编码经理
Manager, Coding
位于萨克拉门托大都会区，基督复临健康公司总部自40多年前便设在加利福尼亚州罗斯维尔。2019年，我们推出了符合WELL认证的园区——一个为全系统员工提供协作、创新和连接的焕新场所。
基督复临健康罗斯维尔及共享服务团队可以享受一个旨在促进健康并激发最佳工作的欢迎空间。
职位概述：
管理、监控和协调基督复临健康波特兰所有地点的专业编码和医院编码职能。确保编码团队准确高效地履行职责，并按照《健康保险可携性和责任法案》（HIPAA）及基督复临健康的规定处理记录和数据。确保编码部门的所有工作成果符合所有联邦、州和地方法规以及机构/组织的标准、实践、政策和程序。监督编码部门的日常运营，包括工作量和人员配置；招聘、纪律处分和绩效评估；培训、监控工作质量和生产力。确保编码数据准确反映所提供的服务，并为组织带来最优的报销。
职位要求：
教育和工作经验：
- 本科学位或同等教育/经验组合：必需
- 硕士学位：优先考虑
- 相关工作经验五年：优先考虑
- 领导经验一年：优先考虑
资质证书：
- 注册专业编码员（CPC）或注册编码专家（CCS）：必需
核心职责：
- 监督和监控编码项目。制定并协调针对编码项目的教育和培训计划，包括合规性、适当文档和准确编码等内容，向所有相关人员（包括编码人员、医务人员、计费人员和辅助部门）传达。确保监管政策和指南变更的适当传播和沟通。
- 开展并监督编码审计工作，协调编码准确性和文档充分性的监控。向医疗信息管理部门主管和合规官报告通过审计和监控发现的不合规问题、纠正行动计划的性质以及后续审计的结果。
- 与各种影响编码成功的人士进行互动。
查看英文原文
Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.
Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.
Job Summary:
Manages, monitors, and coordinates the professional and hospital coding functions within all locations of Adventist Health, Portland. Ensures that the coding staff performs their duties accurately and efficiently and handle records and data according to Health Insurance Portability & Accountability Act (HIPPA) and Adventist Health regulations. Ensures that all work products of the coding department conform with all federal, state and local regulations as well as institution/organization standards, practices, policies and procedures. Oversees the daily operations of the coding departments including workload and staffing; hiring, disciplining and performance appraisals; training, monitoring quality of work and productivity. Makes sure coded data accurately represents the services provided and results in optimal reimbursement for the organization.
Job Requirements:
Education and Work Experience:
- Bachelor’s Degree or equivalent combination of education/experience: Required
- Master's Degree: Preferred
- Five years' related experience: Preferred
- One year's leadership experience: Preferred
Licenses/Certifications:
- Certified Professional Coder (CPC) or Certified Coding Specialist (CCS): Required
Essential Functions:
- Oversees and monitors the coding program. Develops and coordinates educational and training programs regarding elements of the coding program such as compliance, appropriate documentation and accurate coding to all appropriate staff including coding staff, providers, billing staff and ancillary departments. Ensures the appropriate dissemination and communication of regulatory policy and guideline changes.
- Conducts and oversees coding audit efforts and coordinates monitoring of coding accuracy and documentation adequacy. Reports noncompliance issues detected through auditing and monitoring, the nature of corrective action plans and the results of follow-up audits to the HIM Director and the Compliance officer.
- Interacts with a variety of people who impact the success of the coding program and functions as a facilitator, liaison and/or motivator. Evaluates the impact of innovations and changes in programs, policies and procedures for the coding team. Designs and implements systems and methods to improve data accessibility. Identifies, assesses and resolves problems. Prepares administrative reports.
- Reviews claim denials and rejections pertaining to coding and medical necessity issues and, when necessary, implements corrective action plan to prevent similar denials and rejections from recurring.
- Conducts trend analyses to identify patterns and variations in coding practices and case-mix-index. Monitors key coding performance indicators such as discharged, not final coded (DNFC), discharged, not final billed (DNFB), days in coding and others as identified by leadership.
- Performs other job-related duties as assigned.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.
Originally posted on Himalayas