Physician Coding Manager - Revenue Cycle - FT - Hybrid

Location : Atlanta, GA

Job Type : FTE

Shift/Schedule : Days

SUMMARY

Serves as the Corporate Leader for daily coding operations and reimbursement activities across the multi-facility integrated Health System by oversight of Inpatient and all Outpatient Services (Clinics, Ambulatory Surgery, Observation, Interventional Radiology) and Emergency Department, DRG Validation (SMART Reviews), APC Coordinator, Coding & Quality Educator, RAC Coordinator, Coding Assistants, Outsourced (Inpatient Coding Services and Emergency Department Charge Posting) and Coding Claim Edits (IP, OP, ED and Neighborhood Health Centers). Solid knowledge of MS-DRG, APR-DRG (Severity of Illness (SOI) and Risk of Mortality (ROM), Coding Guidelines, American Hospital Association (AHA) Coding Clinic, Present on Admission (POA) Indicator Guidelines, Hospital Acquired Conditions (HACs) and Patient Safety Indicators (PSIs). Responsible for the development and implementation of coding policies and procedures for the Health System. Serves as an Educator, for Coding staff and other healthcare professionals in the use of coding guidelines, proper documentation techniques and functions as it relates to the MS-DRG, APC and other clinical/coding data quality management factors. Maintains knowledge of current professional coding certification requirements and promotes recruitment and retention of certified staff in Coding positions.

QUALIFICATIONS

* At least 10 years of management, relevant coding, and revenue cycle experience in an acute care hospital with high ED volume and Outpatient Services is required.

* Bachelor's Degree in a health services discipline.

* Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) and Certified Coding Specialist (CCS) is required.

* Experience with Epic EMR Coding/Hospital Billing Applications, required.

* Must possess knowledge of ICD-10-CM/PCS, CPT, and MS-DRG/APC classifications and reimbursement methodologies.