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Under the direction of the Director of Health Information Management and according to established CVPH policies and procedures, the Manager, HIM (Facility Coding) is responsible for planning and organizing the Facility Coding program at CVPH and ensures that all hospital, state and federal reporting guidelines are followed. The Manager, HIM (Facility Coding) acts as a liaison with the business office, patient registration, medical, and ancillary staff to resolve problems and improve work processes. The manager communicates regularly with the Manager, HIM (Clerical).
Job Responsibility:
Planning and organizing the Facility Coding program at CVPH
Ensuring that all hospital, state and federal reporting guidelines are followed
Acting as a liaison with the business office, patient registration, medical, and ancillary staff to resolve problems and improve work processes
Communicating regularly with the Manager, HIM (Clerical)
Requirements:
Bachelor’s degree in HIM or HIM related field preferred
RHIA, RHIT, CCS or CCS-P coding credential required
Minimum of five years of prior coding/CDI management experience in an acute care facility
Strong grasp of MS-DRGs, APR-DRGs, and APCs
Understanding of daily functions/processes/responsibilities of Health Information Management clerical staff
Knowledgeable in HIPPA and ROI regulations
Actively work and understand the DNFB process
Aware of current differences in payment processes amongst insurance payers
Solid grasp of the charge master, revenue codes, processing patient type changes, cancelled accounts, and CMS code edits
Good communication, organization, and problem-solving skills
Interpersonal skills to interact with subordinates, Medical Staff members, and other departmental and Medical Center personnel
Knowledge of anatomy and physiology, medical terminology, ICD-9 CM, CPT-4, HCPCS coding rules and regulations
Ability to code and/or audit inpatient and/or outpatient accounts as needed
Experience with a CDI program and understand the relationship between the CDI specialist(s) and the medical/coding staff
Experience in process improvement strategies, mentoring, and guidance to the CDI specialist
Basic office equipment experience
Demonstrated knowledge of computer technology and automated system designs for Health Information Management
Strong hands-on experience with MS Office including Excel, Word, and PowerPoint
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