Regional Coding Manager

Munson Medical Center Traverse City , MI 49685

Posted 2 months ago

SUMMARY The Regional Coding Manager (RCM) is directly responsible for the daily oversight of coding operational processes and workflow, including but not limited to delivering timely and accurately coded cases for facility billing and for reporting hospital and provider quality metrics.

####The RCM is responsible for managing all coding staff to achieve expected productivity and quality goals

. This position is responsible for aligning coding performance with the broader revenue cycle goals and Munson Healthcare objectives and assists in the development and evolution of the overall strategy for Munson Healthcare coding operations.# The RCM assists the Coding and CDI System Director with planning, service commitment, budgets and internal quality assessments and controls.# The RCM also works in collaboration with the Coding and CDI System Director to ensure the integrity of coded/abstracted data, the education and training of coding staff. The RCM serves as a key promoter of Coding operations and actively participates in building positive working relationships with other Revenue Cycle departments, clinical providers and practice staff.# The RCM acts as a resource for all Munson Healthcare on issues related to coding and charge capture. Travel to system facilities for work and meetings is an expected, routine occurrence. # ENTRY REQUIREMENTS Bachelor Degree in Health Information Management (HIM) is required. Consideration may be given to candidates with a Health Information Technology (HIT) degree with 10 or more years# extensive, applicable experience. Current standing as a nationally certified RHIT or RHIA is required.# Preference will be given to those who additionally possess certification as a CCS and/or CPC. A minimum of 5 years supervisory or coding leadership experience is required. Three to 5 years in coding a variety of visit types is required. A comprehensive knowledge and understanding of the revenue cycle, with particular emphasis on facility coding is required.# A working knowledge of revenue cycle practices for professional services is highly desirable. Demonstrated comprehensive knowledge of coding classification systems (ICD-10, CPT) is required. Demonstrated strong problem-solving skills with ability to manage cross-functional resolutions against a deadline is required. Demonstrated ability in effective communication, motivational and interpersonal relationship skills is required.# Proven ability in written and oral communication is required.


Previous experience in creating


, providing or facilitating meeting and/or training presentations is required. Must be able to demonstrate good judgment, be self-motivated and well organized.# Demonstrated ability to prioritize key tasks and work in a complex, stressful environment is required.# Must be able to simultaneously manage multiple projects and staff. # ORGANIZATIONAL RELATIONSHIPS The Regional Coding Manager reports directly to the System Director of Coding and Data Integrity. The RCM directly supervises the Coding Coordinators, Coding Analysts and Coder/Abstractors. This position has a close working partnership with the Coding Educator, the Medical Information Systems Analyst, the Clinical Documentation Integrity Manager and the Coding/CDI Physician Advisor.


This position has frequent contact with the Medical Staff


, Administrative Staff, Department Directors, Nursing staff, Medical Staff, other clinical staff, and physician office staff for all Munson Healthcare system hospitals. POPULATIONS SERVED, COMPETENCIES, INCLUDING AGE OF PATIENTS SERVED No direct clinical contact with patients # SPECIFIC DUTIES Supports the Mission, Vision and Values of Munson Healthcare. Embraces and supports the Performance Improvement philosophy of Munson Healthcare. Promotes personal and patient safety. Promotes employee satisfaction. Uses effective customer service/interpersonal skills at all times. Adheres to established national guidelines and the AHIMA Code of Ethics when developing and implementing ICD-10-CM, ICD-10-PCS and CPT-4 coding policy and procedures. Develops and implements goals, objectives and productivity targets incorporating strategic imperatives.# Reviews, reports on progress, and revises as necessary.# Hires employees, manages human resource utilization and supports staff development.# #Executes routine and timely individual Coding staff performance reviews. #Approves bi-weekly payroll records and maintains electronic attendance records on personnel. Maintains personal knowledge of MHC personnel policies and administers these fairly and uniformly.# Utilizes progressive corrective action according to policy. #Works in collaboration with the Coding Educator to assess staff continuing education needs and plans to assist staff in meeting those needs.# Plans, facilitates, and documents appropriate orientation and competency programs. #Develops and maintains up-to-date and standardized regional departmental policies and procedures and provides accurate interpretation to correct problems and enhance optimal efficiency. Interprets the priority of work activities and assigns responsibility accordingly.# Independent judgement is exercised. #Acts as a regional resource and active leader in solving moderate to complex problems related to coding and charge capture process. Identifies and tracks key barriers and process defects and takes action for sustained resolutions, utilizing appropriate process improvement techniques. Coordinates with the internal quality team to review, determine the root cause(s), and remediate coding quality issues; ensures implementation of performance improvement plans to ensure compliance with all applicable standards. Participates in the development of the annual Capital Equipment and Operations Budgets.# Is accountable for maintaining the integrity of the Coding budget, utilizing resources appropriately and reporting variances.# Maintains an adequate budget with no greater than a +/- 2% variance. Conducts ongoing Coding Leadership and Coding team meetings and huddles. Attends and/or presents at Senior Leadership, and Medical Staff meetings as necessary or upon request.# Participation and service on various committees including the Data Integrity Advisory Group, the medical staff HIM Committee and clinical documentation collaborative teams. #Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of the latest trends. Provides for the preceptorship of health information management student coding practice internships.

####Performs all other duties as assigned

.

