Coding Manager Job Description
Coding manager
provides training to healthcare professionals, CDCI, and Revenue Cycle staff in ICD, CPT, HCPCS Level II coding guidelines, proper documentation guidelines and other information related to coding.
Coding Manager Duties & Responsibilities
To write an effective coding manager job description, begin by listing detailed duties, responsibilities and expectations. We have included coding manager job description templates that you can modify and use.
Sample responsibilities for this position include:
Meet with the coders on a periodic basis to summarize PRO/Quality Control Audits
Update any new coding guidelines or changes that may be a result of an audit
Assist the coding team in researching new coding guidelines
Applying the appropriate diagnostic and procedural codes to individual patient health information as conveyed by clinical members of the medical, nursing and ancillary staff
Validating the ICD-9-CM codes and DRG assignment appropriateness to ensure consistency and efficiency in inpatient claims processing and data collection to optimize DRG reimbursement and facilitating data quality in hospital inpatient services
Daily management of the Coding Audit Staff to assure timely completion of the annual coding audit plan
Perform quality assurance reviews of CAS work papers, findings, and reports
Support Compliance Education and Coding and Enterprise Risk Management efforts to the extent allowable by internal audit standards
Prepare performance evaluations, counseling/corrective action (as warranted)
Maintain an expert working knowledge on regulatory agency and 3rd party payer rules and regulations as it relates to documentation, coding and billing processes, including maintaining appropriate credentials
Coding Manager Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Coding Manager
List any licenses or certifications required by the position: RHIA, RHIT, CCS, CPC, AAPC, FEMA, CM, ICD, AHIMA, CCDS
Education for Coding Manager
Typically a job would require a certain level of education.
Employers hiring for the coding manager job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Associate Degree in Health Information Management, Education, Business, Management, Healthcare Administration, Health, Medical, Associates, Healthcare, Business/Administration
Skills for Coding Manager
Desired skills for coding manager include:
Medical terminology
Anatomy
Coding guidelines and relevant federal regulations through the use of current CPT-4
Physiology
Federal Register
HCPCS II
Pathophysiology
Pertinent materials
ICD-9/ICD-10 materials
ICD coding
Desired experience for coding manager includes:
Identify opportunities for improved performance
Act as Department Expert to Billing System and Maestro Care Systems teams
Monitors and tracks staff attendance and punctuality
Conducts all annual employee development initiatives
Develops training plans to suit growth and improvement efforts
Monitors daily production schedule regularly and proactively addresses any obstacles to timely completion of jobs
Coding Manager Examples
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Coding Manager Job Description
Job Description Example
Our innovative and growing company is looking for a coding manager. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for coding manager
- Analyzes nonconformance’s/customer complaints and observations in order to facilitate the identification and implementation of corrective actions through the department
- Ensures that all equipment for Coding and Re-Orientation is maintained as per procedure
- Evaluation, analysis and implementation of CPT, HCPCS, CDT and ASA codes, including additions / changes/deletions, for integration into the organization's product and analytic suite
- Providing support for unit and dollar values for codes, current and future releases
- Providing clinical guidance, support and education to various individuals and groups in the organization
- Participating in analytics around new payment models, current products an new products that are in development – including, but not limited to value based and risk based payment structures
- Assist with the ongoing development, interviewing, hiring and training of the HIM Coding staff
- Coordinate coding operations and activities, to effectively manage the coding function in compliance with established guidelines
- Manage the daily operations of the coding staff and schedules work assignments in an inpatient and/or outpatient office, to ensure timely and accurate coding activities
- Resolve complex coding discrepancies
Qualifications for coding manager
- Conduct a thorough review of the medical records, and ensures the most appropriate diagnosis
- Ensure through and compliant coding using ICD-9-CM and CPT-4 coding rules and guidelines, to support patient records and submission of billing for payment
- Confirm that diagnostic and procedural codes are accurately sequenced, and MSDRG/APC is assigned appropriately
- Hire, train, and develop the staff
- Assist with the development and implementation of policies, procedures, standards and initiatives
- Responsible for organizing and maintaining coding compliance semi-anunal reviews in accordance with Conifer policies and procedures, including managing a team of senior auditors to ensure all appropriate facilities are included in the audit procedure and to ensure appropriate risk-based areas of coding are identified and included in SAR audit samples
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Coding Manager Job Description
Job Description Example
Our company is growing rapidly and is searching for experienced candidates for the position of coding manager. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for coding manager
- Provides performance feedback and conducts performance evaluations for staff
- Provides performance counseling to staff if necessary
- Ensures appropriate staffing including monitoring of leave and usage of overtime
- Conducts quality analysis of coding staff including review of coding for accuracy
- Serves as a resource for physicians and other staff related to coding information
- Provides reports for analysis of trends/patterns
- Develops policies and procedures to ensure quality coding standard is met for the department
- Manager may assist in preparation of annual departmental budgeting needs and analysis
- Monitor and Analyzes unit trend to determine changes that may cause a decrease in overall performance
- Work with outside vendors to improve overall performance
Qualifications for coding manager
- Act as a resource on projects
- CPC or CCS-P required
- Additional coding certifications preferred (specialty credential(s)/CPMA)
