Outpatient Coding Manager
Our Mission to extend the healing ministry of Christ
Employees are hired to help Adventist Health System extend the healing ministry of Christ. They are expected to exhibit a continuous behavior of professionalism, which includes but is not limited to, treating customers and co-workers with respect and dignity, aligning behavior with customer service principles, maintaining customer and patient confidentiality, abiding by employee guidelines for professional behavior, appearance, and communication, exhibiting teamwork behaviors, being effective in conflict resolution, helping others to understand issues and accept changes, demonstrating high standards of work performance and flexibility, maintaining positive interdepartmental relationships, keeping a positive attitude, and adhering to the policies and procedures of the organization.
The Outpatient Coding Manager, under general supervision of the Coding Director, is responsible for the daily operation of the Outpatient coding section and has direct oversight of the Outpatient coders. The Outpatient Coding Manager works in collaboration with the Director to ensure the integrity of coded data, the education and training of the Outpatient coding staff, as well as being a resource to the entire organization on issues related to outpatient coded data. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
PRINCIPAL DUTIES AND JOB RESPONSIBILITIES:
- Manages, develops and coaches the Outpatient Supervisor, APC Coordinators and outpatient coders, motivating and supporting others in overcoming barriers to understanding.
- Manages the education of the outpatient coding team. Schedules HCPRO webinars, internal huddles, etc.
- Manages facility and individual scorecard data. Participating in Supervisor’s monthly one on one meetings with the outpatient coders to review and discuss results.
- Manages the productivity report.
- Manages the Outpatient Coding denials and works with Patient Financial Services to identify trends, or ways to improve processes in regard to outpatient denials.
- Drives operational efficiency and sustains excellence in coding workflow with accountability for meeting and exceeding established goals. Maintains appropriate scheduling to ensure appropriate workflow and limitation of the use of overtime and utilizing contract help when appropriate.
- Provides positive morale maintenance on a routine basis. Fosters positive relationships with fellow workers. Contributes to and promotes departmental performance improvement initiatives and employee engagement.
- Participates in job interviewing, testing and selection of new employees; maintains positive morale maintenance in coding and contributes to and promotes departmental performance improvement initiatives and employee engagement.
- Conducts on-site quarterly meetings with the Outpatient team.
- Responsible for hiring, evaluations and disciplinary process of coding team members in conjunction with the Outpatient Supervisor.
- Collaborates and serves as a resource to other departments in the Revenue Cycle to ensure business continuity and optimal revenue cycle management. Handles requests for coding review by other departments/individuals (Core Measures, Quality, patients, Customer Service, Patient Financial Services, Case Management, Patient Access, Marketing, Risk Management and clinical areas).
- Uses critical thinking and sound judgement in decision making; keeping reimbursement considerations in balance with regulatory compliance.
- Assumes personal responsibility for professional growth, development and continuing education to maintain a high level of proficiency.
- Maintains the confidentiality of employees, patients, administrative staff and medical staff information with no infractions.
- Performs other duties as assigned.
KNOWLEDGE AND SKILLS REQUIRED:
Excellent communication skills
Progressive professional growth
Exhaustive knowledge of Outpatient coding and working knowledge of ICD-10-CM, CPT, HCPCS, NCCI edits, all regulatory compliance requirements
KNOWLEDGE AND SKILLS PREFERRED:
EDUCATION AND EXPERIENCE REQUIRED:
- Bachelor’s degree
- Three to five years of outpatient coding experience in an acute care hospital with cases involving a more complex level of coding
EDUCATION AND EXPERIENCE PREFERRED:
Three to five years of management experience in a hospital or physician’s office
LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:
RHIA, RHIT or CPC or CCS certification or credential