The CHRISTUS Health Coding Manager is considered a system support position that provides leadership, support, and direction, for the Director of HIM/Coding Operations and the coding staff. Coding Managers works collaboratively with system Revenue Cycle, the facility Health Information and Records Services departments, Patient Access Teams, Patient Financial Services, Shared Services, Case Management, Physicians, hospital leadership and management. The Coding Manager is responsible for supporting compliance with CHRISTUS standards and directives, the American Health Information Management (AHIMA) and American Hospital Association (AHA) coding rules and guidelines, and other regulatory requirements including CMS, the Joint Commission, and HIPPA standards related to HIM operations. As a Manager, this position ensures that Coding operations are standardized, meet regulatory requirements, and support optimal department performance to support hospital operations and revenue cycle initiatives. This position performs timely monitoring and analysis of HIM coding operations to ensure performance objectives are met to support quantity and quality. This position is expected to maintain effective professional relationships as appropriate to instruct, share ideas, and implement actions related to coding functions and improvements. This position monitors and reports KPIs as determined by the System Director of HIM.
Ensure records are coded accurately in regards to the ICD-10-CM/PCS Official Guidelines for Coding and Reporting, CPT/HCPCS Guidelines and corporate requirements.
Ensure coding staff maintains a high quality and productivity standard, per CHRISTUS Health benchmark.
Collaborate with CDI for physician education regarding coding and documentation requirements.
Acts as a resource for the coding staff as well as serves as a liaison in the organization to address coding related issues and questions.
Disseminates changes in coding rules such as correct coding initiative and Coding Clinic.
Monitor changes in laws, regulations, and policies that impact clinical documentation, reimbursement and coding to assure compliance.
Produce clinical data and statistical reports for clinicians, researchers, financial and business planning, and clinical quality support services which is used to measure hospital's efficiency, quality assurance program, administrative planning and for the reports to state and federal agencies, and medical research.
Demonstrate an ability to utilize coding/abstracting systems and ensure that appropriate computer systems.
Monitor reports such as ABS Hold, Unbilled and other alike to maintain grasp on regional coding numbers.
Counsel employees in performance improvement, conflict resolution, disciplinary action, and coordination of employee schedules for adequate coverage.
Coach coding staff on coding expectations and meeting goals related to both quality and productivity.
Promote morale by effectively communicating goals, standards and needs of the department and organization.
Foster an environment of teamwork and service excellence within the department.
Provide leadership for process improvement and redesign to improve customer satisfaction, reduce costs, and/or meet departmental and institutional goals and objectives.
Work and communicate with all departments, coding professionals, and medical staff to improve documentation in the medical record.
Facilitate cross training opportunities for coders.
Interview, assess and hire new coding associates.
Manages and monitor departmental budget.
Ensure compliance with the Office of Inspector General, Centers for Medicare & Medicaid Services, and state and federal regulations steering committee and plays a key role in denials management involving HIM-related issues.
Bachelor degree, medical record science or medical record administration preferred or equivalent hospital leadership experience required.
Must have extensive knowledge of health information management functions including coding and compliance (ICD-10/PCS, CPT coding systems, MS-DRGs, and APCs).
Must possess a strong working knowledge in internal integrity requirements and procedures.
Knowledge of governmental, federal, state and local regulations related to billing rules and compliance.
Knowledge of healthcare industry financial statistical indicators.
Must possess strong analytical skills.
Excellent oral and written communication skills required.
Must have strong knowledge of common office software applications including Power Point, Excel, Word, etc.
Minimum of five(5) year's experience in a medical record department of a mid-large inpatient facility including three(3) year's in a coding management capacity
Experience with a centralized staffing model preferred
Experience with remote work force operations required
Licenses, Registrations, or Certifications:
Registered Health Information Administrator (RHIA), preferred
Registered Health Information Technician (RHIT), or
Our Mission: WHY WE EXIST. To extend the healing ministry of Jesus Christ. Our Core Values: WHAT WE BELIEVE IN.DIGNITY Respect for the worth of every person, recognition and commitment to the value of diverse individuals and perspectives, and special concern for the poor and underserved. INTEGRITY Honesty, justice, and consistency in all relationships. EXCELLENCE High standards of service and performance. COMPASSION Service in a spirit of empathy, love, and concern. STEWARDSHIP Wise and just use of talents and resources in a collaborative manner.Our Vision: WHAT WE ARE STRIVING TO DO. CHRISTUS HEALTH, a Catholic health ministry, will be a leader, a partner and an advocate in the creation of innovative health and wellness solutions that improve the lives of individuals and communities so that all may experience God's healing presence and love. Our Name and Symbol:WHO WE ARE. CHRISTUS is Latin for "Christ," and proclaims publicly the core of our mission. OUR NAME choice also recognizes the heritage of our two congregational sponsors, the Sisters of Charity of the Incarnate Word in Houston and San Antonio. Jesus Christ is the Incarnate Word, the Word of God made flesh. It is, theref...ore, only fitting that it is in another form of His name that our health ministries are called together. OUR SYMBOL Reflects the healing ministry of Jesus Christ - a combination of a medical cross and a religious cross. The flowing banner on the cross is a common symbol of the risen Christ, while the royal purple signifies Christ. The flowing banner also conveys a sense of motion as we move forward into a new era of service to our communities.