Medical Coding

As a Coding Manager at our company, your role will involve leading the Coding Integrity, Coding Validation, and Clinical Documentation Improvement (CDI) operations. You will provide strategic leadership, drive quality and productivity, and ensure compliance with regulatory standards across all coding functions. Key Responsibilities: - Team Leadership & Oversight: - Lead and manage Coding Integrity Specialists (CIS IIII), CARS (IIII), CDI Liaisons, Coding Leads, and Coding Mentors. - Provide guidance on work processes, quality standards, scheduling, productivity, and performance. - Coach, mentor, and develop team members; address performance issues when necessary. - Ensure team schedules and staffing align with SLAs and operational needs. - Coordinate ongoing training, education, and quality reviews for all direct reports. - Operational Excellence: - Oversee the Coding Prebill Account Review Tool (CPART) and coding validation workflows. - Ensure accurate, complete, and compliant coding and DRG/code validation as per guidelines and policies. - Lead coding and CDI reconciliation activities and unbilled management workflows. - Monitor productivity, TAT, quality, and ensure proactive management of operational issues. - Review and enhance processes to improve service levels, accuracy, and cost efficiency. - Quality, Compliance & Reporting: - Analyze coding data outcomes and Case Mix Index (CMI) trends to identify root causes and implement improvements. - Stay current with regulatory updates and ensure timely education across the team. - Prepare and present benchmarking, quality, productivity, and validation reports for leadership. - Ensure compliance with company/HSC policies, coding guidelines, workflow standards, and documentation requirements. - Cross-Functional Collaboration: - Collaborate with multi-disciplinary teams to address documentation improvement opportunities. - Facilitate problem-solving and continuous improvement initiatives across departments. - Leadership & Strategy: - Participate in developing strategy, goals, budgets, and performance standards for coding and CDI operations. - Report key issues, trends, and risks to leadership promptly. - Uphold and promote the organization's Code of Conduct and Mission & Values. In this role, you will play a crucial part in driving operational excellence, ensuring compliance, and fostering a culture of continuous improvement within the coding and CDI operations.,