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Senior Coding Manager - Full Time - Health Information Management

Company: Alaska Native Tribal Health Consortium
Location: Anchorage
Posted on: January 16, 2020

Job Description:

Tracking Code Job DescriptionJOB SUMMARY Under limited supervision, functions as the Manager of all Inpatient, Day Surgery, Observation Coding and lead support to the Revenue Integrity Program. REPRESENTATIVE DUTIES Establishes standards and guidelines related to: internal quality reviews, compliance initiatives, reporting initiatives, benchmarking, research and analysis, continuous improvement opportunities, financial and strategic planning, and other customer requested projects. Works collaboratively leading and participating in projects and multi-disciplinary workgroups. Identifies patterns, trends and variations in facility's coding and documentation practices. Provides feedback and updates on quality improvements, trends, issue resolution and implementing changes. Evaluates the root cause and takes appropriate steps in collaboration with the right department to effect resolution or explanation of the variances. Develops, implements and maintains a standardized, organizational wide, quality data management plan for coding and reimbursement, health records and documentation to ensure compliance with external regulatory and accreditation requirements. Participates in the Coding / Billing Compliance Plan/ Program. Plans, schedules and performs concurrent and retrospective audits of inpatient, day surgery, observation and ancillary encounters assessing the documentation against the coded diagnoses and procedures. Leads documentation, coding, and billing relationships related to clinicians, diverse teams, finance and administration. Investigates, resolves and monitors data quality issues and improvement. Maintains coding data quality, coding education and validation in concordance with State and Federal regulations. Manages and schedules assigned staff. Develops goals and priorities; assigns tasks and projects. Identifies researches and resolves coding issues. Develops staff skills and training plans. Counsels, trains and coaches assigned staff. Implements corrective actions and conducts performance evaluations. Performs timekeeping duties. Provides leadership, direction and guidance. Represents the department on various committees; conducts regular staff meetings. Develops, implements and maintains a standardized, organizational wide policies and procedures to monitor the success of the data quality management plan, review areas of risk, investigate risk factors in coding and documentation practices and report data analyses. Develops and implements standardized organization-wide coding guidelines and documentation requirements. Develops and implement training and educational programs for providers and coders. Educates medical staff on monitoring and identifying deficiencies to improve performance. Reports summary of documentation deficiencies and progress in improvements to management. Provides consulting services in the area of data quality management to individuals, special projects, and executive and clinical departments throughout the organization. Assists with requests to review and verify codes, charges on patient accounts and denials. Responsible for the implementation and education on system changes and new requirements. Actively participates in ICD-10 implementation. Monitors and runs Case Mix reports, provide Case mix analysis. Provides feedback and education to physician and professional staff regarding changes in coding methodology and enhanced documentation procedures for optimizing reimbursement. Maintains the confidentiality of patient records and procedures. Performs other duties as assigned or required.Required SkillsKnowledge of medical terminology and abbreviations; anatomy and physiology; major disease process and pharmacology. Knowledge of classification systems CPT-4, E&M, ICD-9-CM, and HCPCS nomenclature, coding rules and guidelines. Knowledge of coding conventions and rules established by the American Medical Association (AMA), the Center for Medicare and Medicaid (CMS), AHIMA, and AAPC for assignment of diagnostic and procedural codes. Knowledge of Health Information Management theory, principles, practices, techniques, concepts and policies. Knowledge of the Privacy Act of 1974 and HIPAA Privacy Rule Act of 1966. Knowledge of coding software. Knowledge of health care operations; ethical coding principles; and revenue cycle activities. Knowledge of auditing principles and standards. Knowledge in developing and conducting training/educational sessions for diverse audiences. Skill in effectively managing and leading staff, and delegating tasks and authority. Skill in assessing and prioritizing multiple tasks, projects and demands. Skill in reading medical records, and finding and resolving documentation discrepancies Skill in understanding medical billing procedures and protocols. Skill and judgment in applying appropriate codes to diagnosis, procedures, evaluation and management, and supplies. Skill in operating a personal computer utilizing a variety of software applications. Skill in operating computerized medical coding and information processing systems. Skill in operating a personal computer utilizing a variety of software applications. Skill in oral communication and presenting information to providers. Skill in writing technical reports and other materials for presentation. Skill in receiving, disseminating information effectively and appropriately. Skill in using analytical and research skills to define and solve problems. Skill in assessing and prioritizing multiple tasks, projects and demands and effective project management. Skill in interpreting and applying ethical coding standards, federal and state laws and regulations; rules; policies and procedures; and professional practice standards for health care organization coding compliance program activities. Skill in medical record auditing and results reporting.Required ExperienceMINIMUM EDUCATION QUALIFICATION An Associates or Bachelor Degree in Health Information Management. Progressively responsible professional/exempt work experience may be substituted on a year-for-year basis for college education. MINIMUM EXPERIENCE QUALIFICATION Non-Supervisory- Six (6) years of professional experience in health care involving data quality monitoring, coding and quality improvement function. An equivalent combination of relevant education and/or training may be substituted for experience. REQUIRED CERTIFICATION QUALIFICATION RHIA or RHIT required, CPC or CCS-P required ADDITIONAL REQUIREMENTS May be required to work outside the traditional work schedule. According to the needs of the organization, some incumbents in this job class may be required to obtain specific technical certifications. . MINIMUM PHYSICAL REQUIREMENTS The following demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. This position requires persistent repetitive movements of the hands, wrists and fingers and the ability to sit for long periods of time. May occasionally be exposed to infectious diseases. The majority of work is performed with a wide variety of people with differing functions, personalities, and abilities. ANMC is not a latex free environment. Therefore, some latex exposure can be expected.Job Location Anchorage, Alaska, United States Position Type Full-Time/Regular

Keywords: Alaska Native Tribal Health Consortium, Anchorage , Senior Coding Manager - Full Time - Health Information Management, Executive , Anchorage, Alaska

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