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Title

Medical Coding Manager (Remote) - $80,000 - $100,000 

EOE Statement eCatalyst Healthcare Solutions, Inc. is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.  
Description

Medical Coding Manager (Remote) - $80,000 - $100,000

Compensation: $80,000 - $100,000 depending on experience, certifications, and skillset.

Location: Remote - Work from home!

Status: Salaried, Exempt 

Job Summary

eCatalyst Healthcare Solutions is looking for a Medical Coding Manager (Remote) to join our team. The Medical Coding Manager (Remote) will provide oversight to our client’s Medical Coding operations serving as a resource to leaders, staff and physicians on coding and documentation standards and regulations.

Additionally, the Medical Coding Manager (Remote) will conduct trend analysis, audits and internal investigations to monitor program compliance and initiates corrective action plans where appropriate. The Medical Coding Manager (Remote) will represent eCatalyst Healthcare Solutions as a trusted partner on a daily basis with the client. 

Essential Functions

  • Oversees and monitors implementation of the client’s HIM medical coding program including appropriate documentation, accurate coding, and adherence to hospital and regulatory policies and guidelines for all appropriate personnel including HIM medical coding staff, physicians, billing personnel, and ancillary department support.  
  • Ensures that coding staff, consultants and other contracted support adhere to the organization’s HIM compliance program. 
  • Conducts regular audits and coordinates ongoing monitoring of coding and documentation adequacy.   
  • Serves as a resource for department managers, staff, physicians, and administration to obtain information or clarification on accurate and ethical coding and documentation standards, guidelines, and regulatory requirements.  
  • Develops and coordinates appropriate training materials, conducts in-services, and/or ensures the appropriate dissemination and communication of all regulations, policies, and guideline changes to affected personnel.  
  • Conducts trend analyses to identify patterns and variations in coding practices and case-mix index. Compares coding and reimbursement profiles with national and regional norms to identify variations requiring further investigation. 
  • Reviews claim denials and rejections pertaining to coding and medical necessity issues and, when necessary, implements corrective action plans, such as educational programs, to -prevent similar denials and rejections from recurring.  
  • Identifies required enhancements in technology platforms to improve the accuracy and efficiency of coding. Reports noncompliance issues detected through auditing and monitoring, the nature of corrective action plans implemented in response to identified problems, and the results of follow-up audits to the Director of HIM. 
  • Receives and investigates reports of HIM compliance violations and communicates this information to the Director of HIM.   
  • Works with Clinical Documentation Improvement team to address documentation and coding issues. Monitors CMI, identifies opportunities related to documentation and coding.   
  • Provides training to CDI staff regarding coding and MS-DRG assignment.  Assists CDI leadership in resolving DRG mismatch cases.  Identifies and addresses trends in coding issues related to documentation.      
  • Participates in hiring, evaluation, and disciplinary action according to client policies and under client's direction.
 
Position Requirements

Required Certifications

  • CCS, RHIA, or RHIT certification. 
  • Bachelor’s Degree in Health Information Management or related field. 
  • 5+ years of hospital or other healthcare services HIM operations management experience. 
  • 3+ years of coding auditing experience with demonstrated background in hospital, physician, or other healthcare environment coding and reimbursement. 
  • Proficiency in Electronic Medical Records (EMR) such as EPIC and similar coding software systems. 
  • Microsoft Office (Excel, Word, Outlook, Teams) proficiency.

 

EEO Statement

It is the policy of eCatalyst Healthcare Solutions, Inc. to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law. This policy relates to all phases of employment, including, but not limited to, recruiting, employment, placement, promotion, transfer, demotion, reduction of workforce and termination, rates of pay or other forms of compensation, selection for training, the use of all facilities, and participation in all company-sponsored employee activities. 

Please note this description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required for this job. Duties, responsibilities and activities may change at any time with or without notice. 

 
Full-Time/Part-Time Full-Time  
About the Organization eCatalyst Healthcare Solutions is proud to be one of the nation's top HIM and Middle Revenue Cycle companies. Our expertise includes coding, auditing, clinical documentation improvement (CDI), master patient index, registry, revenue cycle, staffing, consulting, and more. eCatalyst is distinguished by our highly experienced and credentialed team and our unrelenting client focus.  

This position is currently not accepting applications.

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