Coding Manager

Company Name: St. Joseph's Health
Job TitleCoding Manager
Work Setting: On Site:  Paterson, New Jersey
Job Function: Coding Management
Job Type: Full Time

IntroductionSt. Joseph’s Health is recognized for the expertise and compassion of its highly skilled and responsive staff. The combined efforts of the organization’s outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation’s “100 Best Places to Work in Health Care”.

Job DescriptionIn this leadership role, you will manage the daily operation of the medical record coding/abstracting staff to ensure the timely and accurate coding of all pertinent diagnoses and procedures. You will also ensure that the DRG assignments are based on accurate and properly sequenced diagnoses and procedures, and that abstracted data elements from the medical records are entered into computer system data base timely, accurately and statistically meaningful.

Responsibilities include:

  • Actively monitoring Discharge Not Final Billed (DNFB).
  • Working closely with Patient Financial Services to ensure accurate and timely billing.
  • Reviewing coders work for accuracy, productivity, quality, DRG assignments and verifying compliance with ICD, CPT and HCPCS guidelines utilizing essential compliance tools.
  • Troubleshooting and resolving billing problems, admitting problems, non-compliant physician documentation.
  • Performing all management functions including support for educational in-services.
  • Assisting in the implementation of Policy/Procedure changes within the department related to coding and quality issues required by 3rd party payors and recommendations of coding consultants and/or agencies.
  • Reviewing and preparing response to DRG/coding audits (i.e. BC, CBIZ, RAC and other payors).
  • Meeting all required competencies for department, unit and/or hospital.
  • Performing all other management related duties as assigned, including Special Projects

Required Qualifications

  • Associated degree in related field required.
  • CPC, CPC-H or CCS credentials required.
  • 2+ years’ experience in coding for either ASC facilities, physician practices, or hospital outpatient department.
  • Must be able to work in a team environment.
  • Excellent verbal, written and communication skills.
  • Extensive knowledge of ICD-10-CM and CPT coding conventions, anatomy and physiology, and medical terminology is a plus.
  • Knowledge of federal, state and payer specific regulations and policies pertaining to documentation and billing is preferred.
  • Familiar with Coding Clinic and CPT Assistant preferred.
  • Must be able to travel based on client and business needs.
  • CPT and E/M facility and professional fee knowledge a plus.
  • Must be reliable, self-directed and self-motivated and able to work in a fast paced environment.

Preferred Qualifications:  

Benefits:  We offer a competitive salary, dynamic work environment, and a comprehensive benefits package. St. Joseph’s Health Opportunity Employer M/F/D/V

Instructions for Resume Submission: