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Manager, Coding-Revenue Cycle

  • Job ID: 421883742
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: UPMC Western Maryland
  • Department: Medical Records
  • Location: 12501 Willowbrook Rd, Cumberland MD 21502
  • Union Position: No
  • Salary Range: $26.81 to $44.58 / hour

Description

Manage the staff performing coding for hospital services, including the coordination of training/education related initiatives and/or managing the outsourcing functions for the department. Provide direction and coordination of the work flow among all necessary hospital groups/departments. Ensure accuracy and timely input of coding information for optimum reimbursement by payers. Interact with physicians and third party payers to resolve coding issues.

Responsibilities:

  • Assist with training of new coding staff, coding interns, and the coding trainee program.Assist Information Services in the development and implementation of computer enhancements. Adhere to human resource policies and procedures.
  • Ensure compliance with OIG coding guidelines. Investigate staff issues and provide feedback as appropriate on resolution. Develop and implement policies and procedures for processes performed for the coding area. Provide support, training, develop and guidance to staff in their daily activities. Review work flow to maximize automated systems.
  • Provide one-on-one education with coders identified as having quality deficits based on audits conducted within the department.
  • Manage the day to day functions to ensure work is available for outsource personnel.
  • Provide education related duties to enhance the coding knowledgebase of all inpatient coding and outsource personnel.
  • Provide education related sessions on coding requirements during staff meetings and other sessions as applicable.
  • Provide timely performance reviews for all direct reports. Assist in the development and management of an annual unit budget. Establish quarterly and annual goals and objectives for Coding staff.
  • Perform duties and responsibilities in a fashion that coincides with the service management philosophy of UPMC including the demonstration of the basics of service excellence towards patients, visitors, staff, peers, physicians and other departments within the medical center.
  • Conduct coding audits on staff and/or outsource personnel to ensure quality indicators are met. Review findings with appropriate personnel.
  • Review third party payments to ensure accuracy of coding and maximum reimbursement for services provided.

 

Qualifications

  • Bachelor's degree and 2 years of relevant experience, OR High School and 4 years of relevant experience required.
  • Previous supervisory or management experience required.
  • Extensive knowledge of ICD-10-CM and CPT-4/HCPCS coding.
  • Knowledge of medical terminology, payer specific coding requirements, third party payer billing and reimbursement guidelines, and OIG regulations.
  • Excellent interpersonal, organizational and communications skills.
  • Ability to effectively problem solve and make independent decisions.
  • Extensive knowledge of office-related work applications (Word/Excel).
  • Strong analytical & problem-solving skills preferred.


Licensure, Certifications, and Clearances:
RHIT or CCS or CPC or RHIA preferred


UPMC is an Equal Opportunity Employer/Disability/Veteran

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   Current UPMC employees must apply in HR Direct