Supervision and coordination of all aspects of HIMS (Health Information Management Services) coding and abstracting in support of HIMS department goals for coding accuracy and accountability, productivity and total DNFC (Discharged Not Final Coded) levels. Functions within the Coding Management team and serves as backup support and assistance to the Associate Director of Coding and Data Quality.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Assists within the coding management team in the overall supervision and direction of daily coding and abstracting activities in HIMS. Acts on the direction of the Associate Director of Coding and Data Quality with responsibility for all duties and accountabilities of the coding staff.
Directly oversees and manages the daily tasks and accountabilities of Coding Coordinators with responsibility for coding quality assurance and staff training and development.
Provides direct supervision to the HIMS Coding Coordinators on a day to day basis and evaluates job performance.
Performs daily monitoring of coding staff duties pertaining to accuracy and productivity and assists with work assignment to assure compliance with goals for total DNFC dollar amounts.
Performs oversight of the billing edit correction process workflow in conjunction with Patient Financial Services to accomplish edit resolution for claims processing on accounts that require HIMS coding review.
Provides recommendations and direction to Coding Coordinators for training and orientation of newly hired coders or assigned coding contractors to assure their readiness in using the CCHS medical record, coding, and reference applications as well as understanding HIMS daily coding work processes.
Supports the HIMS Coding Management team with responsibility for the orientation, training and cross training of coding staff for various record types as part of ongoing training and development.
Performs or assigns record review tasks as necessary as part the pre-bill edit resolution process, in compliance with HIMS internal audits for correct coding, in response to audit requests from internal or external agencies, (eg RAC, OIG, Internal Audit and Compliance), or in response to coding accuracy verification requests from other departments.
Provides direction and support to Coding Coordinators for coding issue resolution and for ongoing coder training and mentoring through oversight of the coding and/or management query process.
Assists Associate Director of Coding and Data Quality and makes recommendations for coding staff professional development and for setting individual or group training goals and objectives
Makes recommendations or assists with preparation of agenda and in-service presentations at regular coding staff meetings for education re coding regulations and/or changes, software application updates or advances and changes in clinical information or practices.
Works with the Medical-Dental Staff, Clinical Documentation Improvement Specialist Team, and other departments for the resolution of issues pertaining to coding, documentation, reimbursement and to identify opportunities for education and training programs.
Assists in the preparation of policies and procedures for the HIMS Coding/Abstracting section; performs revisions, updates or additions to coding policies and procedures and/or internal coding guidelines in support of and under the direction of the Coding Management Team.
Prepares and completes coding staff quarterly touch bases, makes recommendations for employee selection and development. Oversees training, promotion, and disciplinary and/or discharge actions.
Utilizes database queries and reports to perform various auditing functions.
Assists with coding or other software system analysis, implementation, testing, database management, accuracy, application maintenance, regulatory compliance, troubleshooting for problem resolution, and security of the coding/abstracting systems, interfaces, databases, and reporting tools for systems using codded and abstracted data.
Assists in the development of departmental goals and objectives.
Participates in the hiring process including the interview of prospective candidates, recommendations on applicants' suitability, assists in the selection of qualified candidates and is responsible for their orientation and training in ChristianaCare HIMS coding practices, guidelines and process.
Works on projects as assigned by the HIMS Management team to achieve the overall goals of the department.
Demonstrates the highest level of confidentiality and conducts self-according to AHIMA Code of Ethics.
Performs assigned work safely, adhering to established departmental safety rules and practices; reports to manager, in a timely manner, any unsafe activities, conditions, hazards, or safety violations that may cause injury to oneself, other employees, patients and visitors.
Promotes safe work habits, rules, and practices among staff.
Performs other duties as required.
EDUCATION AND EXPERIENCE REQUIREMENTS:
Bachelor's or Associate Degree in HIM or related field.
Two years supervisory experience required.
Four years Coding/DRG experience required, preferably in an acute care, teaching hospital.
Experience with implementing and maintaining computer systems.
Experience with Project Management.
CPC or CCS certification required
Internal Number: JR53915
About Christiana Care Health System
Christiana Care Health System is headquartered in Wilmington, Delaware and is one of the country's largest health care providers, ranking 21st in the nation for hospital admissions. Christiana Care is proudly a Nurse Magnet recognized institution. Christiana Care Health System is also one of the largest health care providers in the mid-Atlantic region, serving all of Delaware and portions of seven counties bordering the state in Pennsylvania, Maryland and New Jersey. A not-for-profit, non-sectarian health system, Christiana Care includes two hospitals with more than 1,100 patient beds, and is a major teaching hospital with two campuses. Christiana Care is continually recognized for excellence on a regional and national level. Our role in the community is expressed in the Christiana Care Way: "We serve our neighbors as respectful, expert, caring partners in their health. We do this by creating innovative, effective, affordable systems of care that our neighbors value."Christiana Care is a great place to work because we value diversity and recognize it to be a core part of our success. Because of the diversity of our employees, affiliated health professionals and volunteers, we are... positioned to meet the unique needs of our patients and community. We acknowledge and celebrate the uniqueness and talent of each employee. Because of our talented workforce we are able to provide a quality healthcare experience to our patients and community. We strive to create an inclusive environment in which individual diversity can be leveraged and thrive. Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.