"Alerted.org

Job Description

The Health Information Management (HIM) Coding Manager is responsible for our client's Rehabilitation coding operations. As the HIM Coding Manager you will be provide coding services for inpatient rehabilitation hospitals, outpatient rehabilitation clinics, and physician practices as well as leading the inpatient coding team. You will participate in cross coverage and auditing of coding these care settings, apply ICD-10-CM and PCS codes as applicable to code medical records according to IRF-PAI Coding Guidelines, accurately assign the IGC and etiologic diagnosis for the IRF-PAI, principal diagnosis for the UB04 and all applicable comorbidities, complications, and procedure coders. Proficiency with coding for both the IRF-PAI and UB04 as well as familiarity with IRF compliance and tiering comorbidities impacting reimbursement is required.

As the HIM Coding Manager you will work collaboratively with physicians, coding vendors, clinical and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes, and quality is captured for the level of service rendered to ensure compliant reimbursement and care services. You'll also work collaboratively on the revenue cycle regarding coding denials, remains aware of annual ICD-10 coding changes and the continual changes in Federal and State regulations for prospective payment.

Overview of Responsibilities:

Leads coding staff and monitors coding accuracy and efficiency.

Conducts ongoing record audits to verify coding and grouping accuracy. Reports on coding and grouping accuracy based on audit results.

Performs educational sessions for coding staff, vendors and physicians.

Interacts with healthcare providers to ensure that the terms have been translated correctly in the medical record.

Serves as the subject matter expert resource for coding staff.

Provides guidance to other departmental staff in identifying and resolving coding issues or errors.

Analyze and resolve claim denials that are rejected by edits from the revenue cycle department.

Participates in coding denials reviews with Revenue Cycle.

Collaborates with integration teams assisting as needed with data validation, go-live preparedness, training, support and on-boarding of new ventures.

Manages workflow among employees to ensure maximum productivity and quality standards are met. Adjusts work assignments as needed to cover peak periods, leave and vacancies.

Manages human resources by recruiting, selecting, training, coaching, counseling, and; communicating job expectations; planning, monitoring, appraising, and evaluating performance and goals.

Actively participates in employee engagement by creating a positive work environment where quality and accountability are valued.

Serve on committees as department representative.

Provides support to Director as needed.

Eligible compensation up to $40HR depending on experience.

We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form (https://airtable.com/app21VjYyxLDIX0ez/shrOg4IQS1J6dRiMo) . The EEOC "Know Your Rights" Poster is available here (https://www.eeoc.gov/sites/default/files/2023-06/22-088\_EEOC\_KnowYourRights6.12ScreenRdr.pdf) .

To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .

Skills and Requirements

7 years minimum experience in coding and coding leadership experience

Proficient in ICD-10, CPT and HCPCS

Must possess at least one of the following coding credentials:

o Registered Health Information Administrator (RHIA)

o Registered Health Information Technician (RHIT)

o Certified Professional Coder (CPC)

o Clinical Documentation Improvement Practitioner (CDIP)

o Certified Clinical Documentation Specialist (CCDS)

Proficiency at researching and solving problems

Willingness to engage and assist in the education of physicians within multiple service lines

In depth knowledge of Medicare and various other payer coding, billing, and reimbursement guidelines

Ability to communicate with internal leaders for all service lines Working knowledge of Meditech Expanse

Working knowledge of 3M

Inpatient Rehabilitation Coding

Bachelor's degree null

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [email protected].