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Posted: Tuesday, February 6, 2018 2:54 AM

Position Summary: The Part B Coding Manager plans, assigns and directs coding workflow and provides direct supervision of coding team members. Monitors & manages coding related AR to meet established goals. Key Responsibilities: Works collaboratively with Coding Leadership team to improve efficiency and work processesWorks collaboratively with the physician, physician offices and Patient Financial Services to improve efficiency and work processesWorks collaboratively with other departments as neededDevelops and implements standardized, physician based coding guidelines and documentation requirementsProvides education and guidance to coding team as related to coding related policies, guidelines and proceduresMaintains updated policies, procedures and guidelines related to codingRecruits, hires, orients, trains and evaluates team member performance including disciplinary actionDevelops productivity measures, monitors productivity and provides on-going feedback to team membersPerforms data quality reviews outpatient encounters: Validates ICD-10, CPT, and HCPCs Level II codes, modifier assignmentsValidates APC group assignmentsEnsures that APC mandates and reporting requirements are metCompares medical visit code assignment against facility specific criteria Oversees progressive cross-training program to ensure appropriate coverage for various service linesInteracts with other RRH departments to support and educate on coding guidelines and practices Collaborates on interdepartmental process improvement efforts such as Medical NecessityKeeps abreast of new technology in coding and abstracting software and other forms of automation and stays informed about transaction code sets, HIPAA requirements and other future issues impacting coding functionMonitors Medicare and other payor coding bulletins and reviews the current OIG Work plans for risk areasOversees commercial payer and RAC denial notices for Part BProvide assistance to the HIM Coding Director as needed and provide support in their absence.Minimum Qualifications: AAS in Health Information TechnologyFormal training in auditing preferredFive years of progressive hospital coding experience, ideally extensive knowledge and experience with ICD-10-CM/PCS and CPT code assignment, principles and guidelines, reimbursement systems, and federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing for Inpatient & Outpatient.Strong communication, time management & organizational skills Required Licensure / Certification Skills: RHIA or RHIT in good standing with AHIMA. CCS, CCS-P preferred.84504


• Location: Rochester

• Post ID: 35867187 rochester is an interactive computer service that enables access by multiple users and should not be treated as the publisher or speaker of any information provided by another information content provider. © 2018