UMH Sparrow Health System - REGIONAL MANAGER PROFESSIONAL CODING

General Purpose of Job:

The manager of the Regional Professional Coding Teams within the Regional Revenue Cycle Department is responsible for accurate and timely diagnosis and procedure coding, charge capture and abstracting of all required data elements. Maintain and monitor all professional coding workflow and work queues to support timely reimbursement for the Regional Revenue Cycle Department. The Regional Professional Coding Manager ensures the adherence to standards of ethical and compliant coding, Center of Medicare and Medicaid Services (CMS), AHA Official ICD-10-CM Coding Guidelines, CPT, and other regulatory standards. Develop, implement, and monitor policies, procedures, and systems for proper coding and reporting. Assist with the development of System-wide Policies and Procedures that comply with TJC, MDPH, OIG, and Health System established standards.

Essential Duties:

This job description is intended to cover the minimum essential duties assigned on a regular basis. Associates may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position.

LEADERSHIP

• Analyze the effectiveness of Professional coding operations across the Regional Revenue Cycle Dept. to identify opportunities for process improvement, streamline processes, and ensure the most efficient use of coding resources to meet the needs of the organization as a whole.
• Monitor changes in laws, regulations, and policies that impact coding and reimbursement and assure compliance with coding procedures and workflows.
• Assist the Regional Revenue Cycle Coding Director in the development, implementation, and assessment of long-range and short-term goals for the Coding Unit.
• Provide leadership representation on institutional committees as it relates to assigned units.
• Provide leadership for and actively participate in departmental and institutional activities and programs.
• Identify and address change management issues related to the evolution of the Revenue Cycle environment.

OPERATIONS

• Monitor daily progress of coding throughput and implement personnel and operational changes to address objectives.
• Monitor and report the productivity and accuracy of coders, collect statistical data from the electronic health record (EHR) and coding systems, and provide clarification and coaching to staff on coding expectations to ensure the highest quality of coding in the timeliest and most efficient manner.
• Plan and schedule work for the unit ensuring proper staffing and distribution of assignments to accomplish required tasks; plan and schedule meetings with staff to explain and implement new policies, procedures, and practices.
• Oversee contract coding agency staff.
• Oversee the capture and analysis of data regarding operational performance.
• Plan, develop, revise, and implement programs, policies, and procedures for assigned units.
• Conduct regular staff meetings for a home-based workforce.

PEOPLE AND PARTNERS

• Develop and maintain professional relationships with colleagues and staff within the department and across the organization to promote mutual understanding and respect.
• Work within the department, across the organization, and with clinical and senior leadership to meet organizational goals.
• Demonstrates excellent customer service skills in working with