Corporate Inpatient Coding Manager

Norwood Staffing

Job type: Direct Hire
Required Certification: CCS
Preferred: RHIA or RHIT
Location: Boston, MA

The Corporate Inpatient Coding Manager shall be responsible for Inpatient coding functions within the Division. The Inpatient Coding Manager shall ensure a 96% or better DRG/APR-DRG accuracy and that all patient type productivity standards are met consistently.   

  • Direct management responsibility over all division inpatient coding. 
  • Oversight over all hospital based concurrent coders.
  • Extensive knowledge of DRG and APR-DRG classification and reimbursement structures. Including IPF-PPS (Inpatient Psychiatric Facility Prospective Payment System) and IRF PPS (Inpatient Rehabilitation Facility Prospective Payment System).
  • Responsible for 96% or better DRG/APR-DRG accuracy rate.
  • Responsible for 93% or better moderate coding accuracy rate (C1).
  • Responsible for scheduling coder work shifts and approving time off.
  • Ensure that a provisional DRG is assigned within 24 hours of admission for all Inpatient accounts excluding Normal Newborn and Obstetrical Moms.
  • Responsible to ensure coders are meeting productivity standards. Includes presenting a monthly report to the Executive Director, Health Information Management.
  • Ensure that claim hold reason is assigned before account hits DNFB report.
  • Ensure that second level review is completed on all PSI and Never Event cases.
  • Maintain open communication with hospital leadership team including daily escalation of missing reports from providers.
  • Trend and track coding queries issued by discharged coders.
  • Ensure coding staff holds accounts until all medical content is collected before final billing.
  • Promote a culture of collaboration between hospital leadership and shared service professionals.
  • Coordinate workflow improvements with HIM Operations Management.
  • Ability to develop, adhere to, and monitor policies and procedures for optimal revenue through coding that comply to all regulatory and compliance standards.
  • Supports collaboration between remote Inpatient Coders, hospital based Concurrent Coders, and CDI.
  • Abides by the Standards of Ethical coding set forth by AHIMA and monitors coding team. 
  • Present monthly status and goal report to Executive Director, Health Information Management.
  • Maintain Discharged, but Not Final Billed goals set by Executive Director, Health Information Management.
  • Ensure policies related to HIM, Revenue Cycle, and Compliance are implemented and monitored.
  • Implement HIM related projects at the direction of the Executive Director, Health Information Management.
  • Support hospital based departments such as Quality, Risk Management, and Case Management with respect to HIM coding.
  • Assists HIM Leadership team with development and implementation of health information management coding/CDI policies.
  • Monitors changes in legislation and accreditation standards that affect health information management.
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