Job Description

Manager HIM Coding
Job CategoryManagement
ScheduleFull time
Shift1 - Day Shift

SUMMARY:
Manages Coding for the Health Information Management Department with responsibility for all processes and procedures including abstracting clinical information from a variety of Electronic Health Records.  Oversees the assignment of appropriate codes for diagnoses and procedures in order to generate bills and provide documentation of specific treatment rendered to all Inpatient and Outpatient populations for the facility. 

ESSENTIAL FUNCTIONS:

Effectively manages staff: interviews, hires and trains; provides continuous feedback and evaluates employee performance; appropriately handles performance issues; delegates work assignments for the greatest amount of efficiency and productivity.

Assists in development and managing the HIM Coding department budget.

Maintains quality and quantity standards regarding productivity of coders. Monitors coding for quality control by representatively auditing accounts, both pre- and post-bill in the Electronic Health Record to ensure compliance with all Coding Guidelines and regulatory standards.

Monitors all work queues in the Electronic Health Record system for coding workflow and edits.

Supervises and coordinates activities of the Tumor Registrars.

Updates coding procedures and guidelines and ensures that updates are provided to all coders handling IP & OP accounts for TMC, including those in a vendor capacity.

Implements new and/or revised procedures and audits results; Ensures all coders are provided with the feedback from their results and from the group results; Monitors, maintains and updates production standards.

Oversees the input of abstract data and codes into computer.  Gathers administrative and clinical data for distribution to outside regulatory agencies, third party payers, administrative staff, and providers.

Plans and offers in-service and educational materials and instruction for Health Information Managment staff and health care professionals.

Serves as secondary liaison between Medical Staff, Administration, Case Managment, Nursing, Finance, Business Office, Information Services and other ancillary operational and clinical departments for resolution of technical issues related to Health Information documentation, coding and reimbursement.

Assumes responsibility for department in absence of other HIM Managers or HIM Director.

Reviews contracts with agencies, vendors and service organizations for costs and benefits analysis and recommends renewal or changes as necessary.

Develops procedures for educating physicians regarding their documentation patterns compared to standards and practices established at TMC.

Coordinates compliance activities with Corporate Compliance Director when appropriate.

Demonstrates and upholds established standards of behavior, safety, and confidentiality, as well as TMCH and department policies and standards. 

Adheres to and supports staff in exhibiting TMCH values of integrity, community, compassion, and dedication.  Works collaboratively and supports efforts of other team members.

Performs related duties as assigned.

MINIMUM QUALIFICATIONS

EDUCATION:  Associate’s degree, or an equivalent combination of relevant education and experience.  Bachelor’s degree preferred.

EXPERIENCE:  Five (5) years of related HIM Coding Management experience, preferably in an acute care setting.

LICENSURE OR CERTIFICATION:  Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS).

KNOWLEDGE, SKILLS AND ABILITIES: 

  • Knowledge of HIM coding guidelines, practices, management and regulations.

  • Skill in managing and evaluating performance of staff involved in coding for optimum efficiency and reimbursement.

  • Proficiency in the use of computer applications including Microsoft Office products such as Word, EXCEL, ACCESS, PowerPoint, and Outlook; presentation skills.

  • Knowledge and experience in working with an Electronic Health Record system to encompass all aspects of HIM Coding workflows.

    • Preference given to those who have worked in an Epic system and/or workflow but any E.H.R experience will be recognized.

  • Skill in developing procedures and processes to improve coding operations and workflow.

  • Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.

  • Ability to prepare detailed status reports, business correspondence, and procedural manuals

  • Ability to effectively present information and respond to inquiries or complaints from employees, peers, providers/clinicians, patients and/or their representatives, and the general public.

  • Ability to work with concepts such as fractions, percentages, ratios, and proportions, and to apply mathematical operations to solve or analyze job-related situations.

  • Ability to create financial forecasts and budgets.

  • Ability to identify positive or negative variances from expected outcomes.

  • Ability to define problems, collect and collate data, establish facts, and draw valid conclusions.

  • Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.

Application Instructions

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