SUMMARY

The Regional Coding Manager (RCM) is directly responsible for the daily oversight of coding operational processes and workflow, including but not limited to delivering timely and accurately coded cases for facility billing and for reporting hospital and provider quality metrics. The RCM is responsible for managing all coding staff to achieve expected productivity and quality goals.

This position is responsible for aligning coding performance with the broader revenue cycle goals and Munson Healthcare objectives and assists in the development and evolution of the overall strategy for Munson Healthcare coding operations.

The RCM assists the Coding and CDI System Director with planning, service commitment, budgets and internal quality assessments and controls. The RCM also works in collaboration with the Coding and CDI System Director to ensure the integrity of coded/abstracted data, the education and training of coding staff.

The RCM serves as a key promoter of Coding operations and actively participates in building positive working relationships with other Revenue Cycle departments, clinical providers and practice staff. The RCM acts as a resource for all Munson Healthcare on issues related to coding and charge capture.

Travel to system facilities for work and meetings is an expected, routine occurrence.

ENTRY REQUIREMENTS

  • Bachelor Degree in Health Information Management (HIM) is required. Consideration may be given to candidates with a Health Information Technology (HIT) degree with 10 or more years' extensive, applicable experience.

  • Current standing as a nationally certified RHIT or RHIA is required. Preference will be given to those who additionally possess certification as a CCS and/or CPC.

  • A minimum of 5 years supervisory or coding leadership experience is required.

  • Three to 5 years in coding a variety of visit types is required.

  • A comprehensive knowledge and understanding of the revenue cycle, with particular emphasis on facility coding is required. A working knowledge of revenue cycle practices for professional services is highly desirable.

  • Demonstrated comprehensive knowledge of coding classification systems (ICD-10, CPT) is required.

  • Demonstrated strong problem-solving skills with ability to manage cross-functional resolutions against a deadline is required.

  • Demonstrated ability in effective communication, motivational and interpersonal relationship skills is required. Proven ability in written and oral communication is required.

  • Previous experience in creating, providing or facilitating meeting and/or training presentations is required.

  • Must be able to demonstrate good judgment, be self-motivated and well organized.

  • Demonstrated ability to prioritize key tasks and work in a complex, stressful environment is required. Must be able to simultaneously manage multiple projects and staff.

ORGANIZATIONAL RELATIONSHIPS

The Regional Coding Manager reports directly to the System Director of Coding and Data Integrity.

The RCM directly supervises the Coding Coordinators, Coding Analysts and Coder/Abstractors.

This position has a close working partnership with the Coding Educator, the Medical Information Systems Analyst, the Clinical Documentation Integrity Manager and the Coding/CDI Physician Advisor.

This position has frequent contact with the Medical Staff, Administrative Staff, Department Directors, Nursing staff, Medical Staff, other clinical staff, and physician office staff for all Munson Healthcare system hospitals.

POPULATIONS SERVED, COMPETENCIES, INCLUDING AGE OF PATIENTS SERVED

No direct clinical contact with patients

SPECIFIC DUTIES

  • Supports the Mission, Vision and Values of Munson Healthcare.

  • Embraces and supports the Performance Improvement philosophy of Munson Healthcare.

  • Promotes personal and patient safety.

  • Promotes employee satisfaction.

  • Uses effective customer service/interpersonal skills at all times.

  • Adheres to established national guidelines and the AHIMA Code of Ethics when developing and implementing ICD-10-CM, ICD-10-PCS and CPT-4 coding policy and procedures.

  • Develops and implements goals, objectives and productivity targets incorporating strategic imperatives. Reviews, reports on progress, and revises as necessary.

  • Hires employees, manages human resource utilization and supports staff development.

  • Executes routine and timely individual Coding staff performance reviews.

  • Approves bi-weekly payroll records and maintains electronic attendance records on personnel.

  • Maintains personal knowledge of MHC personnel policies and administers these fairly and uniformly. Utilizes progressive corrective action according to policy.

  • Works in collaboration with the Coding Educator to assess staff continuing education needs and plans to assist staff in meeting those needs. Plans, facilitates, and documents appropriate orientation and competency programs.

  • Develops and maintains up-to-date and standardized regional departmental policies and procedures and provides accurate interpretation to correct problems and enhance optimal efficiency.

  • Interprets the priority of work activities and assigns responsibility accordingly. Independent judgement is exercised.

  • Acts as a regional resource and active leader in solving moderate to complex problems related to coding and charge capture process.

  • Identifies and tracks key barriers and process defects and takes action for sustained resolutions, utilizing appropriate process improvement techniques.

  • Coordinates with the internal quality team to review, determine the root cause(s), and remediate coding quality issues; ensures implementation of performance improvement plans to ensure compliance with all applicable standards.

  • Participates in the development of the annual Capital Equipment and Operations Budgets. Is accountable for maintaining the integrity of the Coding budget, utilizing resources appropriately and reporting variances. Maintains an adequate budget with no greater than a +/- 2% variance.

  • Conducts ongoing Coding Leadership and Coding team meetings and huddles.

  • Attends and/or presents at Senior Leadership, and Medical Staff meetings as necessary or upon request.

  • Participation and service on various committees including the Data Integrity Advisory Group, the medical staff HIM Committee and clinical documentation collaborative teams.

  • Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of the latest trends.

  • Provides for the preceptorship of health information management student coding practice internships.

  • Performs all other duties as assigned.

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Regional Coding Manager

Munson Medical Center