|
Inspire health. Serve with compassion. Be the difference. Job Summary Maintains and oversees the efficient operation of the coding processes, coordinates and supports the activities of Outpatient Coding. Monitors workload and processes to ensure timely resolution of accurate coding and charging as appropriate. Reviews performance standards with each team member to ensure compliance with departmental benchmarks and goals. Hires, trains, coaches, and counsels staff members in an effort to develop staff and improve teamwork, morale, and departmental results. Assists the HIM Outpatient Manager of Coding Services to assure corporate financial goals for DNFB, accounts receivables, and coding compliance are met. Participates in the recruitment of new employees and in performance management activities. Suggests topics for continuing education and collaborates in the development of training materials. Codes medical records as needed.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Monitors, prioritizes, and manages work volumes and work assignments. Identifies needs and assigns resources to maximize departmental efficiency and results. Assists in the development and implementation of coding policies, procedures and standard operating procedures. Serves as highly skilled operator, super-user, project manager, and on-site trainer for systems used by coding. Identifies and suggests education topics, collaborating with team members in the preparation and delivery of educational materials and sessions. Collaborates with other Health Information Management (HIM) team members and departments to support goal attainment and coding compliance. Codes charts as needed. Evaluates processes and use of technology to identify opportunities for improvement and assure best practice. Provides backup support to address coding questions/concerns, staffing shortages, time management and payroll functions, reporting, and other leadership functions Prepares, reviews and assist with analyzing and interpreting data. Gathers and reports data for statistical, process improvement, and planning purposes. Performs other duties as assigned.
Supervisory/Management Responsibilities
Job has direct and/or indirect supervision of team members that may include final budget authority, hire/termination authority, performance appraisal responsibility and disciplinary authority. Job will be considered a member of management staff at Prisma Health or affiliate and will have direct reports.
Minimum Requirements
Education - Associate degree in Health Information Management Experience - Five (5) years coding experience in acute care setting. Two (2) years leading teams or progressive management in Health Information Management of a multi-entity healthcare delivery organization. Experience in multi-system health system preferred. Experience coding in academic medical centers, cancer centers, and other specialized coding systems preferred.
In Lieu Of
Required Certifications, Registrations, Licenses
Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), CPC, CPC-H, COC, other approved coding credential.
Knowledge, Skills and Abilities
Knowledge of International Classification of Diseases-10 (ICD-10), CPT, and HCCs. Maintains current expertise on coding, charging, and reimbursement guidelines. Maintains expertise in coding applications and Epic workflow. Stays up to date with external policies and regulations that affect coding from agencies such as Office of Inspector General (OIG), Centers for Medicare and Medicaid Services (CMS) and other payers; communicates changes and impact on the coding teams. Knowledge of Hierarchical Condition Categories (HCC), appropriate Quality Indicators, formal and informal coding audit processes. Communication skills Customer service skills. Problem-solving and critical thinking skills Change management skills. Ability to work effectively, independently and manage multiple demands consistently. Knowledge of diagnostic and procedural terminology, ICD and CPT/ HCPCS coding systems, and billing compliance rules. Knowledge of office equipment (fax/copier) Proficient computer skills (word processing, spreadsheets, database)
Work Shift Day (United States of America)
Location Corporate
Facility 7001 Corporate
Department 70017512 HIM Coding
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
|
Prisma Health
May 28, 2025