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Manager, Coding Hospital – Physician Services
Children's Healthcare of Atlanta. Establish and maintain efficient, timely, accurate, and high-quality coding and abstraction processes across hospital campuses, physician services, and remote facilities .
About the role
Key responsibilities & impact- Establish and maintain efficient, timely, accurate, and high-quality coding and abstraction processes across hospital campuses, physician services, and remote facilities
- Provide education to coders, physicians, and clinical staff on documentation, coding, and regulatory compliance
- Advise Coding and clinical staff and collaborate with the Director, HIS & Coding to improve coding services
- Manage daily Hospital Coding and Physician Practice Coding Department operations
- Research coding questions, provide coder feedback, and ensure timely correction of coding errors and edits
- Ensure concurrent coding audits, updated audit areas, accurate audit reports, and corrective action plans
- Monitor aging and DNB accounts, coding timeliness, quality, and productivity benchmarks
- Conduct audits and trend analysis of coding accuracy, productivity, documentation practices, and case mix index
- Lead hiring, training, workflow assignment, performance appraisal, complaint resolution, production, and quality control
- Identify and implement Coding department process improvements
- Review coding and medical necessity claim denials and rejections and implement corrective actions
- Coordinate ICD-10-CM/PCS and CPT code updates with Coding Supervisors and Information Systems & Technology
- Maintain coding information, manuals, resources, and materials
- Monitor and reconcile budget expenditures and identify operational cost savings
- Participate in Internal Audit Process exit conferences
- Collaborate with coding managers and business partners regarding coding policies, procedures, practice, and unbilled activities
- Mentor team members and encourage continued education and professional growth
- Apply critical thinking, problem solving, and change management to resolve systemic issues
Requirements
What you’ll need- 3 years of experience in health information management or coding management in a hospital or physician practice/clinic setting
- Associate degree in Health Information Management/Health Information Technology, or related healthcare field, or 3 years of managerial experience in Health Information Management or Coding
- Certification as RHIA, RHIT, CCS, CCS-P, or CPC
- Knowledge of complete and accurate clinical documentation across healthcare settings and disciplines
- Experience with acute care hospital and physician/clinic coding and billing practices
- Knowledge of ICD-10 diagnosis and procedures, CPT, and Evaluation & Management coding systems
- Knowledge of reimbursement systems including MS-DRG and APC
- Knowledge of clinical documentation improvement methodologies
- Ability to interpret and implement NCCI and MUE regulatory standards
- Strong analytical and critical thinking skills
- Ability to pass the Basic Microsoft Office Skill Assessment at 80% or higher during the pre-employment interview process
Benefits
Comp & perks- Equal employment opportunity commitment
- Day shift, Monday-Friday, 8:00 AM–4:30 PM
- Regular employment status