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|Manager, Clinic/Practice Plan Coding|
Company: University of Miami Health System
Location: Miami, FL
Employment Type: Full Time
Date Posted: 10/21/2021
Expire Date: 12/21/2021
Job Categories: Administrative and Support Services
Manager, Clinic/Practice Plan Coding|
CORE JOB SUMMARY
The Manager, Clinic/Practice Plan Coding manages the coding and classification activities of the outpatient coding section. The incumbent oversees coding professionals responsible for accurately assigning codes to Surgical, Non-Surgical and Ancillary Services. The Manager, Clinic/Practice Plan Coding ensures the efficiency, accuracy, completeness, and compliance of medical coding.
CORE JOB FUNCTIONS
Educates internal and external staff on the coding function. Selects, orients, and trains outpatient coding staff. Evaluates staff performance. Collaborates with physicians and other caregivers to ensure complete and detailed information is received for accurate coding. Develops, implements, monitors, and maintains the coding compliance program. Participates in regular audits and coordinates ongoing monitoring of coding accuracy and documentation adequacy. Assists in identifying and correcting claims that have failed coding edits. Reviews claim denials and rejections pertaining to coding and medical necessity issues. Analyzes and interprets coding data to identify problems or trends. Maintains knowledge of coding and billing requirements and regulatory changes and acts as a resource to the coding and health information management staff. Establishes and continuously assesses the effectiveness of the internal controls within the unit and compliance with University policies and procedures. Ensures employees are trained on controls within the function and on University policy and procedures.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
Bachelorís degree in relevant field
Certification and Licensing:
CCA, CPC, CPC: H, CCS, CIRC, RCC or RHIT,RHIA
Minimum 5 years of relevant experience
Knowledge, Skills and Attitudes:
Knowledge of business and management principles
Ability to direct, manage, implement, and evaluate department operations.
Ability to establish department goals and objectives that support the strategic plan.
Ability to effectively plan, delegate and/or supervise the work of others.
Ability to lead, motivate, develop and train others.