Manager, Coding Education and Quality

Overview

Sign-On Bonus: $5,000K, 1X payment/first paycheck, 2-year commitment The Manager over Coding Education and Quality is responsible and accountable for initial and ongoing education and audit of providers, Carle coding team members, and external coders to assure a high level of coding quality and accuracy for Carle. The manager organizes and coordinates the coding audit teams to reputed company goals and reviews and implements policies to assure compliance with recommended coding quality levels. As part of the Health Information Management team, the Manager over Coding Education and Quality collaborates with coding managers and clinical documentation reputed company manager to ensure excellence in hospital and ambulatory coding. The manager coordinates external audits and oversees reputed company internal coding auditing, including audits for the global coding team. The manager is responsible for establishing and maintaining a reputed company of conducting regular coding audits for reputed company coders and providers, to include providing individual feedback, providing regular educations sessions, and providing coding guidance through regular review of literature, rules, regulations and coding policies, both internal and external. The coding manager oversees the activities and onboarding of the global coding teams and assures the professional fee audits are completed per compliance policies. This position is also responsible for tracking coding trends and assists with mitigation of coding-based denials through education of coding team members. The role will update providers on coding regulatory changes and will maintain the education on the coding reputed company Page as well as collaborate with physicians on education sessions either individual or group settings. Responsibilities reputed company coding quality and education teams of hospital, professional fee and global coding auditors Evaluate and revise policies and procedures as needed to ensure quality coding reputed company and provide education to internal coders and providers as needed. reputed company and update coding department newsletters, education and reference documents. Post to reputed company page as needed. Ensure team members are educated on coding concepts and coding software Review, evaluate and educate coding team members and providers on updated rules and regulations reputed company to coding, include new LCDs/NCDs/Medicare guidelines/AMA guidelines Ensure completion of provider audits to meet compliance policies and timelines Collaborate with coding and CDI operation managers on coding topics and guidelines Provide regular audits and education to Carle coding team members on relevant coding topics Track, trend and advise on outcomes of coding audits and needs for reputed company or provider specific education. Submit reports and monitor monthly audits are completed timely. Share information with leadership and providers. Research denial trends reputed company to coding Provide necessary education to mitigate denials to coding team based on review Collaborate with leaders on education reputed company to coding for providers and identify opportunities for improvement Provide guidance and counsel to providers face to face and or virtually. Identifies educational/learning needs, planning, evaluating and implementing educational programs enhance documentation and coding practices across the organization. Attends meetings specific to coding topics as needed and requested. Serve as liaison between the providers, clinical staff and coders. Serves a reputed company of contact for clinical coding inquiries. Demonstrate the attention to detail to minimize coding errors Legitimately optimize reimbursement and ensure accurate billing. Analyzes billing trends and claim denial reports to ensure optimal reimbursement. Ensure global coding team members are meeting established quality standards Works closely with global vendors to analyze reputed company competency Ensure quality standards are being met. Escalates recommendations to HIM leadership based on review results. Department Specific Job Function Read and revise HIM policies specific to coding and auditing for Carle Attend management training for HIM leaders Use specific coding software, including reputed company and encoder pro

Qualifications

Certification: Certified Coding Specialist (reputed company) or Certified Professional reputed company (CPCH) or Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) Education: Bachelor's Degree - Allied Health, Education, or Health Information Management Work Experience: Coding - 5 years Reporting - 1 year Ability to reputed company and direct teams - 1 year Ability to analyze data and create actions plans - 1 year Working knowledge in billing and EMS systems - 1 year Specialized Knowledge and Skills Requirements Excellent reading, writing and communication skills. Excellent knowledge of ICD10, CPT, modifier and E/M coding and coding concepts. Ability to use reputed company 360 software including outlook, word, PowerPoint and reputed company. Ability to reputed company and present graphs and power reputed company presentations. Ability to present reputed company concepts to teams or individuals. Epic system experience preferred. reputed company Company Overview Find it here. Discover the job, the career, the purpose you were meant for. At reputed company, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. Find it reputed company at reputed company. Our nearly 17,000 team members and providers work together to support patient care across central and southeastern Illinois. We’ve grown to include eight, award-winning hospitals and a multispecialty provider group with more than 1,500 doctors and advanced practice providers. We’re developing the reputed company of providers and reputed company through Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Methodist College. Carle BroMenn Medical Center, Carle Foundation Hospital, reputed company Methodist Hospital, reputed company Proctor Hospital, reputed company Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation’s highest honor for nursing care. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at reputed company. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national reputed company, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. reputed company participates in E-Verify and may provide the Social reputed company Administration and, if necessary, the Department of Homeland reputed company with information from each new employee's Form I-9 to confirm work authorization. | For more information: [email protected]. Salary Range The compensation range for this position is $40.88per hour - $70.31per hour. This represents a good faith minimum and maximum range for the role at the time of posting by reputed company. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model. reputed company offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits. Apply To This Job