Manager, Coding Quality and Education Relevant Educational Qualifications Job4 months ago - Medical / Healthcare Jobs - Brentwood - 92 views
The Manager, Coding Quality and Education provides guidance on quality projects involving coding and clinical documentation improvement (CDI) in accordance with the Company’s policies and procedures. Participates in the identification of educational areas for the company.
- Develop and execute ongoing education/training based on findings of ongoing coding quality audits for hospital staff, leadership, and colleagues regarding coding in adherence to The American Health Information Management Association (AHIMA) Standards of Ethical Coding, The Association of Clinical Documentation Improvement Specialist (ACDIS) Code of Ethics, Official Coding Guidelines, LifePoint Health policies and procedures, and The International Classification of Disease tenth revision (ICD-10) rules and regulations.
- Must be familiar with Diagnosis Related Groups (DRGs), Ambulatory Payment Categories APC’s), the Inpatient Prospective Payment System (IPPS), Outpatient Prospective Payment System (OPPS), National Correct Coding Initiative guidelines, Local and National Coverage Decisions and other medical necessity/compliance guidelines for billing and coding.
- Monitor and supervise coding quality review engagement scheduling and progress of reviews; propose modifications as necessary to improve audit effectiveness and efficiency.
- Prepare and present audit summaries to the Health Support Center (HSC) operations leadership team as well as divisional and enterprise leadership as required.
- Uses independent discretion/decision making while effectively working alone.
- Attends educational webinars, conference calls, other coding seminars, and participates in all formal and informal coding discussions. Complete all assigned compliance courses within assigned period of time.
- Maintain at least twenty (20) continuing education hours annually and maintain required credentials.
- Conforms to AHIMA’s Code of Ethics and Standards of Ethical Coding, LifePoint Attendance Policy and ensures patient/employee privacy and dignity by maintaining confidentiality with no infractions.
- Regular and reliable attendance.
- Perform other duties as assigned.
Access to and/or works with sensitive and/or confidential information.
KNOWLEDGE, SKILLS & ABILITIES: The requirements listed below are representative of the knowledge, skills and/or abilities required.
Education: Associate degree
Experience: 5+ years of experience
Certifications: Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT).
Skills and Abilities:
- Business Mathematical Skills -- Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rates, ratios, and percentages and to draw and interpret graphs.
- Moderate Computers Skills -- Frequent use of electronic mail, word processing, data entry, spreadsheets, graphics, etc. Ability to create, maintain and incorporate simple functions into documents, spreadsheets, databases, and presentations to support business objectives.
- Complex Communication -- Frequently communicates complex information and interacts with management. Can present, resolve and address delicate situations. Can motivate and persuade others.
- Department Specific Impact -- Decisions impact the management and operations within a department. May contribute to business and operational decisions that affect the department.
Nature of Problems
- Varied Business Problems -- Problems are varied and complex, requiring analysis or interpretation of the situation. Problems are solved using knowledge and skills, general precedents and practices.
- Functional Independent Judgement -- Provides and sets goals and priorities for functional area. May make recommendations for department policies, practices, and programs. Makes decisions for and/or resolves problems for others.
- Moderate -- Handle multiple tasks simultaneously with moderate complexity.
PHYSICAL AND MENTAL DEMANDS:
The physical demands described here 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 job responsibilities.
While performing the duties of this job, the employee is occasionally required to stand; walk; sit for extended periods of time; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, bend, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 20 pounds. Repetitive motion of upper body required for extended use of computer. Required specific vision abilities include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
WORK ENVIRONMENT AND TRAVEL REQUIREMENTS:
Work environment characteristics described here are representative of those that an employee may encounter while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job responsibilities.
Works in well-lit, ventilated and climate controlled office environment with routine office equipment; some equipment has moving mechanical parts.
In hospital environment, may be exposed to hazards and unusual elements, which may include but are not limited to bloodborne pathogens and / or contagious illnesses, toxic chemicals, and biohazardous materials which may require extensive safety precautions and the use of protective equipment.
Noise level in the work environment is typical for an office and/or hospital environment.
Minimum overnight travel (up to 10%) by land and/or air
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
Each day, LifePoint stands strong behind our commitment to make our communities healthier. We have always known that providing high-quality healthcare depends on our ability to find, keep, and empower creative and determined people who care. This has been a major component of our success in the past –and will be so in the future.