Manager, Coding Audit

Role Overview

• Oversees and manages complex secondary level and pre-bill coding audit activity for the overall improvement of quality and completeness of coding outcomes and compliance.
• Manages and coordinates Coding audit operations at the health system. Demonstrates ability to plan, initiate and coordinate departmental operations to ensure timely throughput of claims
• Management of daily secondary level review activity, monitoring productivity, staffing and assignments
• Works with senior management team, consultants and executives on Coding audit projects and in represents coding audit in meetings. Reports Coding audit data outcomes to hospital departments and committees
• Interviews, selects, trains staff in a manner that ensures efficient Coding audit operations and complies with the relevant regulations governing the employment process.
• Provides ongoing performance feedback to employees, and takes corrective action when necessary. Portions of the coding audit performance evaluations may be delegated to appropriate coding audit coordinator when applicable
• When indicated, documents, plans and initiates team member corrective action and counseling in fair and consistent manner, following facility policies
• Coordinates Coding audit staff orientation and training, auditor education , staff development, departmental activities and in-service opportunities
• Plans and conducts regular staff meetings
• Supports Coding/CDI Physician Advisors at the facility level, including Coding education efforts for the medical staff. Participation and management of special Coding projects, as assigned
• Maintains appropriate controls to ensure compliance with Federal/State regulations and organizational policies to include HIPAA, Privacy, Safe Environment
• Promotes the quality and efficiency of his/her own performance by remaining current with the latest trends in field of expertise through participation in job-related seminars and workshops, attendance at professional conferences, and affiliations with national and state professional organizations
• Produces requested or routine reports and provides appropriate feedback to physicians, administration, managers, etc., in a timely manner. Maintains an organized work environment

Requirements

• 5 years acute inpatient coding with minimum of 2 years of leadership experience.
• Associates degree in HIM
• Certified Coding Specialist (CCS) and RHIT or RHIA