Manager - Coding (Remote)

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Day - 08 Hour (United States of America)

This is a Stanford Health Care job.

A Brief Overview
The Coding Manager is responsible for managing the daily operations of the coding section and guiding the efficient, timely, effective and compliant process for coding, abstracting, and data reporting of inpatient, outpatient, emergency, and ancillary services as appropriate. Ensures data submitted to various external parties is accurate and reflects actual care, quality and utilization. Provide leadership for coding staff with training, coding compliance reviews, regulatory guidance, work distribution, and monitoring of accounts receivable issues related to coding. Ensure all WQ are within the established turnaround times and ensures productivity standards are met. Serve as a key participant in the revenue cycle process. Work closely with Professional Billing Organization (PBO), Patient Financial Services (PFS), Clinical Documentation Integrity (CDI), Revenue Integrity, Medical Staff, Quality Department, SOM Finance Administrators, and other hospital/SOM departments to assist and/or coordinate in resolving account, coding, and charge capture issues as appropriate.

What you will do

• Ensure coding process and guidelines meet state, federal, and Hospital requirements and standards.
• Works closely with the medical staff to improve clinical documentation to facilitate accurate coding.
• Works collaboratively with the Revenue Integrity Program Managers.
• Reinforce the need for coders to send compliant physician queries as appropriate.
• Manage external Hospital clinical data and statistical reporting to OSHPD, UHC, and other external agencies. Monitor and review accuracy of reports and facilitate error corrections.
• Manage internal Hospital clinical data and statistical reports for clinicians, researchers, financial and business planning, and clinical quality support services.
• Manage the daily operations and activities in the coding section to ensure accurate and timely coding of inpatient, outpatient, emergency, and ancillary services.
• Monitor the information system infrastructure supporting coding and data reporting including the abstracting and encoder software, billing and decision support applications, and electronic interfaces.
• Provides leadership and expertise in ICD-10-CM, ICD-10 PCS, and/or CPT coding systems
• Provides leadership and expertise in APR-DRG, MS-DRG and/or APC payment methodology as appropriate
• Manages and ensures all staff are meeting productivity and quality goals. Works collaboratively with Employee & Labor Relations to address performance expectations through corrective action and/or performance improvement plans.
• Works with the Manager of the Coding Quality Specialists to address coding quality concerns.
• Manages work queues effectively: consistently meeting turn-around-time goals, identifies opportunities to cross-train staff, identifies system and/or workflow issues and escalates swiftly, provides appropriate and timely provider feedback.
• Assists Administrative Director in writing and maintaining policies, procedures, and training materials for the section.
• Direct the training of new employees and ensure ongoing training of all staff. Conduct performance appraisal reviews and routine assessment of staff competency providing timely and appropriate feedback. Take appropriate organization, system and personnel actions as necessary.
• Perform other duties as assigned.

Education Qualifications

• Bachelor's degree in a work-related field / discipline from an accredited college or university. Relevant experience in lieu of degree may be considered (requires approval). Relevant experience in lieu of degree is in addition to the experience requirements for this position.

Experience Qualifications

• Five (5) years of progressively responsible and directly related work experience

Required Knowledge, Skills and Abilities

• Ability to communicate complex concepts in simple form to cross-functional departments or teams
• Ability to effectively collaborate with the medical staff and other hospital department
• Ability to manage complex projects and resources (people, costs, and time)
• Ability to mediate and resolve complex problems and issues
• Ability to solve problems and identify solutions
• Ability to strategize, plan and implement change
• Knowledge of coding software, including groupers, compliance tools, editors, optimizers and encoders
• Knowledge of health information from discharge, coding, billing and data reporting
• Knowledge of ICD-9/ICD-10 and CPT4 coding, APR and MS DRG and APC assignment and CMS compliance issues
• Knowledge of local, state, and federal regulatory requirement related to the functional area
• Knowledge of principles and practices of organization, administration, and personnel management
• Knowledge of project management process and systems

Licenses and Certifications

• RHIA - Registered Health Information Administrator or
• RHIT - Registered Health Information Technician or
• CCS - Certified Coding Specialist

These principles apply to ALL employees:

SHC Commitment to Providing an Exceptional Patient & Family Experience

Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.

You will do this by executing against our three experience pillars, from the patient and family's perspective:

• Know Me: Anticipate my needs and status to deliver effective care
• Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
• Coordinate for Me: Own the complexity of my care through coordination

#LI-RL1

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.