Manager, Professional Coding - Hybrid

Why ThedaCare?

Living A Life Inspired!

Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world.

At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you’re interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare.

Benefits, with a whole-person approach to wellness –

• Lifestyle Engagement
  • e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support

• Access & Affordability
  • e.g. minimal or zero copays, team member cost sharing premiums, daycare

About ThedaCare!

Summary :

Position Summary: The Manager, Professional Coding manages the professional coding and auditing team daily operations, including production, quality, internal audits, and provider coding education. Ensures the quality of service by maintaining current knowledge of family practice and specialty professional coding, quality initiatives, data collection and reporting, professional coding systems, and state and federal compliance requirements.

Job Description:

Key Accountabilities:

• Effectively manages team members in a manner consistent with ThedaCare policies and values.

• Ensures the recruitment and retention of competent team members to meet the needs of the business operations of the department. Is accountable for daily activities and work processes that result in quality outcomes.

• Oversees and ensures accuracy of time and attendance and payroll practices.

• Evaluates and determines the integrity of coding controls and revenue generation are maintained at the highest level possible.

• Manages department expenses to meet or exceed budget expectations.

• Collaborates with clinically integrated network operational leaders and relevant committees to ensure clinically integrated network practices are standardized and consistent with regulatory requirements and internal policies.

• Researches and resolves complaints, provides revenue cycle data feedback, and consults on new service lines from a coding and revenue perspective.

• Develops, maintains, and, monitors training and educational programs to ensure alignment with ThedaCare and department goals and regulatory changes.

• Ensures all coders are trained and regularly informed of external and internal updates to ensure accurate, clear, and concise communication with providers and operations.

• Establishes, implements, and maintains a formalized review process for coding compliance including a formal review (audit) process.

• Designs and uses audit tools to monitor the accuracy of clinical coding.

• Develops performance expectations and coaches, evaluates, and motivates team members. Investigates complaints and performance concerns.

• Is accountable for overall division hiring, performance management, payroll, and payroll practices to ensure alignment with ThedaCare philosophies.

• Stays abreast of regulatory requirements to ensure appropriate development of policies and procedures.

Qualifications:

• Bachelor’s degree

• Five years of progressive responsibility in hospital coding

• Three years of clinical coding/auditing leadership experience to include leading teams and/or projects

• National level clinic coding certification

Physical Demands:

• Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance

• Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties

Work Environment:

• Normally works in climate controlled office environment

• Frequent sitting with movement throughout office space

• Use of computers throughout the work day

• Frequent use of keyboard with repetitive motion of hands, wrists, and fingers

Position requires compliance with department specific competencies.

Scheduled Weekly Hours:

40

Scheduled FTE:

1

Location:

ThedaCare Corporate Office - Neenah,Wisconsin

Overtime Exempt:

Yes