Job Description

Coding Manager

Pride Health is seeking a Coding Manager for one of its clients in Dover, Delaware.

This is for a direct hire position with competitive pay and benefits.

Location – 640 South State Street Dover, DE (19901)

Pay range - $67K to $110K per year (Final Discussion will be with the Hiring Manager).

Length of assignment – Direct hire

Shift – Mon- Fri

Job Summary

Systematically reviews medical coding for all patient types to determine that the coding for all diagnoses and procedures, especially those in which reimbursement is DRG dependent, are submitted in a timely and accurate manner. Routine research clarifies and resolves coding problems.

Job Responsibilities

• Manages and oversees the entire coding process for Bayhealth inpatient and outpatient.
• Manages the E/M level code assignment for the Emergency Departments.
• Randomly review accounts to ensure the most appropriate MS-DRG for inpatients, APGs for Day Surgery, and the most appropriate diagnosis/procedure codes on outpatients are assigned and the most appropriate E/M level.
• Performs daily monitoring of essential Queues for timely coding of records.
• Demonstrates knowledge of DRG payor issues, documentation opportunities, clinical documentation requirements, and coding requirements.
• Performs audits of coding staff to a. Evaluate documentation for assigned principal diagnosis, pertinent secondary diagnosis, and procedures for accurate DRG assignment, risk of mortality, and severity of illness b. Evaluate physician queries created for coding clarification.
• Evaluate and interpret statistical and narrative analysis reports of department services to ensure appropriate and timely coding.
• Manage Health Information Management coding staff.
• Maintains accurate budget data and monitors coding staff productivity.
• Develops and provides education to physicians and others to improve coding outcomes.
• Performs liaison duties with EPIC to evaluate software updates and assist with testing of software changes.
• All other duties assigned within the scope and range of job responsibilities.

Required Education, Credential(s) and Experience:

• Education : Associate degree; Related field; Or two (2) years of additional experience may be considered instead of a degree.
• Credential(s): Certified Coding Specialist
• Experience: Required: 5 years experience in an acute care hospital setting, 5 years coding experience.

Preferred Education, Credential(s) and Experience:

• Education: Bachelor’s degree in health care or health information technology or related field.
• Credential(s):
• Experience: Preferred: 5 years of supervisory experience in an acute care hospital setting, 10 years of coding experience.

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