Coding And CDI - Manager Coding Outpatient

Job Title & Specialty Area: Manager Coding Outpatient

Department: Coding and CDI

Location: Dallas

Shift: Monday

• Friday 8am- 4:30pm

Job Type: Remote

Why Children's Health?

At Children's Health, our mission is to Make Life Better for Children, and we recognize that their health plays a crucial role in achieving this goal.

Through our cutting-edge treatments and affiliation with UT Southwestern, we strive to deliver an extraordinary patient and family experience, ensuring that every moment, big or small, contributes to their overall well-being.

Our dedication to promoting children's health extends beyond our organization and encompasses the broader community. Together, we can make a significant difference in the lives of children and contribute to a brighter and healthier future for all.

Summary:

Provides organizational leadership as subject matter expert for outpatient; manages daily operations and drives change to ensure accuracy and quality of outpatient coding assignment across the system, assuring accuracy and timeliness in coding of the medical record. Works with hospital leadership and medical staff to improve the overall quality and completeness of clinical documentation to accurately reflect patient acuity and severity of illness. The role serves as the translator from clinical to financial. Leads efforts to ensure accurate code is achieved and denials are reduced with improvements in data integrity.

Responsibilities:

• Manages outpatient coding that includes ensuring accuracy and integrity of ICD-10-CM, CPT and other classification systems for the purpose of maintaining compliance with coding guidelines, rules and regulations.

• Maintains the coding process within the approved bill hold days. Expedites charts held on the CFB, DNB or other reports. Ensures all outpatient accounts are coded in a timely manner and timely response to coding issues.

• Responsible for Personnel issues, i.e. vacation, patient time off and general time and attendance issues. Participates in PEAC process for outpatient coding. Provides educational support to outpatient coding team. Implements corrective action plans based on trends identified by internal and external reviews and personnel issues.

• Coordinate and prioritize outpatient coding workflow. Monitor accuracy, efficiency and productivity of outpatient coding personnel to ensure compliance with departmental performance standards.

• Reviews and processes accounts in coding-related Epic Work queues, collaborates with clinical areas, Revenue Integrity, Patient Financial Services, and Patient Registration for issue resolution. Ensures accurate code and APR-DRG assignment.

• Participates in troubleshooting, testing, upgrades of coding, and electronic medical record applications in area of responsibility. Participates in coding audits, quality review and reviews payer denials as it pertains to outpatient coding, abstracting to assure medical record documentation supports the coded claim.

• Manages time/attendance, schedules and participates in PEAC process for area of responsibility.

How You'll Be Successful:

WORK EXPERIENCE

• At least 3 years Outpatient Coding experience Req

• At least 3 years Management experience Pref

EDUCATION

• Two-year Associate's degree or equivalent experience Req

• Four-year Bachelor's degree or equivalent experience Pref

LICENSES AND CERTIFICATIONS

• At least one of the following: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), or Certified Outpatient Coder (COC) 1 Year Req

A Place Where You Belong

We put our people first. We welcome, value, and respect the beliefs, identities and experiences of our patients and colleagues. We are committed to delivering culturally effective care, creating meaningful partnerships in the communities we serve, and equipping and developing our team members to make Children's Health a place where everyone can contribute.

Holistic Benefits

• How We'll Care for You:

• Employee portion of medical plan premiums are covered after 3 years.

• 4%-10% employee savings plan match based on tenure

• Paid Parental Leave (up to 12 weeks)

• Caregiver Leave

• Adoption and surrogacy reimbursement >