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Flagler Hospital

Coding Manager - Health Information
Job#: 177848
Positions: 1
Posted: 03/05/2013
Job Type: Full Time
Location: St. Augustine, FL
Department: Health Information
Category: Clerical
Salary: Salary
Benefits: Full Benefits
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Job Description

JOB DESCRIPTION:           CODING MANAGER

DEPARTMENT:    Health Information

RESPONSIBLE:    Director, Medical Record Department 

TRAINING & EDUCATION:  RHIT, RHIA or CCS certification by AHIMA AND five years of inpatient hospital medical record coding experience required.  

SKILLS &ABILITIES:   Must be proficient in ICD-9 and CPT coding and have a strong knowledge of the DRG and APC reimbursement programs.  Skill in reading medical records and finding and resolving documentation discrepancies.  


Physical Requirements:   A combination of walking, standing, sitting; excellent visual acuity to work in front of VDT the majority of the day.  Physical stamina to work under large volumes of work with challenging deadlines.  Good listening and communication skills to work with physicians, UR/QA staff, and other departments.  Mostly sedentary; some bending and stooping when handling charts.  Use of hands and arms necessary for frequent reaching, handling, and fingering of reports and charts.

Environmental Conditions:  Primarily works inside.

Occupational Exposure:    Category III = Job involves tasks or procedures that have no exposure to blood and other potentially infectious materials during the performance of duties.
 

Skills/Requirements

 ESSENTIAL RESPONSIBILITIES: 

  1. Oversees the daily operations of the coding departments.
  2. Ensures that diagnoses and procedures have been collected, coded and accurately reflected utilizing governmental regulations and National Coding Clinic guidelines.
  3. Develops and implements appropriate compliance policies and procedures for evaluating input, coding and sequencing, and providing accurate data to support DRG and APC coding.
  4. Coordinates and facilitates training for ICD-10.
  5. Provides guidance to coding staff regarding coding guidelines and rules. 
  6. Performs coding reviews of ICD-9- CM diagnosis, procedure and DRG audits.
  7. Communicates with physicians and the documentation improvement team to obtain optimal documentation to meet coding and compliance standards.
  8. Maintains interface with the Quadramed encoder software, ensures quarterly updates are installed, and trains coding staff on the use of the software.
  9. Reviews and responds to coding denials as appropriate. Participates in the revenue cycle and maintains the accounts holding for diagnoses report.
  10. Adheres to all official guidelines as approved by the Cooperating Parties (AHA, AHIMA, CMS, and NCHS) as well as the ICD-9-CM coding conventions, Coding Clinic, and other official recourses to substantiate the most appropriate, correct code assignment. Stays abreast of Medicare’s medical review policies and incorporates updates and changes into the coding process.
  11. Reviews program memorandums on the CMS website and implements required changes into the coding process. Assures discharge disposition is abstracted accurately by coding staff.
  12. Performs other job related duties as assigned by the Director.

 

The above statements reflect the responsibilities considered essential to the job as identified and shall not be considered a detailed description of all the work requirements inherent in the job.

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