Job Description

Job Description

Job Description

Position Title: Hospital Reimbursement and Coding Manager, Full Time, Days

BASIC PURPOSE OF THE JOB

Responsible for managing the operations of the coding team to ensure that diagnoses and procedures have been accurately coded.

REPORTS TO

• Director, Health Information Management

JOB REQUIREMENTS

Supervisory Responsibilities: YES

Number of Direct Reports: 8

Minimum Education: Associates Required; Bachelors Preferred.

Degree: Degree in Health Information Management or related field of study.

License/Certification Required: RHIA or RHIT and CCS

Minimum Work Experience: 5 years medical progressive coding experience, including 2 years of supervisory experience.

REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES

• Thorough knowledge of medical coding using the ICD-10-CM/PCS and CPT4/HCPCS classification coding systems. Familiar with MS-DRGs.
• Strong analytical and problem-solving skills.
• Excellent communication and interpersonal skills.
• Coding Encoder, preferably Solventum (formerly 3M) encoder
• Strong computer skills.
• Ability to organize work priorities and meet specific objectives under time constraints.
• Ability to manage multiple tasks simultaneously.

DUTIES AND RESPONSIBILITIES

• Manage and supervise the coding team, providing guidance, support, and training as needed.
• Review and analyze medical records to ensure accurate and appropriate coding.
• Monitor coding productivity and quality, implementing process improvements as necessary.
• Stay up to date with coding guidelines, regulations, and industry changes.
• Develop and maintain coding policies and procedures.
• Collaborate with other departments to ensure coding accuracy and resolve coding-related issues.
• Review and Appeal Insurance MS-DRG denials.
• Strong computer skills.
• Ability to organize work priorities and meet specific objectives under time constraints.
• Ability to manage multiple tasks simultaneously.
• Identify and address coding-related compliance issues.
• Conduct regular audits to ensure compliance and identify areas for improvement.
• Conduct regular coding education
• Participate in the hiring and onboarding of new coding staff.

PHYSICAL REQUIREMENTS-Note: Reasonable accommodations may be made for individuals with disabilities to perform the essential functions of this position. (Remove those that don’t apply)

• Light lifting, pushing and pulling is required for 10-20 lbs occasionally and frequent moving of objects of less than 10 lbs is required. Frequent sitting with some walking, standing, squatting, bending and reaching is required. Keyboard/computer use and/or repetitive motions may be required.

Come work where you can make a difference everyday.

At East Tennessee Children’s Hospital, care is at the CORE of who we are. We are comprised of team members who live out our core values of Compassion, Ownership, Respect, and Excellence. We support each other by fostering a culture of team engagement that creates moments that matter – every interaction, every time.

• Compassion – We imagine what others are going through, work to alleviate suffering, and create joy whenever possible.
• Ownership – We take pride in our work, act with integrity, and feel personal responsibility for achieving our mission.
• Respect – We listen, understand, and communicate openly and politely. We recognize our diverse strengths.
• Excellence – We set high standards for performance in delivering the safest patient care. We give extraordinary and meaningful experiences to our patients, their families, team members, and the community we serve.

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