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Manager HIM Operations/Hospital Coding CDI

HEALTH INFORMATION MGMT (MR) Florida-Miami-Waterford Offices Miami, Florida Requisition ID 21269

Description

Job Summary

Oversees and manages operations, hospital coding, and CDI staff's daily activities to ensure department goals are met. Ensures quality and documentation comply with coding and regulatory guidelines for services performed. Serves as a resource and collaborates with all areas of hospital pertinent to department goals and the hospital mission.

Job Specific Duties

  • Manages and oversees daily operations for hospital coding, operations, and CDI areas. 
  • Ensures productivity standard goals are met and uses appropriate tools to monitor activity. 
  • Assist medical staff and hospital with proper nomenclature of medical terminology; proper coding and sequencing of ICD-10 and CPT codes. Interacts and provides feedback to physicians and clinical staff when documentation and/or coding issues arise in a timely manner.
  • Manages and reviews the DNFB (Discharged Not Final Billed) goal remains on target on a weekly basis and works to address high dollar and aged accounts for coding. 
  • Develops, reviews, and revises departmental policies and procedures pertaining to coding guidelines, rules, and regulations for hospital coding  components, as well as, operations and CDI. 
  • Manages coding operations and ensure adequate coding staff coverage for all areas according to projected patient volume and established budget restrictions. 
  • Conducts regular meetings with direct reports.  Responds to any job-related issues presented by the Coders, CDI, and operations team and maintains proper communication with the staff. 
  • Work with Risk Management to ensure all HACs are reviewed and properly documented.
  • Works with Case Management and CDI staff to ensure complete and accurate documentation on all inpatient services. 
  • Performs monthly operational functionality audits by running reports and physically checking the charts of the overall operational process (analysis and hospital delinquency). 
  • Monitors AHCA and CHA reporting and programs for accuracy, timeliness, and adequacy.  Communicates identified concerns to department director and IT revenue cycle director. 
  • Reviews claim denials and edits pertaining to coding identifying opportunities and developing action plan for prevention of similar denials and edits from recurring. 
  • Assess, troubleshoots, and recommends improvements to the electronic medical record system. 
  • Communicates timely and effectively with directors, employees, medical staff, and ancillary departments. 
  • Audits medical records to ensure proper code level selection based on documentation.  

Qualifications

Minimum Job Requirements

  • Coding Certification Certified Professional Coder (CPC), Certified Coding Specialist-Physician (CPC-P), or Certified Coding Specialist (CCS)
  • 3-5 years experience of hospital coding
  • 3-5 years experience of surgical coding and reimbursement methodologies
  • 3-5 years of manager/supervisor experience
  • 3-5 years experience of HIM operations
  • 1-3 years experience of clinical documentation improvement

Knowledge, Skills, and Abilities

  • Associate or Bachelor of Science in Health Information Management preferred.
  • (RHIA) preferred.
  • I-10 AHIMA certified preferred.
  • Registered Health Information Technician (RHIT) or Registered Health Information Administrator preferred.
  • Strong leadership, interpersonal and analytical skills, as well as, excellent written and oral communication skills.
  • Ability to learn appropriate software application(s).
  • Extensive knowledge of ICD-10 and CPT coding principles and guidelines.
  • Ability to accurately interpret and implement regulatory standards.
  • Extensive knowledge of Health Information Management professional responsibilities and requirements including ethical standards of the profession.
  • Able to maintain confidentiality of sensitive information.
  • Able to relate cooperatively and constructively with customers, subordinates, physicians, and coworkers.
  • Adaptable to frequent changes in assignments.
  • Proficient in Microsoft Word, Excel, and PowerPoint.
  • Good organization skills.


Job :

Management

Primary Location :

Florida-Miami-Waterford Offices

Department :

HEALTH INFORMATION MGMT (MR)-2100-865000

Job Status


:Full Time
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Joining a new organization can be daunting or overwhelming. But at Nicklaus, your colleagues make you feel welcomed. They taught me to celebrate our accomplishments and band together during challenging times. This is not easy to find in healthcare these days, so I’m grateful to have found an amazing place to work with people and leadership who have my well-being in mind.

Lova Renee Brunson Manager Accreditation & Regulatory

Collaboration leads to success.

Alone we can do so little; together we can do so much. Working together, we find solutions and methods we would never find alone, and at Nicklaus Children’s, we have fun doing it.

Responsibility drives us.

We all take responsibility here – for the children, their families, our work and each other. We meet our responsibilities head on and motivate each other to succeed.

Empower yourself, help others.

Nicklaus Children’s encourages team members to believe in their ability to affect positive change in the world through everything they do with us.

Advocate for the right way.

Advocate for children. Advocate for families. Advocate for yourself. But most of all, advocate for getting the job done right and you will find nothing but success and support in your career here.

Transformation is growth.

At Nicklaus Children’s, change is not to be feared. When you work here, you are always working with the most advanced tools and procedures available.

Empathy is everything.

We expect our team members to have empathy for the patients and families they treat, and in turn, we have empathy for them. We take care of everyone in the Nicklaus Children’s family with competitive benefits and our supportive culture.

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As champions for children, Nicklaus Children’s is committed to putting the health and safety of our patients, families, medical staff and employees first. With the increasing number of adults and children in our community experiencing severe illness and hospitalization associated with the delta variant, our course of action is clear. All members of our team are required to be fully vaccinated against COVID-19. Vaccination offers proven protection against severe COVID-19-related illness. Accommodations are being made for those who have a medical reason that they cannot receive the vaccine or have a strongly held religious basis for not obtaining it.

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