Manager, Network IP Coding Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Executive/Management Department: Health Info Mgmt-WMC Health Union: No Position: Full Time Hours: 8am-4:30pm Shift: Day Req #: 38496 Posted Date: Feb 29, 2024 Hiring Range: $63.58-$80.48 Apply Now External Applicant link (https://pm.healthcaresource.com/cs/wmc1/#/preApply/25927) Internal Applicant link Job Details: Job Summary:The Inpatient Network Coding Manager organizes, coordinates and evaluates the staff and activities for network-wide coding operations and Clinical Documentation Improvement to ensure accurate and timely coding of inpatient records according to established standards, policies and procedures. Responsibilities:
Designs and develops programs and procedures to utilize internal employee population and assist in selection and negotiation of staffing vendors.
In collaboration with the Senior Director, provides direction for all hospital Inpatient coding activities and productivity standards required to reach unbilled targets for Network facilities
Meets specified Discharge not Final Billed (DNFB) target for all hospital’s Inpatient coding population;
Plans, organizes, coordinates and evaluates Inpatient staffing requirements to meet operational goals.
Manages the assignment and schedules of direct reports to ensure a smooth and efficient workflow;
Identifies opportunities for efficiencies, reviews and implements as approved;
Reviews strategic operating goals, objectives and budgets to predict labor needs and ensure Inpatient coding services meet productivity, timeliness and quality standards to support financial goals of the Network
Reviews operational performance, justification and/or corrective action for the HIM department Inpatient staff
Provides guidance and motivation to staff regarding identifying activities/areas where performance can be improved.
Ensures collaboration between the Inpatient Clinical Documentation Improvement and Inpatient Coding function.
Develops and implements policies and procedures to ensure clear and consistent operations of Inpatient coding areas while encompassing departmental and operational needs.
Ensures integrity of encoder and abstracting systems by maintenance/revision of data as necessary.
Oversees the implementation and ongoing operation or selection of electronic coding or Coding documentation software, interfaces with billing systems and workflow changes with computerized patient information.
Identifies training needs for Inpatient coding and operations staff
Collaborates with Coding Director and Senior Director to schedule and implement training activities as identified, including transition to EHR and ICD-10 code changes.
Responds to leadership inquiries regarding Inpatient coding
Collaborates with Business Offices and Patient Access to eliminate holds on accounts.
Participates in negotiation of vendor contracts to ensure compliance
Reviews and monitors contract services, and ensures network wide and vendor compliance.
Reports on issues and makes recommendations for changes.
Does related work as required.
Qualifications/Requirements:
Experience:7 years of experience in an acute care facility which included coding of complex Inpatient medical records, appeals and denial management, at least two of which must have been at a managerial level. Education:Bachelor’s degree Licenses / Certifications:Other:Satisfactory completion of 30 credits toward a Master’s degree may be substituted on a year for year basis for up to two years of the above experience. Special Requirements: Must possess and maintain current certification as a Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA). Education beyond the secondary level must be from an institution recognized or accredited by the Board of Regents of the New York State Education Department as a post-secondary, degree-granting institution. About Us: NorthEast Provider Solutions Inc.Benefits: We offer a comprehensive compensation and benefits package which includes:
Health Insurance
Dental
Vision
Retirement Savings Plan
Flexible Saving Account
Paid Time Off
Holidays
Tuition Reimbursement
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External Applicant link (https://pm.healthcaresource.com/cs/wmc1/#/preApply/25927) Internal Applicant link
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