• Job Description

  Req#: 513532

  Job Summary: Under the direction of the CFO the Coding Manager oversees and manages daily medical coding operations within Brattleboro Retreat, ensuring accuracy, efficiency, and compliance. They manage a team of coders, implement coding strategies, and provide training and guidance. Development and ongoing maintenance of the Coding Team.

  
  

  The position requires excellent critical thinking skills and knowledge of MS DRGs, APR DRGs, APCs, Official Coding Guidelines, and a broad-based and thorough understanding of ICD-10 CM, PCS coding and CPT/HCPCS systems. Ability to adapt to changes in the workload and work functions, to work independently and to effectively prioritize work assignments. This position requires in depth knowledge of Coding process, workflow management and electronic health records. The position requires a high degree of collaboration with clinicians, health care providers, Revenue Cycle and Coding leadership.

  
  

  QUALIFICATIONS:

  1. One of the above Certifications

  2. 2 years experience in leading and motivating a team.

  3. Bachelor’s degree in HIM or related field.

  4. Ability to analyze data, identify problems and develop solutions.

  
  

  KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:

  AHIMA Certification CCS or CCS-P (RHIA preferred, but not required)

  • Official Coding and Clinical Documentation Guidelines

  • Familiarity of automated/computerized encoders, groupers, abstracting, database,

  billing systems, medical records.

  • Proven/demonstrated skills in use of encoder grouping and abstracting software

  • Knowledge of the principles and practices of supervision as applied to the

  management and direction of personnel

  
  

  UW HEALTH JOB DESCRIPTION

  • Excellent leadership ability

  • Excellent oral and written communication skills

  • Excellent analytical ability to develop and analyze data to recommend solutions and

  solve complex problems.

  • Ability to ensure a high level of customer satisfaction including internal customers, patients,

  visitors, and others within Brattleboro Retreat.

  
  

  Core Leadership Standards & Competencies

  Team Management: Hiring, training, managing, and evaluating coders' performance.

  Coding Oversight: Ensuring accurate and compliant coding practices, including adherence

  to coding guidelines, payer guidelines and regulations. Ensure that the productivity and

  actions of the Coding team meet and support the overall operational goals of the department

  and institution. Assuring that charge capture and final coding are completed timely by the

  team.

  
  

  Process Improvement: Implementing and monitoring process improvements to enhance

  coding quality and productivity

  
  

  Ensures that all data abstracted and/or coded are consistent with guidelines outlined

  by JCAHO, OSHPD and CMS, regional and local policy.

  
  

  Collaboration: Collaborate with members of the healthcare team (e.g., revenue cycle,

  clinical staff) to address coding issues and ensure alignment. Inform and educate coding

  staff or other departments (as needed) of regulatory (CMS/Medicaid) and 3rd party payors

  and implements policy/guidelines to ensure compliance with changes.

  
  

  Education and Training: Providing education and training to coders and

  healthcare providers on coding guidelines and best practices.

  
  

  Compliance: Identifying and addressing coding-related compliance issues. Ensure all

  appeals are completed timely and that sound clinical evidence and coding clinic

  information is submitted.

  
  

  Data Analysis and Reporting: Analyzing coding data to identify trends and areas for

  improvement and preparing reports for leadership.

  
  

  Policy and Procedure Development: Developing and maintaining coding policies and

  procedures. Design, develop and execute standard policies and procedures, standardized

  queries, and strategies targeted to improve the quality of documentation and overall quality

  and financial performance of Brattleboro Retreat

  
  

  Staying Current: Keeping abreast of coding guidelines, regulations, and industry changes.

  Distributing changes and updates to the team and other departments as needed.

  
  

• About the company

  The Brattleboro Retreat is a non-profit psychiatric and addiction hospital in southern Vermont. We offer a full continuum of care for children, adolescents, and adults including inpatient, outpatient, and partial hospital care.

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