Manager || healthcare

• Supervisor: Coding Director Supervises: Coding Integrity Specialist (CIS) I, II, III, Coding Account Resolution Specialists (CARS)-I, CARS II, CARS- III, CDI Liaisons, Coding Mentors, and/or Coding Leads Duties (included but not limited to):

• Provides direct managerial oversight to:

• Coding Integrity Specialists (CISs) I, II, and III, CARS-I, CARS-II, CARS-III, CDI Liaisons, and Coding Leads in management of all work processes and overall work responsibilities.

• Coding Prebill Account Review Tool (CPART) in management of the coding validation process

• Coding Mentors in management of data quality and education work processes, to include quality reviews and educational classes

• Ensures complete, accurate, timely and consistent coding and DRG/code validation, while adhering to published coding guidelines and Company/HSC policy

• Actively reviews and manages data outcomes to identify root causes of coding quality issues for overall coding quality improvement

• Works in partnership across various teams to communicate production coding related issues such as workflow processes, forecasting, scheduling, quality activities, etc.

• Coaches and helps develop team members; helps resolve dysfunctional behavior within functional area(s); disciplines and counsel staff as necessary

• Proactively manages (including corresponding communications and escalation paths) significant issues in coding operations (e.g., productivity, TAT, quality), status of projects, barriers and successes

• Actively manages and monitors coding and clinical documentation improvement reconciliation operations

• Selects, evaluates, trains, and provides leadership and direction to reporting staff

• Responsible for review and improvement of process and services

• Responsible for ensuring employee work schedules sufficiently meet those requirements as established by the HSC Leadership team and through executed SLAs

• Facilitates problem solving and collaboration within functional area(s) 

Coding Technical Skills- extensive regulatory coding (ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRGs, APR DRGs) and associated reimbursement knowledge. • Case Mix Index Analytical Skills – ability to analyze trends in CMI and determine root cause and address as appropriate. • Leadership - leads individuals and groups toward identified outcomes, setting high performance standards and delivering quality services. • Critical Thinking - actively and skillfully conceptualizing, applying, analyzing, synthesizing or evaluating information gathered from, or generated by, observation, experience, reflection, reasoning or communication as a guide to belief and action. • Building and Maintaining Strategic Working Relationships – develops collaborative relationships to facilitate the accomplishment of work goals. Possesses excellent interpersonal skills in building, negotiating and maintaining crucial relationships.