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Manager Inpatient Coding / Health Info Mgmt

Requisition ID:

20164301

Business Unit:

Hartford HealthCare Corp.

Location:

Hartford, CT

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Description

Job Schedule: Full Time
Standard Hours: 40
Job Shift: Shift 1
Shift Details:

Work where every moment matters.

Every day, almost 30,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network.

The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization.
With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.

JOB SUMMARY

Responsible for the overall operational supervision of Hartford Healthcare entities inpatient coding.  Accepts responsibility for resolution of inpatient coding timeliness, completeness, accuracy, abstracting, and data entry for optimal reimbursement, statistics and compliance.

Demonstrates effective and efficient work operation of the unit by managing staff and assigning work according to business needs and collecting data to monitor progress.

JOB RESPONSIBILITIES

General

  • Provides direct supervision of inpatient coding staff and contractors to insure consistent and accurate inpatient coding and Diagnosis Related Groups (DRG) assignment.
  • Oversees daily workflow and reports (Epic, financial, coding, etc.) to ensure timely coding completion for billing, as well as ensuring the acceptable balance between productivity and quality of individual coder work assignment with coder skill and individual competence always in full view.
  • Oversees and participates in the review and correction of Epic combined accounts, coding edits and denials.
  • Works with team to resolve Epic issues and escalates as needed.
  • Participates in the development of facility inpatient coding guidelines.
  • Serves as a resource to inpatient coding staff for complex inpatient cases.
  • Works to implement new regulatory changes related to inpatient coding and reimbursement.  Works with the Coding Quality and Education Team to educate coders on these changes.
  • Evaluates results of internal and external audits for inpatient records with the Coding Quality and Education team. Works with them to finalize action plans and disseminate findings to the coders.
  • Participates in hospital-wide work groups related to inpatient coding, denials and reimbursement.
  • Fulfills compliance responsibilities related to the position and performs other duties as assigned.

Training/Education

  • Manages the training of new coders to become acclimated to the environment, and understanding internal coding policies and procedures and documentation guidelines

Communication

  • Works with Coding Quality and Education team for appropriate dissemination and communication of all regulation, policy, and guideline changes (e.g. Code updates, coding guidelines, etc.)
  • Seeks clarification from physicians or other staff in cases when documentation is absent, ambiguous, or contradictory.

Leadership/Supervisory

  • Evaluate staff performance and initiate corrective action plans as necessary
  • Prepare work plans, resolve work-related problems such as performance, workload, and scheduling
  • Abides by HHC’s Guiding Principles of Safety, Integrity, Caring and Excellence.

Other

  • Works closely with Patient Financial Services to maintain unbilled Key Performance Indicators (KPI), track and report unbilled amount for all HHC entities.
  • Supports and participates in special projects and assignments.
  • Provides subject matter expert guidance to staff, clinical documentation specialists and others as required.
  • Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines

Reporting Structure

  • This position reports to HHC Director HIM Coding/CDI

Direct Reports

  • 25-40 staff members

Nature of Supervision:

  • Contributes to the efficient operation of the department by establishing priorities, eliminating obstacles, and resolving problems.
  • Accountable for ensuring that the inpatient coding team consistently meets quality and quantity expectations.
  • Responsible for the ongoing development of meaningful goals and objectives for the inpatient coding team that aligns with the vision of the entire HHC HIM Facility Coding team.
  • Manage within budgetary guidelines
  • Advances the Inpatient Coding team by influencing desired H3W Leadership Behaviors
  • Fosters an environment of teamwork and service excellence for the Inpatient Coding team across HHC entities. 
  • Leads and manages multiple concurrent projects, prioritizes tasks and adapts to frequent changes in priorities.
  • Recognizes necessary changes in priority of tasks and allocation of resources, and brings them to the attention of leadership, as required. 
  • Serve as a role model by continuously demonstrating the organization’s core values and principles

Direct supervision of IP Coding staff. Strong working relationships with HIM coders, CDI, Coding/CDI Compliance and training, leadership team and others as needed.

Qualifications

REQUIREMENTS AND SPECIFICATIONS

Education:

Bachelor degree or equivalent experience in accordance with job responsibilities

Experience

  • Four or more years of progressive on-the-job coding experience in an acute care hospital setting in a leadership role.
  • Previous management experience

Licensure, Certification, Registration

  • Certified Coding Specialist (CCS)
  • Maintained annually

Language Skills

  • Strong written and verbal communication skills. 
  • Solid analytical capabilities.
  • Good organizational skills.
  • Critical thinking, problem solving and deductive reasoning skills

Knowledge, Skills and Ability Requirements:

Proficient knowledge of:

  • International Classification of Diseases, Tenth Edition, Clinical Modification (ICD-10-CM) diagnoses and ICD-10-PCS (Procedural Classification System) procedure codes, Present on Admission (POA) and various Diagnosis Related Groups (DRG) assignments.
  • Uniform Hospital Discharge Data Set (UHDDS)
  • Working knowledge of clinical information and documentation requirements to support coding and POA assignment
  • Extensive knowledge of state, federal and Medicare regulations related to inpatient coding.
  • Good knowledge of the revenue cycle for the purpose of communicating corrective action recommendations
  • Microsoft Office Products; Word, Excel
  • Encoder (CAC a plus)

Ability to:

  • Travel between facilities as necessary
  • Handle a flexible work schedule
  • Function independently.
  • Handle multiple priorities and increasing responsibility
  • Listen and acknowledge ideas and expressions of others attentively.
  • Converses clearly using appropriate verbal and body language.
  • Collaborate with others to achieve a common goal through mutual cooperation.
  • Influence others for positive and productive outcomes.

We take great care of careers.

With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment.

 
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