Manager, Outpatient Coding (Remote)

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.

Job Summary

Job Description

MINIMUM QUALIFICATIONS

Education:  Bachelor's Degree in related area is preferred.

Licenses/Certifications:  Certified Professional Coder (CPC) required or Certified Outpatient Coding Specialist (COC)

Experience / Knowledge / Skills:

• Minimum of five (5) years of coding in physician and or academic healthcare organization and to include three (3) years supervisory/management progressive leadership experience.
• Coding/Billing regulatory requirements.
• Effective oral and written communication skills.
• Athena, Cerner and or EPIC experience is a plus.

PRINCIPAL ACCOUNTABILITIES

• Provides direction and manages the day to day function within the coding department.
• Manages staffing plans and work assignments to achieve and maintain established productivity thresholds.
• Establishes and monitors the quality of the departments aligned with coding to support accurate patient information, compliant coding aligned with billing regulations and minimized corrections and re-work.
• Supervises coding staff including coding coordinators and other coding staff.
• Manages, supervises and monitors daily work activities, work lists, evaluates, trains, and motivates the performance of staff.
• Promotes recruitment and retention of certified coding staff in coding positions.
• Select and develop qualified staff to perform the coding functions by providing guidance and counseling to improve employee performance; takes the appropriate disciplinary actions as needed.
• Educate and train coding staff, acts as a professional subject matter expert and mentor to the staff.
• Enforces coding policies and procedures, conducts trend analysis to identify pattern and variations in coding department.
• Monitors coding work lists, unbilled accounts, aging of accounts to ensure timely filing of claims, and monitors coding workflows.
• Assists in department budget and identifies and recommends opportunities to decrease cost and improve services.
• Keeps abreast of new technology in coding and coding guidelines, stays informed about future issues impacting the coding functions, and acts as a liaison for other departments regarding coding questions.
• Manage, train and educate staff as it pertains to denials in coding; reviewing, coordinating, and monitoring the denial management and appeals process in a collaborative environment with CBO management and partners at various facilities.
• Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
• Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
• Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
• Other duties as assigned.