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.

Bachelors of Health Information Administration - Preferred

Must have coding and claims knowledge

Professional Certification - Required

AAPC or AHIMA Coding Certification