Manager, Coding Services

Job Title:                                Manager, Coding Services  

Company:                              Tegria Revenue Cycle Management (Tegria RCM)

Department:                          Management & Admin

Leader:                                   Director, Coding Services

FLSA Status:                         Salaried/Exempt

Work Location:                      Remote within the U.S.  

Travel:                                    No travel required

Compensation:                     $70,000 - $100,000

 

OVERVIEW

The Manager of Coding Services is responsible for overseeing outpatient and professional coding of multiple specialties for a hospital and physician services.  The Coding Manager drives consistent, quality coding, collaborates with client practice and department personnel to improve documentation and conducts root cause analyses based on system and payer edits to effect positive, sustainable improvements to ensure financial success for both the client and Tegria RCM.

 

Responsibilities include:

• Develops and maintains relationships with various levels of client hierarchy, including but not limited to C-level sponsors.
• Ensures operational partners have access to data to create performance expectations and properly report performance to the client.
• Participates/leads weekly calls with operational teams for the client and Tegria RCM. Advises on opportunities to improve performance, communication, or documentation supporting coding activities.
• Resolves escalated client concerns that require management level involvement.
• Collaborates with management partners in the preparation and presentation of client performance reports and presents to client in a manner that maximizes client engagement and understanding of improvement opportunities.
• Directs coding teamwork flow strategy based on coder skills and business priorities.
• Supports coding team through periodic quality assessments, training seminars, etc.
• Manages coder productivity against established standards.  Identifies deficiencies and works with coders to improve in needed areas
• Other duties as assigned

 

QUALIFICATIONS

• Bachelor’s degree or equivalent education and experience
• 5+ years coding experience required in clinic and/or hospital/facility coding
• 2+ years of previous management experience
• Nationally recognized coding credential including, but not limited to CPC, COC, CCS, CCS-P, RHIA or RHIT through AHIMA/AAPC.

• Advanced understanding of ICD-10, CPT (including E/M leveling), HCPCS, modifiers, medical terminology, and anatomy & physiology.
• Possess strong written and verbal communication skills to communicate effectively with stakeholders at all levels of the organization.
• Ability to work in a fast-paced department and handle multiple tasks, work with interruptions, and deal effectively with confidential information.
• Possess excellent telephone etiquette, presentation skills and problem resolution skills
• Computer skills including Microsoft Office Suite
• Must be highly organized and detail-oriented
• Understands fully the requirements to meet HIPPA regulations.  Must treat all patient information and data with complete confidentiality and take all precautions to secure this information.     
• Cooperates fully in all risk management and compliance activities and investigations for purposes.
• Understanding of DRG billing.
• Basic understanding of the components of a CDI program.
• Proven ability to work with people and partners at all levels of the organization including, client interaction.
• Ability to lead a team to a high level of performance.
• Excellent written and oral communication skills

Physical Requirements:

The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  Listed below are the physical requirements required while performing the duties of this job.

• The employee is regularly required to: stand; sit; talk; hear; use hands and fingers to operate a computer and telephone keyboard; and reach, stoop and/or kneel to install computer equipment
• The employee must have the specific vision ability to complete close vision requirements due to computer work
• The employee is required to be able to complete light to moderate lifting

Our Commitment to Diversity, Equity, and Inclusion

We welcome and respect the variety of experiences, viewpoints, and cultural backgrounds that everyone brings to our workplace. Tegria RCM makes every effort to promote a workplace where leaders model inclusive behaviors and individuals feel respected, valued, and empowered.  Together, we promote and sustain an inclusive workplace where people feel a sense of belonging