Tennessee Orthopaedic Alliance

Coding Manager

US-TN-Nashville
2 weeks ago(11/29/2017 11:24 AM)
Job ID
2017-1145
# of Openings
1
Category
Central Business Office

Overview

The Coding Manager is responsible for leading the coding efforts for staff and physicians across the TOA’s healthcare delivery system striving for compliance and best practices. This position also ensures coding services meet productivity and quality standards to support the financial goals of the organization. This position reports to the Director of Revenue Cycle.

 

Responsibilities

Specifically, the Coding Manager will:

 

  •  Conduct chart audits, report outcomes to compliance team & provide on-going education to provider’s on ICD-10, CPT & HCPCS coding systems.
  • Ensure coding & data entry team are actively and timely working and addressing assigned tasked work files.
  • Develop & direct appeals work tasks to ensure completion timely.
  • Monitor & report for outcomes of appeals as well as tracking through the appeal process.
  • Monitor data entry for accuracy – Provide on-going constructive and / or positive feedback
  • Work with providers and coding staff to identify and resolve issues in a timely and efficient manner.
  • Work collaboratively with physicians and leadership to ensure internal customer satisfaction and efficient workflows.
  • Develop standards and guidelines for medical record documentation including reporting on deficiencies and training to remediate.
  • Proactively monitor environment for opportunities for further improvement.
  • Work with Compliance Manager on coding documentation issues if need be.
  • Proactively manage, including communications and escalation paths, significant issues affecting documentation (EHR) operations.
  • Responsible for coaching, professional development, and mentoring coding and data entry staff      
  • Provide guidance and motivation to staff regarding identification of activities/areas where performance can be improved.
  • Ensure documentation and coding practices meet CMS guidelines and the compliance goals of the organization.
  • Participate in efforts and activities to improve the documentation process within the Electronic Health Record.
  • Develop edits within claims scrubber software including testing and validation. Participates in the development of testing scenarios and takes ownership of reviewing results to provide constructive feedback.
  • Responsible for effective identification of staffing resources, recruitment and allocation of resources.

 

Qualifications

The ideal candidate will be a Certified Professional Coder with 5 + years’ experience as Coding Manager. Extensive knowledge of ICD-9, ICD-10, CPT-4, and HCPCS II coding systems required. Management experiences in a large healthcare system a plus. Graduated of accredited medical coding program & has maintained continuing education credits.

  • Prior success managing a high performing team is required, with management of coders and/or telecommuting employees a plus
  • Team-oriented and adaptable
  • Problem-solving skills

 

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