HIM Coding Operations Manager

Position Description

Title:                                       HIM Coding Program Manager

Department:                          Health Information Management (HIM)

Facility:                                  Moore Regional Hospital

Classification:                         Non-exempt

Relationships

Reports to:                             Director of HIM Coding

Positions Supervised:            HIM outpatient coding team; indirect supervision of inpatient coding team.

Directs & Delegates:             Assists will daily operations and workflow oversight of HIM coding workflows.

Job Summary

Provides oversight and supervision of the day-to-day outpatient coding and HIM charge capture functions to include staffing, workflow, special projects and managing coding program operations consistent with established policies.   Ensures related coding functions are consistently covered during absences and synchronizes work distribution accordingly.   Directly assists the HIM Coding Director as a resource for information and clarification on accurate and ethical coding, documentation standards, querying, coding guidelines and regulatory requirements.   In collaboration with the HIM Coding Director, provides hospital-based coding education for the HIM coding team, CDI/physician liaisons and for other departments within the organization as required.   Works closely with internal coding auditors to review findings and identify educational opportunities.   Safeguards compliance with coding and billing guidelines.

Qualifications

The following qualifications, or equivalents, are the minimum requirements to perform the essential functions of this position.

Education/formal training/licensure/certification/experience:

• Associate degree in health information management or equivalent degree in the HIM field. Candidates with equivalent HIM coding experience may also be considered if currently enrolled in an accredited HIM program.
• CCS credential required. RHIA, RHIT preferred and must become credentialed at completion of HIM program.
• Formal training in ICD-10 and CPT required. Expert coding knowledge and related revenue cycle management knowledge required.
• 5+ years coding experience in hospital setting (at least 2 years inpatient)
• Preference to candidates with experience in hospital-based outpatient coding, charge entry, DRG validation and coding quality auditing.

Knowledge, skills, and abilities required:

• Thorough knowledge of ICD-10 CM and PCS, as well as CPT and the associated reimbursement guidelines/requirements.
• Strong analytical and critical thinking skills/detail oriented
• Ability to deal with short-term deadlines in a positive, professional, and organized manner.
• Excellent written and oral communication skills
• Ability to effectively monitor daily section activities to assure positive outcomes.
• Proven ability to prioritize deadlines and effectively complete tasks independently with minimal direction.
• Must be able to effectively coordinate staff training and continuing education to include cross training, problem-focused education, as well as updates and changes to coding policies or guidelines.
• Keep abreast of all new coding rules and communicate timely to managers and staff.

Working Conditions

• Primary office setting, independent work environment
• Minimal conversation in office to facilitate level of concentration required.

Physical Requirements

• Ability to tolerate long periods of sitting.
• Ability to use independent judgement in carrying out responsibilities.
• Excellent written and communication skills
• Ability to concentrate and multi-task in spite of frequent interruptions.
• Manual dexterity for computer use

Age Groups Served:

School age, adolescent, middle adult, young adult, and/or older adult.

Coding Program Manager: 08/26/2015 dsm; 12/22 cah 02/2025cah

Provides oversight and supervision of the day-to-day outpatient coding and HIM charge capture functions to include staffing, workflow, special projects and managing coding program operations consistent with established policies.   Ensures related coding functions are consistently covered during absences and synchronizes work distribution accordingly.   Directly assists the HIM Coding Director as a resource for information and clarification on accurate and ethical coding, documentation standards, querying, coding guidelines and regulatory requirements.   In collaboration with the HIM Coding Director, provides hospital-based coding education for the HIM coding team, CDI/physician liaisons and for other departments within the organization as required.   Works closely with internal coding auditors to review findings and identify educational opportunities.   Safeguards compliance with coding and billing guidelines.

• Associate degree in health information management or equivalent degree in the HIM field. Candidates with equivalent HIM coding experience may also be considered if currently enrolled in an accredited HIM program.
• CCS credential required. RHIA, RHIT preferred and must become credentialed at completion of HIM program.
• Formal training in ICD-10 and CPT required. Expert coding knowledge and related revenue cycle management knowledge required.
• 5+ years coding experience in hospital setting (at least 2 years inpatient)
• Preference to candidates with experience in hospital-based outpatient coding, charge entry, DRG validation and coding quality auditing.