The Coding Service Manager is responsible for the day to day operations of the hospital coding area. This area is responsible for the following account types: inpatient, infusion, outpatient surgery, observation, homecare, OT/PT, Perlman, Audiology, Nutrition and claim edits. Manages all HR issues related to 18 both onsite and remote staff. Track and monitor coding productivity and quality. Assist with audit plan, section meetings, policy, and procedure and education development. Provide coding and claim edit support. Work with 3M and Epic on system enhancements. Work with HIM Coding students. Assist with coding related denials and/or coding related questions across the organization.
Monitors daily activities and workflow for responsible areas to ensure timely and high quality completion of tasks.. Develops and coordinates educational and training programs to all appropriate personnel regarding area of responsibility to ensure compliance, such as documentation, accurate coding, and disclosure of protected health information. Conduct trend analysis to identify patterns and variations in department practices such as productivity, quality, accuracy, and case mix index. Compare department profile with national and CHCA (Children's Hospital Corporation of America) norms to identify variations requiring further investigation.
Monitor the implementation of systems, applications, and technology to enable peak efficiency within departmental operations. Participate with Information Services in the implementation of various information systems for medical records, such as dictation, chart completion, release of information, encoding, abstracting, document imaging and the electronic medical record. Direct project teams that include measurable and accountable milestones. Interact with clinical staff and support staff in the implementation, maintenance, training and use of information systems dealing with patient information. Resolve technical problems as they arise.
Responsible for the selection, development, motivation, appraisal and discipline of reporting personnel. Provide input regarding staffing requirements . Maintain accurate payroll records. Create positive faculty and community physician relations. Creates a positive work environment that encourages the exchange of ideas and knowledge. Implement departmental policies or procedures and philosophy as consistent with Cincinnati Children's policies and values. Maintain currency in procedures, standards and job descriptions Promote both internal and external customer service through the development and implementation of programs and standards. Monitor implementation of continuing education goals of areas of responsibility. Provide training to HIM staff and others as necessary to optimize daily operations and ensure compliance with regulations and policies through structured presentations and unstructured interactions. Make job requirements and goals for each position clear to employees and provide sufficient training and feedback to achieve the desired level of competency; document evidence of competence on a continuing basis.
Ensure compliance with accrediting and regulatory agencies in areas assigned. Serve as a resource in areas of responsibility (e.g. coding and DRG resource, disclosure of protected health information, etc.,) Represent the Director and Senior Director, Health Information Management, at some hospital administrative and medical staff meetings. Participate in the development of a strategic plan for HIM services. Act as a liaison with various vendors utilized within the HIM department.
Skills & Competencies
Expressing oneself verbally in an accurate, understandable, and succinct manner to individuals or groups; using appropriate non-verbal signals to emphasize spoken words; adapting communication style and tone to fit the situation and audience; demonstrating poise during group discussions or formal presentations; holding others' attention; responding clearly and tactfully to questions
Understanding and showing respect and appreciation for the uniqueness of all individuals; leveraging differences in others' perspectives and ideas; appreciating cultural differences and adjusting one's approach to successfully integrate with others who are different from oneself
·Medical Terminology - Intermd
Intermediate knowledge of medical terminology
Proficiency in basic computer applications such as Microsoft Office (PowerPoint, Word, Excel), e-mail, and internet
Demonstrates an independent work initiative, sound judgment, diplomacy, tact and professional demeanor
Excellent verbal, written and/or interpersonal communication skills
Knowledge of ICD9, ICD10, and CPT coding classification systems and guidelines. Knowledgeable in CMS, Ohio Medicaid, and other regulatory agency rules and regulations related to coding and reimbursement. Knowledgeable in the use and analysis of HIM patient information systems applications.
·Bachelor's Degree in a health care related field OR Equivalent combination of education and experience
-5years of hospital inpatient and outpatient coding experience
·Certification in Registered Health Information Technician OR Registered Health Information Administrator
·Experience utilizing the ICD-9/10 and CPT coding systems
·Operational experience within a complex Medical Center
·Supervisory experience in a complex medical center