Job Summary

Responsible for planning, organizing, staffing, directing and controlling the activities and personnel for professional coding service initiatives. Directly manages and implements programs to ensure efficient operations of the professional coding program in order to generate sufficient revenue and cash flow. Responsibilities include managing , formulating new programs, identifying areas of opportunity for program improvement, analyzing current workflow, benchmarking against industry best practice models, reducing duplication of effort while increasing efficiency and resolving any hospital and professional coding related issues to include coordinating policy and guidance associated with hospital and professional accounts receivable.

Job Duties

• Provides feedback to coding staff on errors and trends identified and counsel staff as required.
• Provides suggestions and supporting information to improve the error rate related to diagnoses and procedure edits.
• Responsible for training, development, discipline, and conducting the performance appraisal..
• Reviews reports in order to measure employee and section performance to ensure that organizational goals and objectives are achieved along with measuring results to ensure proper utilization of manpower.
• Assists in recruitment of new personnel along with ensuring that training, development, discipline and conducting performance appraisals on current personnel is completed timely along with recommending direction and improvements to help the employee meet department goals.
• Reviews and implements process improvements for individual and department workflow.
• Analyzes and updates as necessary any departmental policies and procedures, in conjunction with workflow changes.
• Acts as a liaison with physicians to ascertain and correct information needed to resolve discrepancies regarding diagnoses and procedures based on standard clinical pathways and translation of clinical data into coded form.
• Facilitates various technological initiatives in support of coding and business process improvements with respect to hospital and professional coding management operations.
• Reviews account detail and compare to the medical records for accurate selection of diagnoses and procedure codes as a quality measure for all coding activity.
• Responds to request from billing office for claims holding in billing system as a result of payer edits or rejections related to coding.

Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.

*Relevant experience may be a combination of related work experience and/or degree obtained (Associate's Degree = 2 years; Bachelor's Degree = 4 years; Master's Degree = 6 years relevant experience).

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Position Details

Education

High School Diploma or Equivalent (GED)- (Required)

Experience

Minimum of 5 years-Managerial/Supervisory (Required), Minimum of 7 years-Relevant experience* (Required)

Certification(s) and License(s)

Certified Professional Coder - American Academy of Professional Coders (AAPC); Registered Health Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC)

OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.

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