Facility Coding Manager

Nationwide Children's Hospital - Columbus, OH

Full-time - Manager

Remote - Columbus, OH

10,001+ employees

Ambulatory Health Care Services

About the position

The Facility Coding Manager at Nationwide Children's Hospital is responsible for leading and providing consultation and training in coding to ensure quality and compliance with stringent billing standards. This role involves collaboration with the Clinical Documentation Improvement Manager to optimize coding documentation and serves as the subject matter expert and technical consultant for new programs in Health Information Management (HIM). The position is fully remote and full-time, offering benefits to eligible employees. In this role, the Facility Coding Manager oversees the daily operations of the Facility Coding Department, ensuring timely completion of coding tasks and maintaining continuous communication with Clinical Documentation Improvement. The manager is also responsible for responding promptly to billing inquiries and managing staff through recruitment, training, auditing, goal-setting, and feedback sessions. This fosters a conducive work environment and promotes career growth among team members. The manager maintains up-to-date operational policies, procedures, and job descriptions, initiating policy development as required. Collaboration with Patient Accounts and other departments is essential to identify and overcome roadblocks to effective coding practices. The Facility Coding Manager coordinates continuing education and regular audit findings in-services for staff and medical professionals, ensuring that the team stays informed about new diagnoses, coding regulations, and challenging areas. Additionally, the manager leads the implementation and maintenance of EMR/Coding systems, actively participating in the redesign of processes for improved performance. This includes managing complex projects such as system upgrades and new services. Regular assessment and preparation of statistical reports, forecasting annual capital and operational budgets, and presenting recommendations to the Director are also key responsibilities. The role requires fostering customer relationships and interacting with vendors to ensure optimal service levels, including negotiating better contract terms and service turnaround times.

Responsibilities

• Oversees daily operations of the Facility Coding Department, ensuring timely completion of coding tasks and continuous communication with Clinical Documentation Improvement.
• Manages and develops staff through recruitment, training, auditing, goal-setting, and feedback sessions, fostering a conducive work environment and promoting career growth.
• Maintains up-to-date operational policies, procedures, and job descriptions, while also initiating policy development with Facility Coding and Clinical Documentation Improvement as required.
• Collaborates with Patient Accounts and other departments to identify and overcome roadblocks to effective coding practices.
• Coordinates continuing education and regular audit findings inservices for staff and medical professionals while also keeping abreast with new diagnoses, coding regulations, and challenging areas.
• Leads the effective implementation and maintenance of EMR/Coding systems and actively participates in the redesign of processes for improved performance, while managing complex projects such as system upgrades and new services.
• Assesses and prepares statistical reports regularly, forecasts upcoming annual capital and operational budgets, aligns set objectives, and presents recommendations to Director promptly.
• Fosters customer relationships and interacts with vendors to ensure the best level of service, and actively negotiates for better contract terms and service turnaround times.

Requirements

• Associates or bachelor's degree in health information management.
• Credentialed coder (must possess at least one of the following certifications: RHIA, RHIT, CPC or CCS).
• Extensive technical experience in ICD-10-CM and PCS and CPT coding with solid knowledge of coding rules and guidelines and reimbursement processes as they pertain to coding and billing support.
• Demonstrated ability to work independently with minimal supervision.
• Demonstrated ability to handle multiple tasks and priorities and meet deadlines.
• Excellent written and oral communication skills to communicate with poise, confidence, and control.
• Effective interpersonal, customer service, and problem-solving skills with the ability to deal with physicians, employees, and other hospital staff with tact and diplomacy.
• Ability to maintain confidentiality and work with sensitive employee performance, salary information, and operational material.
• 3 years of experience in a large acute care hospital setting, pediatric experience preferred.
• 2 years of management experience in a supervisory or training capacity.