Manager of Inpatient Facility Coding at Wellstar Health Systems in Atlanta, Georgia

Job Description:

Overview

The Manager of Inpatient Facility Coding is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. It is expected that all RN Clinical Nurses - are licensed, knowledgeable and uphold the practice of nursing as outlined by the Georgia Professional Nurse Practice Act and implements the Scope of Practice and Code of Ethics Standards put forth by the American Nurses Association.

• Schedule:Full Time
• Shift: Day Shift
• Level: 6+ years of experience
  

Success Profile
Find out what it takes to succeed as a Manager of Inpatient Facility Coding:

• Collaborative
• Time Efficient
• Organized
• Critical Thinker
• Attention to Detail
• Compassionate

Benefits that Reflect Your Contributions

• Your Pay
  A compensation program designed for fair and equitable pay.
  
• Your Future
  Secure your future with plans that also include an employer match. Plans and guidance for the future.
  
• Your Wellness
  Traditional healthcare benefits combined with progressive wellness programs to help you be your best self!.
  
• Your Joy
  Special and unique benefits and programs ensuring a balanced life and a workplace culture built on trust.
  

Job Details


Facility: VIRTUAL-GA




Job Summary:



Management and coordination of the enterprise-wide multi-facility Hospital Coding Department staff and daily coding operations. Responsible for monitoring staff performance including maintaining standards of productivity and quality of abstracted data, adherence to official coding guidelines, compliance to policies and procedures and ensures efficient operations of all coding activities.



Core Responsibilities and Essential Functions:



Oversees the daily operations of the Hospital Coding Services Department including evaluating and monitoring staffing and work assignments of coders and any contracted coding staff with supervisory staff.
- Oversees new hire and ongoing staff training planning, completion and validation
- Assess and coordinate contractor and personnel hiring and onboarding
- Completes performance evaluations
- Conducts and documents progressive discipline and performance improvement.
- Stays current in coding, leadership and management topics to effectively administer functional responsibilities
- Provides coaching and advises supervisors on the above and other responsibilities
- Evaluates risks and addresses them to ensure coding accuracy and compliance Maintains a functional knowledge of all coding and failed coding report activities and duties within the department.
- Maintains current working knowledge of coding functions to assign appropriate diagnoses and procedural ICD-10 and/or CPT codes to the greatest specificity. Accurate and complete abstracting of all required data into the appropriate data fields in compliance with statistical date requirements.
- Monitors claim denials and coding work queues as identified and work with Coding team and interdisciplinary team for resolutions and associated processes.
- Evaluates, facilitates and assigns functional duties associated with the Candidate for Bill (CFB) reports to maintain the established departmental financial goals.
- Reviews holding, denial/appeal, and other accounts for trends and improvement opportunities, and coordinates improvements. Serves on denial committees as needed Creates, maintains and executes departmental policies including but not limited to:
- Work schedule policies to maintain a flexible work schedule while maintaining adequate staff to complete the duties as assigned to the coding department.
- Workflow, operational policies and procedures
- Coding accuracy policies
- Adherence to policies and procedures Oversees coding data, reporting internally and with other departments.
- Works with HIM, CDI, PFS, PAS and other revenue-cycle teams to identify and resolve coding workflow issues.
- Analyzes reports on coded data. Supports and assists the Executive Director with coding informatics and analytics.
- Serves as a resource to other departments and medical staff members for coding information and questions.
- Represents coding at committee and medical staff meetings as needed Monitors turnaround, productivity, accuracy, and professional goals for each team member.
- Evaluate productivity reports, hours worked and other data to determine compliance with productivity standards
- Review work queues and other reports to confirm ability to maintain turnaround time goals on assigned work
- Coach and facilitate team members progress to maintain goals.
- Facilitate and encourage growth and learning opportunities to promote continued skills enhancement and staff advancement.
- Reviews and analyzes audit results and data quality reports and coordinates education or provides education to staff with findings relative to coding and abstracting quality. Supports coding staff communications and morale
- Leads monthly staff meetings; Conducts conference calls, WebExes and other forums with staff on communications, training, goals and projects among others
- Works with coding team to facilitate and promote employee engagement
- Serves as a key resource for coding team questions, inquiries and other communications
- Actively oversees Great Place to Work/employee engagement survey action items Technology enhancements
- Research new build, optimizations and other technical tools to better develop coding processes and standards
- Liaison with IT in processes regarding system upgrades, new technology, and issues



Required Minimum Education:



High School Diploma/GED Required
Bachelor's Degree Preferred



Required Minimum License(s) and Certification(s):

One of the following certifications are required:

• Reg Health Information Tech or Reg Health Information Admin or Cert Coding Spec or Cert Prof Coder or Cert Prof Coder - Hospital OP

Required Minimum Experience:



Supervisory or equitable experience Required
Minimum 5 years hospital based coding or equivalent experience Preferred and
preferably direct experience with hospital-based inpatient, CPT outpatient and other hospital coding Preferred



Required Minimum Skills:



Computer/data entry experience.
Ability to use Microsoft Office Suite and have computer operational knowledge to manage a large team in a virtual environment which includes web-conferencing, email, instant messaging and other forms of digital technology.
EMR (electronic medical record) knowledge and navigation experience, Epic experience preferred.
Excellent organizational and multi-tasking skills and oral and written communication abilities.
Experience in all technical aspects of medical coding work.



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Mission, Vision & Values
At a time when the healthcare industry is changing rapidly, Wellstar remains committed to exceeding patients' and team members' expectations, while transforming healthcare delivery.



Our Mission
To enhance the health and well-being of every person we serve.



Our Vision
Deliver worldclass health care to every person, every time.



Our Values

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  We serve with compassion
  
  
  
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  We pursue excellence
  
  
  
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  We honor every voice
  
  
  

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