Facility HIM Coding Manager - $90,000 - $110,000 / year.
Compensation: $90,000 - $110,000 / year
Location: Chicago, IL
Status: Salaried, Exempt
eCatalyst Healthcare Solutions is looking for a Facility HIM Coding Manager joing our team. The Facility HIM Coding Manager will provide oversight to our client's Health Information Management Coding section serving as a resource to leaders, staff and physicians on coding and documentation standards and regulations.
Additionally, the Facility HIM Coding Manager will conduct trend analysis, audits and internal investigations to monitor program compliance and initiates corrective action plans where appropriate. The Facility HIM Coding Manager will represent eCatalyst Healthcare as a trusted partner on a daily basis with the client.
Oversees and monitors implementation of the client's HIM coding program including appropriate documentation, accurate coding, and adherence to hospital and regulatory policies and guidelines for all appropriate personnel including HIM 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.