HIM CODING MANAGER in Middleburg Heights, Ohio at Southwest General

Southwest General Health Center is a 352-bed community hospital located in Middleburg Heights, Ohio. One of the last standing community hospitals in Northeast Ohio, we partner with University Hospitals and other local community organizations to provide a full range of services to all who need us. We are certified as a Level III Trauma Center and a Primary Stroke Center, and have been serving our community for over 100 years!

Why work at SWGHC? In addition to the outstanding culture, we offer great benefits, no rotating shifts, free parking and are close to the turnpike and I71. Come join our team! #loveajobthatlovesyouback

HEALTH INFORMATION MANAGEMENT (HIM) CODING MANAGER

HOURS:

POSITION SUMMARY:
Responsible for organizing and coordinating the daily operations of the Health Information Management Coding Teams (Inpatient and Outpatient) in collaboration with the Director of HIM to ensure consistent quality, compliance, productivity and efficient operations.

Coordinates and organizes all coding operational functions, including coding audits, staffing, performance evaluations, staff development and training, regulatory compliance, coding policies and procedures, productivity monitoring and coding quality

Serves as the subject-matter expert (SME) and resource to internal departments, physicians, clinicians, and other hospital staff in the areas of coding compliance, coding accuracy and integrity.

Initiates direct follow up with physicians and CDS team on documentation to support coding and best practices for clinical documentation requirements for MS-DRG, DRG, and code assignments for reviewing all patient types including: inpatient, emergency room, and ambulatory surgery records; and assignment of correct ICD-10-CM/PCS, CPT, and E/M level codes.

Supports CDS team by identifying potential gaps in clinical documentation that could impact reimbursement and payer population.

Participates in hospital committees and projects to clarify the processes and guidelines pertaining to MS-DRG and/or codes assignments. Actively participates in department and hospital performance initiatives, when needed.

MINIMUM QUALIFICATIONS:

Education:
Associate or bachelor’s degree required. Working knowledge of MS-DRGs, ICD-10, CPT, E/M level coding/modifier usage and clinical documentation to support coding is required.
Extensive knowledge of medical terminology, anatomy and physiology required.
RHIA or RHIT and CCS or CIC or CPC-H certified coding credential required.

Required length of experience:
A minimum of five (5) years’ experience in hospital inpatient coding required. Experience working in an inpatient clinical documentation program is preferred.
Requires excellent computer skills and working knowledge, including experience with computerized coding software and an electronic medical record.
Basic knowledge of revenue capture via charging and billing.

Required licensure, certification, or registry:
Certified Coding Specialist (CCS)
AHIMA Academy ICD-10 CM/PCS Certificate Holder is preferred.
RHIA or RHIT and CCS or CIC or CPC-H certified coding credential required.