Manager, Coding at St. Josephs Candler – Savannah, Georgia
St. Josephs Candler
Savannah, Georgia, 31405, United States
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About This Position
Manager, Coding
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Position Summary
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The Hospital-Based, Outpatient Coding Manager ensures the efficient and proper collection and distribution of demographic and financial patient information between departments within the department and ensures the timely and accurate coding of patient encounters for production of bills and collection of receivables in order to accurately capture and report revenue dollars. The coding manager is responsible for managing all processes and staff involving coding. Duties include, but are not limited to:providing coding expertise to staff within the department to assist with accurate diagnosis and procedural coding, resolving coding related edits and implementing processes to address existing and prevent future coding issues for accurate billing, ensuring coding guidelines and regulatory changes are routinely monitored and the appropriate hospital staff is assisted in understanding and implementing these changes, developing effective internal controls that promote adherence to applicable state/federal laws, and the program requirements of accreditation agencies and federal, state, and private health plans, staying abreast of the latest developments, advancements, and trends in the field of coding, conducting regular audits and coordinating ongoing monitoring of coding accuracy and documentation of adequacy for outpatient coding, conducting coding validation reviews on denials and appeals for accuracy, communicating results of quality reviews to staff and practices implemented that reduce errors in the coding and abstracting process, identifying any work flow issues that impact coding practices, and performing other duties as assigned.
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Education
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Bachelors of Health Information Administration - Preferred
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Experience
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3-5 Years Coding and Billing - Required
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Must have coding and claims knowledge
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License & Certification
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Professional Certification - Required
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AAPC or AHIMA Coding Certification
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Core Job Functions
- Tracks accounts that are left in process or not coded by remote coders. Reviews documentation and codes accounts. Notifies Director or Manager when issues are identified.
- Monitors daily unbilled status of accounts to ensure weekly goals are met. Serves as the primary resource for coding education for the health system.
- Assures co-workers comply with regulations concerning security and confidentiality. Maintains policies and procedures, conducts regular education sessions. Communicates privacy, security, and confidentiality concerns to clinical managers and legal services.
- Codes are assigned according to regulatory guidelines. Physicians are queried for missing documentation to assure accurate coding, and an account is not finalized until a response is received. Other key data elements are abstracted to provide information for regulatory reporting.
- Reviews daily claim rejections, makes corrections in the system. Monitors medical necessity denials, and makes corrections as necessary. Provides feedback to Director of issues indicating opportunities for improvement.
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Job Location
Savannah, Georgia, 31405, United States
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