What are the responsibilities and job description for the Manager of Professional Coding and CDI position at Memorial Health Care Center?
JOB SUMMARY
Works under the general supervision of the Director of Health Information Management (HIM), the Manager of Professional Coding and CDI oversees the activities of the MMA Coding and Clinical Documentation Integrity program. Responsible for daily operations, management, financial data reports, the implementation of procedures for coding, and further growth in the area with the medical practices. Ensures optimum reimbursement for Physician Services through accurate and timely coding of all professional services. As a customer-focused team member, he / she must be accessible, flexible, knowledgeable and responsive. Strives for superior performance by consistently providing a product or service to leadership and staff that is recognized as ultimately contributing to the patient and family experience. Recognizes and demonstrates understanding of patient and family centered care.
PRIMARY JOB RESPONSIBILITIES
- Demonstrates knowledge of, and supports, Memorial Healthcare’s mission, vision, value statements, Standards of Behavior, policies and procedures, operating instructions, HIPAA Privacy and confidentiality standards, corporate compliance plan, code of ethical behavior and commitment to service excellence.
- Oversee the day-to-day operations of the Professional Coding and CDI Department to ensure compliance with all third party and government regulations.
- Manage the daily coding and CDI workload and adjusts coders and CDI specialists work schedules to meet the demands of the department.
- Designs and implements coding and CDI policies and procedures to ensure departmental and facility operations comply with state and federal regulations.
- Develops and launches coding improvement initiatives based on areas of opportunity identified through audits and other assessments; monitors and contributes to the success of improvement plans.
- Monitor open and missing encounters while working with MMA managers and MMA directors of practice management.
- Monitor daily imports and assign them to coders to process in a timely manner.
- Responsible for department's operational excellence; assures department delivers quality services in accordance with applicable policies, procedures and professional standards.
- Conducts / coordinates regular coding quality reviews and coordinates ongoing monitoring of coding accuracy and clinical documentation adequacy.
- Ensure coding staff maintains a high quality and productivity standard, per Memorial Healthcare benchmark and take appropriate action.
- Performs educational sessions for coding team, documentation specialists, and physicians.
- Develops and maintains coding guidelines for the coding staff and coordinates the ongoing development of the coding staff as indicated.
- Remains current in coding and / or documentation requirements. Suggests coding process improvements for optimal coding reimbursement.
- Monitor changes in laws, regulations, and policies that impact clinical documentation, reimbursement and coding to assure compliance.
- Monitors unbilled account reports for outstanding services or un-coded encounters to reduce accounts receivable days for office visits.
- Management-level responsibilities include : Time & attendance, hiring, performance appraisals, disciplinary actions, training, work distribution and flow, and employee engagement.
- Assists in the preparation and review of the departmental budget.
- Protects the confidentiality of patient information per HIPAA regulations.
- Performs other duties as directed.
JOB SPECIFICATIONS
EDUCATION
EXPERIENCE
ESSENTIAL PHYSICAL ABILITIES / MOTOR SKILLS
ESSENTIAL MENTAL ABILITIES
ESSENTIAL TECHNICAL / MOTOR SKILLS
ESSENTIAL SENSORY REQUIREMENTS
PI258955046
