Medical Coding Manager

Company: 40HRS, Inc.
Location: Great Neck
Posted on: February 21, 2025

Job Description:

Medical HIM Coding Manager needed to work onsite in Garden City, NY. The Coding Manager will plan, organize and manage the day-to-day operations of the coding team (Inpatient and Outpatient). MUST have a Coding Certification, five (5) years of Coding Management experience and a Bachelors Degree. Coding Manager is responsible for the professional development of the coding staff and assisting management with providing educational programs to support coders in continued coding and documentation education; performs quality assurance reviews of inpatient and outpatient records to assess and report on the effectiveness of training programs and quality of coders. The HIM Operations Manager and the Coding Manager will work together to provide in-service training and feedback to coding staff, regularly, including coding changes and updates. He or she effectively collaborates with HIM and Revenue Cycle Management on the implementation of coding edits, and ensures that accurate, coded data exists for optimal reimbursement by the organization and coordinates all quality and compliance monitoring of assignments for hospital technical services. The Coding Manager will have direct responsibilities for maintaining Discharge Not Final Billed (DNFB) within established thresholds, based on volumes and staffing resources, and responsibility for scheduling, time and attendance, productivity and quality.

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Responsibilities:

Evaluates the impact of innovations and changes in programs, policies, and procedures for the coding unit
Designs and implements systems and methods to improve data integrity and coding compliance
Identifies, assesses, and resolves issues impacting coding, documentation, and revenue cycle processes
Monitors and maintains acceptable accounts receivables associated with un-coded charts (DNFB), and team member productivity and accuracy according to industry standards
Oversees and monitors the coding compliance program. Develops and coordinates educational and training programs such as appropriate documentation and accurate coding to all appropriate staff including coding staff, physicians, billing staff, and ancillary departments
Ensures the appropriate dissemination and communication of regulatory, policy, and guideline changes in collaboration with HIM Management
Conducts and oversees coding audit efforts and coordinates monitoring of coding accuracy and documentation adequacy
Reports noncompliance issues detected through auditing and monitoring, the nature of corrective action plans, and the results of follow-up audits to the directors of hospital and the compliance officer
Reviews claim denials and rejections pertaining to coding and/or support of medical necessity, when necessary, implements corrective action plan (such as educational programs) to prevent similar denials and rejections from recurring
Interacts with a variety of people who impact the success of coding compliance program, and functions as a facilitator, liaison, and/or motivator
Assess educational needs and process improvement via team member shadowing and weekly one-on-one with individual coder/team
Manage coders' time - PTO approvals to ensure coverage is maintained - Payroll System time keeper

Requirements:

Bachelors Degree required
CPC and CCS or CIC coding certification required
RHIT, RHIA preferred
Minimum of five years progressive coding or coding review experience in ICD-10-CM and CPT/HCPCS with claims processing and data management responsibilities a plus
Excellent oral and written communication skills

Keywords: 40HRS, Inc., New York , Medical Coding Manager, Healthcare , Great Neck, New York