Supervision and coordination of all aspects of HIMS (Health Information Management Services) coding and abstracting in support of HIMS department goals for coding accuracy and accountability, productivity and total DNFC (Discharged Not Final Coded) levels. Functions within the Coding Management team and serves as backup support and assistance to the Associate Director of Coding and Data Quality.
Assists within the coding management team in the overall supervision and direction of daily coding and abstracting activities in HIMS. Acts on the direction of the Associate Director of Coding and Data Quality with responsibility for all duties and accountabilities of the coding staff.
Directly oversees and manages the daily tasks and accountabilities of Coding Coordinators with responsibility for coding quality assurance and staff training and development.
Provides direct supervision to the HIMS Coding Coordinators on a day to day basis and evaluates job performance.
Performs daily monitoring of coding staff duties pertaining to accuracy and productivity and assists with work assignment to assure compliance with goals for total DNFC dollar amounts.
Performs oversight of the billing edit correction process workflow in conjunction with Patient Financial Services to accomplish edit resolution for claims processing on accounts that require HIMS coding review.
Provides recommendations and direction to Coding Coordinators for training and orientation of newly hired coders or assigned coding contractors to assure their readiness in using the CCHS medical record, coding, and reference applications as well as understanding HIMS daily coding work processes.
Supports the HIMS Coding Management team with responsibility for the orientation, training and cross training of coding staff for various record types as part of ongoing training and development.
Performs or assigns record review tasks as necessary as part the pre-bill edit resolution process, in compliance with HIMS internal audits for correct coding, in response to audit requests from internal or external agencies, (eg RAC, OIG, Internal Audit and Compliance), or in response to coding accuracy verification requests from other departments.
Provides direction and support to Coding Coordinators for coding issue resolution and for ongoing coder training and mentoring through oversight of the coding and/or management query process.
Assists Associate Director of Coding and Data Quality and makes recommendations for coding staff professional development and for setting individual or group training goals and objectives
Makes recommendations or assists with preparation of agenda and in-service presentations at regular coding staff meetings for education re coding regulations and/or changes, software application updates or advances and changes in clinical information or practices.
Works with the Medical-Dental Staff, Clinical Documentation Improvement Specialist Team, and other departments for the resolution of issues pertaining to coding, documentation, reimbursement and to identify opportunities for education and training programs.
Assists in the preparation of policies and procedures for the HIMS Coding/Abstracting section; performs revisions, updates or additions to coding policies and procedures and/or internal coding guidelines in support of and under the direction of the Coding Management Team.
Prepares and completes coding staff quarterly touch bases, makes recommendations for employee selection and development. Oversees training, promotion, and disciplinary and/or discharge actions.
Utilizes database queries and reports to perform various auditing functions.
Assists with coding or other software system analysis, implementation, testing, database management, accuracy, application maintenance, regulatory compliance, troubleshooting for problem resolution, and security of the coding/abstracting systems, interfaces, databases, and reporting tools for systems using codded and abstracted data.
Assists in the development of departmental goals and objectives.
Participates in the hiring process including the interview of prospective candidates, recommendations on applicants' suitability, assists in the selection of qualified candidates and is responsible for their orientation and training in ChristianaCare HIMS coding practices, guidelines and process.
Works on projects as assigned by the HIMS Management team to achieve the overall goals of the department.
Demonstrates the highest level of confidentiality and conducts self-according to AHIMA Code of Ethics.
Performs assigned work safely, adhering to established departmental safety rules and practices; reports to manager, in a timely manner, any unsafe activities, conditions, hazards, or safety violations that may cause injury to oneself, other employees, patients and visitors.
Promotes safe work habits, rules, and practices among staff.
Performs other duties as required.