Manager, Coding & Documentation Improvement Job in Lowell, Massachusetts Us

  • Assists the Department Director in interviewing, evaluating, training, educating, and daily supervision of the coding staff for all shifts within the Coding department. Develops the monthly schedule for coding coverage and fills vacancies as needed by adjusting their work schedule and duties as needed. Manages the daily operations of the respective area of responsibility on all shifts as directed by the Department Director. The position researches regulations and coding guidance, implements policies procedures, monitors coding quality, facilitates clinical documentation improvement and ensures timely revenue capture and billing compliance according to organizational and department-defined metrics. The position performs or assists with coding audits, conducts in-services with providers and staff, analyzes business and system processes supporting the revenue cycle and serves as a liaison to service lines and providers on coding, compliance and reimbursement issues. The position also coordinates responses to federal audit contractors (RAC, MIC) and other payers. Must have strong communication skills, both written and oral. Must be able to work independently and efficiently to initiate projects and complete required coding analysis. Completion of 2-year or 4-year accredited HIM program (Bachelor's or Associate degree)with credential (RHIA, RHIT or CCS). Extensive HIM management experience without credentials, however, will be considered. Two years direct experience with DRGs, or three years management experience in Health Information Management. Must have comprehensive knowledge of DRGs, coding, medical record abstracting and state, federal, regulatory and professional standards.
    Oversees the timely and accurate coding and abstracting processes in accordance with established guidelines/procedures.
    Works with CDS staff, physicians, nurses, coders and other hospital staff to eliminate documentation gaps ensuring accurate and compliant documentation resulting in appropriate healthcare facility reimbursement.

    Maintains a thorough knowledge of the medical records, financial and patient care documentation components of the computer system(s) utilized by the organization, specific to the coding and abstracting processes.
    Completes monthly schedule for respective area(s) of responsibility by required deadlines.
    Contacts physicians as necessary to obtain diagnoses and verification of documentation. Works closely with physicians to educate them on documentation issues that have been isolated.
    Makes recommendations / completes policy and procedure changes, employee evaluations and or disciplinary actions as required.
    Develops material to assist with the orientation, training and staff development process for coding and abstracting. Assists with the delivery of training and orientation to new employees and new business practices to existing employees.
    Attends appropriate training and seminars to keep current with all third party and managed care contract issues and changes in coding practice. Maintains current knowledge of State and Federal Regulations that affect the coding and reimbursement of patient accounts.
    Maintains a smooth flow of coded accounts, ensuring the timely completion of all duties and professional, courteous interactions with patients, family members, physicians, and fellow hospital employees.
    Monitors and maintains operational efficiencies to achieve Revenue Cycle metrics such as Days Not Final Billed and Delinquent Coding Reporting/ Error Ratios for measurement, adjustment and program development.