Manager-Coding and Charge Capture
Located in Southern California, Eisenhower Health is a not-for-profit hospital seeking a Manager-Coding and Charge Capture. Please visit careers.eisenhowerhealth.org to learn more information and apply.
The Manager-Coding and Charge Capture must meet the following qualifications:
- Education: High School graduate or equivalent College level degree in related field (required)
- Licensure/Certification: CCS or CPC (required); RHIT, RHIA current certification (preferred)
- Experience: Three to five years of Coding Management experience working in a hospital based/ Medical Group setting or Large multispecialty group practice (50 or greater) (required); Five to seven years experience in a medical office/hospital environment as as noted above with responsibility for developing and maintaining an internal coding program included but not limited to coordination with local colleges and certification programs (preferred)
The Manager-Coding and Charge Capture’s responsibilities include:
- Demonstrating compliance with Code of Conduct and compliance policies, and taking action to resolve compliance questions or concerns and report suspected violations
Ensuring appropriate distribution of work based on productivity standards departmental policies and goals
Coordinating provider audits according to compliance program guidelines
Coordinating and conducting ongoing Quality coder audits per policy to ensure continued accuracy as outlined in the compliance policy
Monitoring productivity of each member of the clinic coding/ charge capture/ review staff, providing them with consistent feedback on their successes and identifying any areas of needed improvement
Coordinating with the Director and Compliance Officer to update/ amend the Coding/ billing Compliance policy and program
Assisting with recruitment and screening of potential applicants and participating in selection and hiring process
Coordinating with the Clinic Billing manager resolution of claim edits and creation of additional edits as indicated
Assisting ion staff and providing training sessions
Completing staff evaluations with input supervisor and customers served
Maintaining Kronos for all staff including timely intervention and coaching or counseling related to absence or tardies per EMC policy
Coordinating the update and distribution of new codes and deleted codes in a timely manner including any appropriate training related to the use of said codes
Monitoring charges and encounters based on prior statistical data and investigating variances greater or less than 10 percent
Coordinating the activities of the Physician Liaisons based on specific clinic or provider needs
Conducting staff meetings to provide feedback on unit operations discuss problematic issues and introducing new procedures and/or regulations
Identifying problems and recommending procedural changes when appropriate
Maintaining current workflows for all areas
Interacting with Clinic managers and CAOs on coding issues or concerns including creation of any charge documents or revision thereof
Coordinating with Billing Manager and Director to monitor billing performance to ensure optimal reimbursement while adhering to regulations related to unbundling and other questionable practice
Providing reports and education related to unrealized revenue due to documentation issues
Attending meetings as deemed necessary to support the positions requirements including any CEU needs
Maintaining current certifications as applicable and monitoring staff relative to same
Completing and submitting any expense reimbursement requests by the 10th of the following month
- Performing other duties as needed
Eisenhower is proud to offer:
- Competitive compensation
- A generous benefits package and matched retirement plan
- Health and wellness programs
About Eisenhower Health:
Near Palm Springs, California, our vibrant community offers an enviable lifestyle including affordable housing, minimal traffic, world-class dining and shopping, and year round recreational activities. Additionally, Eisenhower Health is less than two hours away from sandy beaches and mountain resorts.
At Eisenhower Health, we offer a progressive environment with an emphasis on individual growth and advanced medical practices seldom seen in other hospitals. As a not-for-profit and comprehensive health care institution, we are honored to be recognized as one of the top-ranking hospitals in California. For 2017-2018, U.S. News and World Report has ranked us as the #1 performing hospital in the Riverside Metro area and #16 in California, placing us in the top six percentile of hospitals in the state. In addition, we were within the 20 percent of hospitals nationwide to receive five star stars from the Centers for Medicare & Medicaid Services, in its Overall Hospital Quality and Star Rating (#2017-2018).
Located on 130 acres in Rancho Mirage, we offer our community a 517-bed acute care hospital with telemetry, critical care and medical/surgical floors. We also have a multitude of specialty centers on our campus including The Betty Ford Center, The Barbara Sinatra Children’s Center, The Annenberg Center for Health Sciences and The Lucy Curci Cancer Center.
Eisenhower Health has recently been granted Magnet recognition by the ANCC for its nursing excellence, which makes us the first and only hospital in the Inland Empire to achieve this prestigious Magnet distinction. For the fifth consecutive year, Eisenhower Health has been recognized as a Leader in LGBT Healthcare Equality by the Human Rights Campaign (HRC) Foundation (2017), a testament to our commitment to provide equitable care.
In 2017-2018, U.S. News recognized Eisenhower Health as one of the High Performing Hospitals in these specific areas: Geriatrics, Abdominal Aortic Aneurysm Repair, Aortic Valve Surgery, Chronic Obstructive, Pulmonary Disease (COPD), Colon Cancer Surgery, Heart Bypass Surgery, Heart Failure, Hip Replacement, Knee Replacement, Lung Cancer Surgery. Eisenhower Health is the only hospital in Riverside and San Bernardino counties to be named one of the nation's 50 Top Cardiovascular Hospitals by IBM Watson Health for 2016 & 2017.
Eisenhower Health has had a great deal of growth in our Clinic Divisions throughout the Coachella Valley. We also cultivate an environment that fosters outstanding levels of employee engagement and was one of only 20 organizations nationwide to receive the Workplace of the Year Award from The Advisory Board Company (2016-2017).
Come JOIN our TEAM! To apply for a position now please visit careers.eisenhowerhealth.org.