Manager Coding

About Us
We’re Maimonides Health, Brooklyn’s largest healthcare system, serving over 250,000 patients each year through the system’s 3 hospitals, 1800 physicians and healthcare professionals, more than 80 community-based practices and outpatient centers. At Maimonides Health, our core values H.E.A.R.T drives everything we do. We uphold and maintain Honesty, Empathy, Accountability, Respect, and Teamwork to empower our talented team, engage our respective communities and adhere to Planetree’s philosophy of patient-centered care. The system is anchored by Maimonides Medical Center, one of the nation’s largest independent teaching hospitals and home to centers of excellence in numerous specialties; Maimonides Midwood Community Hospital (formerly New York Community Hospital), a 130‑bed adult medical‑surgical hospital; and Maimonides Children’s Hospital, Brooklyn’s only children’s hospital and only pediatric trauma center. Maimonides’ clinical programs rank among the best in the country for patient outcomes, including its Heart and Vascular Institute, Neuroscience Institute, Boneand Joint Center, and Cancer Center. Maimonides is an affiliate of Northwell Health and a major clinical training site for SUNY Downstate College of Medicine.

Overview
The Manager of Professional and Outpatient Coding Services will direct the daily activities of the professional and outpatient coding specialists, including, but not limited to scheduling, selecting staff, collaborating with outsource contract coding vendors, assigning work, and addressing client support needs. Additionally, the Manager will implement procedures to reasonably ensure compliance with Federal, State and Third Party Payer coding rules and regulations, including conducting coding reviews of staff’s work.

The Manager will collaborate with peers in Health Information Services, EPS and Compliance, contracted vendors, as well Faculty Practice Administrators, Physicians, and other leadership positions. The Manager may also be an integral part of various Medical Center committees and workgroups and fill in for the Director in his/her absence.

Responsibilities

Responsible for all key aspects of managing the internal and day‑to‑day operations of the Professional and Outpatient Coding Services Department, including recruitment, selection, training, monitoring, counseling, evaluating, scheduling, and assignment of work to staff as well as coordinating with any external contractors working with Department

Ensures workload is distributed in such a way to result in accurate and timely billing

Conducts quality assurance reviews on an acceptable sample of all coding performed by the staff within the department and arrange for education or corrective action based on results of the internal quality assurance reviews

Collaborates with the Director to prepare policies and procedures for all aspects of the Department. Assists the Director in budget preparation and variance explanation

Provides routine management reports to the Director and other departments or practices served that address the Department’s ongoing performance

Manages the daily reconciliation process to track the receipt of encounters requiring coding from clients and transfer of coded encounters to EPS and/or AHS

Reviews billing denial reports related to coding to identify areas requiring process change and/or education to achieve coding and/or billing compliance. Implements education or other corrective action as indicated to reduce or eliminate coding‑related denials. Prepares and educates others on how to appeal coding‑related denials as appropriate

The Manager will collaborate with the Department’s clients to facilitate accurate and timely submission of codes to EPS and/or AHS

Routinely monitors staff’s performance and assessing whether staff is meeting quality and productivity expectations. Conducts coaching, counseling and performance evaluation interviews based on the monitoring

Maintains appropriate documentation for each staff member relative to their performance and any position‑related education

Demonstrates proficiency in coding, coding compliance, and use of all systems required to perform the position effectively and efficiently

Serves as a role model for the staff managed in terms of consistently demonstrating timely reporting to work, appropriate use of work time and resources, exceptional work ethic, collaborative teamwork, positive reinforcement, lifelong learning, and conducting oneself in a professional manner, especially when representing the Department and Medical Center

All other duties and responsibilities as assigned by Director

Qualifications
Education:

Bachelor’s degree in a relevant field preferred and/or equivalent in education and experience required.

Active CPC, CCS, or CCS‑P required. CRC preferred.

Master’s degree in a relevant management or healthcare field of study preferred.

Experience:

Minimum of four years of progressive experience in coding and coding management including a minimum of two years of professional coding and/or coding compliance experience required. Team leader or supervisory experience required. Recent experience with Medicare and Medicaid billing and coding regulations. Proficiency in ICD‑10 CM must be demonstrated and measured by required testing and/or certification.

Skills:

Thorough knowledge of Medicare and Medicaid professional documentation requirements, CMS coding guidelines, Teaching Physician documentation requirements, and NCCI/ OCE edits.

ICD‑10CM, and CPT coding skills.

Good oral and written communication skills.

Good interpersonal skills.

Speaks, reads, and writes English to the extent required by the position.

Knowledge of a second language preferred.

Pay Range
USD $75,000.00 - USD $80,000.00 /Yr.

Equal Employment Opportunity Employer
Maimonides Medical Center (MMC) is an equal opportunity employer.

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