- Manages, develops and coaches the coders, motivating and supporting others in overcoming barriers to understanding
- Manages the Coding Quality Review Program, collaborating with the APC Coordinators to sustain an excellent organizational average accuracy rate while maintaining adherence to corporate compliance
- Drives operation efficiency and sustains excellence in coding workflow with accountability for meeting and exceeding established goals
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Coding Manager Job Description
Job Description Example
Our company is looking to fill the role of coding manager. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for coding manager
- Works in conjunction with the HIM Director to provide in-house services and continuing education to the coding staff, physicians, and clinical departments, providing highly complex information to audiences with a varied level of understanding in an effort to ensure optional reimbursement, adherence to regulatory guidelines complete/accurate documentation
- Participates in job interviewing, testing and selection of new employees
- Responsible for hiring, evaluations, and disciplinary process of Coding team members in conjunction with Director
- Collaborate and serves as a resource to other departments in the Revenue Cycle to ensure business continuity and optimal revenue cycle management
- Uses critical thinking and sound judgment in decision making
- Maintains the confidentiality of employees, patients, administrative staff and medical staff information with no infractions
- Progressive professional growth
- Exhaustive knowledge of both inpatient and outpatient coding and working knowledge of ICD-10CM, ICD-10PCS, CPT, HCPCS, MSDRGs, APRDRGs, HACs
- Associates or Bachelor’s degree in HIM or related field
- Three - five years of coding experience in an acute care hospital with cases involving a more complex level of coding
Qualifications for coding manager
- Three to five years of management experience in a hospital or physician’s office
- ICD-10 courses completed (Preferred)
- Bachelor’s degree preferred (Preferred)
- RHIA, RHIT, or CCS certification or credential
- Provides direct managerial oversight to International vendors, Coding Leads, Coordinator, and Data Analyst in management of inpatient and outpatient coding functions, work queues, work processes, and overall work responsibilities
- Works closely with HSCs to determine resource needs from CCRM
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Coding Manager Job Description
Job Description Example
Our innovative and growing company is looking to fill the role of coding manager. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for coding manager
- Proactively manages (including corresponding communications and escalation paths) significant issues in coding, status of projects, barriers and successes
- Responsible for continuous review and improvement of process and services
- Responsible for ensuring employee and vendor work schedules sufficiently meet coding needs of HSC’s open positions, employee absence, and backlog needs
- Facilitates problem solving and collaboration within functional area(s)
- Performs productivity monitoring and provides timely and consistent feedback to International vendor
- Trends monthly and quarterly quality data to identify education opportunities
- Monitors monthly quality scores by vendor and individual coder and implements actions plans with the international vendors accordingly
- Prepares coding accuracy and productivity reports for the CCRM Assistant Director and Director
- Promptly reports issues or trends to the appropriate member of the Corporate HIM Leadership team, or other appropriate party
- Maintains up‐to‐date knowledge of regulatory changes impacting coding requirements and ensures CCRM staff and International vendors are appropriately educated
Qualifications for coding manager
- Coordinates work assignments to achieve operational goals
- Ensures safe, ergonomic, and confidentiality compliant practices are being followed within the work environment
- Coordinates training and education for CCRM staff and International vendors
- Prepares and hosts weekly International vendor conference calls
- Manages the onboarding process for new international vendor staff and maintains accurate international vendor staff list
- Establishes and maintains good working relationships with the international vendors
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Coding Manager Job Description
Job Description Example
Our company is growing rapidly and is hiring for a coding manager. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for coding manager
- Performs productivity monitoring and provides timely and consistent feedback to employees and Parallon HIM Director and Assistant Director
- Responsible for ensuring employee work schedules sufficiently meet the HSCs coding quality monitoring requirements including reviews for HSC new hires
- Prepares coding benchmarking and coding quality monitoring reports for the SSD HIM Leadership, HSC Leadership, Market/Division leadership and Group leadership
- Manages HSC customer (HSC COO, Coding Director, Coding Managers) expectations and ensures service is delivered accordingly
- Assists in the development of strategy, specific goals, objectives, budgets and performance standards for the coding quality monitoring program
- Promptly reports issues or trends to the appropriate member of the Parallon HIM Leadership team, or other appropriate party
- Maintains up-to-date knowledge of regulatory changes impacting coding requirements and ensures coding quality staff are appropriately educated
- Coordinates training and education for CQR personnel
- Review CMS/OPPS guidelines for changes in charging and coding policies
- Be the subject matter expert of E/M facility and professional charging and coding for outpatient areas
Qualifications for coding manager
- Supports new system implementations and system upgrades and provide Inpatient Coding resources for the testing of coding applications, to ensure optimum performance following system implementations and upgrades
- Serves as an authority for HIM facility Outpatient Coding and manages functional area responsibilities such as, developing and implementing short and long range goals, developing and maintaining policies and procedures, developing and managing performance expectations, and oversight of fiscal responsibilities
- Experience directing Outpatient Coding in a multi-facility, multi-state health system would be an asset
- Monitors financial targets for Discharged Not Final Billed (DNFB) to meet Accounts Receivable expectations
- Be the subject matter expert for injection and infusion billing
- Assist in the maintenance of emergency medicine reason for visit content