a resource for staff, physicians, and as liaison for other hospital departments. Collaboratively communicates with colleagues across the network and acts as a representative that disseminates information to team members (upward, downward, and lateral) regarding departmental processes and outcomes.
- Supports the network by maintaining accurate and complete coded data critical to healthcare delivery, research, public reporting, reimbursement, and policymaking.
- Resolves issues and roadblocks. Professionally handles complex issues involving staffing, workflow, information systems, etc. Ensures that timelines are met.
Minimum Qualifications
Preferred Qualifications
Physical Demands
Lift and carry 25 lbs. frequent sitting / standing, frequent keyboard use,
Job Description Disclaimer : This position description provides the major duties / responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.
Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and / or social activities.
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