Classification Title: Coding Manager Department: Patient Financial Services, Coding Integrity Division Pay Grade: 5B https://hr.uiowa.edu/pay/plansPercent of Time: 100%Location: Hospital Support Services Building (HSSB) in Coralville, IAStaff Type: Professional & ScientificType of Position: RegularSalary: $70,000 to commensurateUniversity of Iowa Hospitals & Clinics—recognized as one of the best hospitals in the United States—is Iowa's only comprehensive academic medical center and a regional referral center. Each day more than 12,000 employees, students, and volunteers work together to provide safe, quality health care and excellent service for our patients. Simply stated, our mission is: Changing Medicine. Changing Lives.®Job Summary: The Coding Manager within Patient Financial Services Coding Integrity Division (CID) will directly supervise Coding Coordinators who typically oversee teams ranging from 6 to 12 Coders. The Coding Manager will serve as a resource for staff by providing supervision, leadership and expertise in departmental coding and compliance functions. Coding Managers provide expertise for data analysis, trending and payor regulations/policies.
The Coding Manager will be expected to provide exceptional customer service to both our internal customers (hospital and clinical department administrators and their coding/billing and supervisory staff , et al.) and external customers (patients, physicians, governmental agencies, et al.), by demonstrating professional and excellent verbal and written communication skills at all times and able to prioritize and coordinate inquiries from patients, staff and administration for a diverse professional and patient population.
Key Areas of Responsibility:
• Plan, organize and direct the coding operational and technical activities of multiple assigned divisions for both physician and hospital coding within the Coding Intelligence Division (CID).
• Assist the Associate Revenue Cycle Director with administration of the CID by providing direction and oversight to the Coding Representatives and Coding Coordinators within the CID.
• Assist with planning unit goals and perform quality assurance reviews to ensure established goals are being met.
• Act as a liaison for the CID to the clinical department administrators, physicians, Hospital Administration, third party intermediaries, billing staff, PFS and patients regarding coding and billing.
• Administer and monitor the coding and billing performed for the centralized departments within the CID to ensure compliance with all regulations and billing practices.
• Prepare periodic and recurring reports for administrators within UI Health Care.
• Maintain the confidentiality of patient information.
• Prepare and maintain appropriate reports to summarize the results of the department coding and billing activities.
• Assist with budget preparation, projections and monitoring.
• Provide information and serve as a resource regarding coding and billing guidelines for physicians, clinical department administrators, and billing staff.
• Obtain, prepare, assemble and distribute educational materials regarding coding.
• Perform human resource functions such as: interviewing, selection, training, performance evaluation, promotion and disciplinary action; daily direct supervision for assigned staff; maintain personnel records: monthly time sheet & vacation and sick leave approvals.
• Provide additional education and training when opportunities are identified or new processes are implemented.
• Assist with the development and implementation of staff performance standards including development of motivational incentives within the institutional and state guidelines.
• Assist with the coordination of intra-unit and inter-unit operations and procedures and participate in regular department meetings to discuss and assist in developing operational policies and procedures.
• Advise staff and others requiring interpretation of policies and regulations of specific projects or programs in assigned work area.
• Assist in the orientation, training and education of new employees. Assist in review of work performed by new employee to ensure accurate and consistent coding and billing.
• Assist in planning, developing and implementing computer applications, upgrades to coding and billing systems, dictionary databases, claims submission, and other bolt on software products. Review payor policies and relay coding updates to appropriate departments.
• Monitor statistical data including payer denial data in order to recommend and implement operational procedures and protocols to improve services, reduce costs, decrease days of revenue, and increase cash flow.
• Assists with preparing and compiling special and periodic statistical and financial reports for the Director of PFS, clinical department administrators, as well as hospital and college administration.
• Work with hospital and clinical department administrators and their coding/billing and supervisory staff as well as nurses, physicians, residents, medical students and allied staff including but not limited to; Human Resources; Health Care Information Systems; Admissions; Registration; Health Information Management, Joint Office for Compliance, and Patient Financial Services.
• Work with external contacts including but not limited to: third-party payers; various colleges/institutions regarding HIM or coding students; Iowa Health Information Management Association; American Health Information Management; American Academy of Professional Coders; patients; physicians; governmental agencies; and others as needed.
The information contained herein is not intended to be an exhaustive list of all responsibilities required of individuals performing the job.
Bachelor’s degree in Health Information Management (HIM) or combination of relevant education and direct coding experience.
• Certification as RHIT, RHIA, CPC; or coding certification through a nationally recognized credentialing body such as AHIMA or AAPC.
• 2 years or more direct medical coding experience.
• 1 year or more direct supervision experience
• Proficiency with standard office computer software applications (i.e. Microsoft Office Suite) and ability to learn and apply new software knowledge quickly.
• Excellent, effective written and verbal communication skills to achieve and provide quality customer service by demonstrating positive professional demeanor at all times.
• Strong attention to detail with accuracy to achieve or exceed organizational and individual performance goals.
• Strong planning and organizational skills.
• Experience and knowledgeable with CMS regulations or industry standards.
• Proven collaboration and conflict resolution skills that demonstrate positive outcomes.
• Demonstrated experience with maintaining confidentiality with information received.
• Ability to multi-task and quickly change focus in a fast paced work environment.
• Ability to demonstrate the core leadership competencies and commitments for the organization which includes striving for performance excellence to include an “Extensive” proficiency of the Universal Competencies.
• Knowledge of University Human Resources policies, procedures and regulations and UIHC Coding policies, procedures and regulations.
• Experience identifying opportunities for operational improvement and implementation of changes to workflow/processes.