Manager, Physician Coding

Company: HR\/PR Service Center
Location: Franklin
Posted on: May 27, 2023

Job Description:

Job Description
Responsible for managing for assigned markets all services relating to coding workflow, productivity and performance to ensure timely and effective completion of coding and other coding projects as identified by the organization.
Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 47 distinct markets across 16 states, CHS is committed to helping people get well and live healthier. CHS operates 79 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
Summary:
Responsible for managing for assigned markets all services relating to coding workflow, productivity and performance to ensure timely and effective completion of coding and other coding projects as identified by the organization.
Essential Duties and Responsibilities:

• Manages the physician pro-fee coders responsible for coding for assigned markets/coders.
• Facilitates the structure, process, oversight and accountability of organizational coding to ensure accurate provider coding as it relates to appropriate and compliant reimbursement of health care services.
• Responsible for managing all services relating to coding workflow, productivity and performance for assigned markets and coders.
• Develops reasonable productivity measures for coding medical records while balancing quality and timeliness.
• Monitors the coding staff to ensure the quality, productivity and turnaround time meets the expectations of the department.
• Collaborate with and educate physicians and staff on coding and documentation guidelines.
• Directs the overall day-to-day activities of the physician coding department for assigned markets.
• Serves as a resource and liaison in the organization for all coding related topics, issues and questions including department managers, staff and physicians
• Remains current on all changes in legislative regulations that impact coding, documentation and compliance.
• Disseminates changes in coding rules and monitors changes in laws, regulations and policies that impact documentation, reimbursement and coding.
• Contributes recommendations for department resources and selection of educational material and tools to maintain the skills of the coding staff.
• Reports compliance issues detected through coding and auditing to the Senior Director of Physician Coding and Documentation
• Conduct performance evaluations, counsel employees in performance improvement, conflict resolution and disciplinary action.
• Assist in the development and implementation of policies and procedures related to coding and compliance and actively support operation and compliance objectives.
• Maintains strict confidentiality of provider information, patient data, financial and billing information
• Assists with special projects as assigned by Leadership Qualifications:
  Required Education: High School Diploma and/or GED
  Preferred Education: Degree in Nursing
  Required Experience:
  
  • Minimum of 10 years experience working with physician offices or clinics working with diagnostic and procedure coding and/or medical billing
  • Possess a vast knowledge of CPT, ICD AND HCPCS coding and reimbursement issues for physician offices and clinics
  • Extensive knowledge of CPT, HCPCS, ICD coding, medical terminology and the AMA's 1995 and 1997 Documentation Guidelines Required License/Registration/Certification: CPC or CCS-P
    Computer Skills Required:
    • Experience in Google suite
    • Experience with Excel, Microsoft Word and Microsoft PowerPoint
      Physical Demands:
      In order to successfully perform this job, with or without a reasonable accommodation, the following are outlined below:
      • The Employee is required to read, review, prepare and analyze written data and figures, using a PC or similar, and should possess visual acuity.
      • The Employee may be required to occasionally climb, push, stand, walk, reach, grasp, kneel, stoop, and/or perform repetitive motions.
      • The Employee is not substantially exposed to adverse environmental conditions and; therefore, job functions are typically performed under conditions such as those found within general office or administrative work.

Keywords: HR\/PR Service Center, Franklin , Manager, Physician Coding, Executive , Franklin, Tennessee