Job: Coding Manager
Classification: Salaried/Exempt
Job Category: 1.2 First/Midlevel Officials and Managers
FLSA Category: Executive Exemption
Position Summary
The Coding Manager plays a critical role in ensuring accurate and compliant coding practices for TRMC. This leadership position requires a deep understanding of medical coding guidelines strong analytical skills and a commitment to quality and efficiency. The Manager will oversee the activities of all internal and external coders ensuring they assign accurate and timely codes for all healthcare services provided. They will also be responsible for staying abreast of coding regulation updates implementing process improvements and maintaining coding compliance.
Essential Functions
Provide comprehensive leadership and oversight for all coding operations.
Assigns and sequencing accurate diagnosis (ICD10CM) and procedure (CPT) codes based on physician documentation and medical records.
Adheres to all relevant coding guidelines and regulations (e.g. ICD10CM CPT HCPCS).
Where applicable utilizes computerassisted coding (CAC) systems effectively to enhance accuracy and efficiency.
Conducts audits to ensure coding accuracy and compliance with established standards.
Collaborates with external coding leadership foster a highperforming coding team by:
Assures TRMC goals are met when recruiting onboarding and developing skilled medical coders.
Implements ongoing programs to keep staff uptodate on TRMC specific coding guidelines regulations and best practices.
Fosters open communication and collaboration between TRMC departments and the coding team.
In collaboration with external coding leadership continuously evaluates and refines coding processes.
Increases coding accuracy and reduced risk of errors and denials.
Improves efficiency in coding workflow and turnaround times.
Effectively utilizes coding technologies and automation tools.
Ensures all coding practices adhere to relevant laws regulations and industry standards including federal and state coding guidelines (ICD10CM CPT HCPCS).
Works closely with physicians to ensure accurate and complete medical documentation for optimal coding.
Creates physician tip sheets to help providers remain informed of coding updates and emerging trends.
Implements system enhancements that provide assistance to providers to promote accurate charging coding and documentation.
Utilizes data to be informed of coding practices and performance.
Analyzes coding data to identify trends potential errors and areas for improvement.
Monitors key performance indicators (KPIs) such as coding accuracy rates coding turnaround times and denial rates due to coding errors.
Prepares reports on coding performance and trends for physicians leadership and relevant stakeholders.
Builds strong relationships with internal and external departments.
Partners with the revenue cycle management team to ensure timely and accurate claim submission.
Collaborates with TRMC and Ochsner IT to maintain and optimize coding documentation and CDM management.
Follows and adheres to TRMC vaccine policy(s) mandated by the Centers for Medicare & Medicaid Services (CMS).
Performs other duties as assigned.
Skills/Competencies
Strong understanding of medical terminology and disease classification systems.
Excellent analytical and problemsolving skills.
Proficient in computer skills and healthcare coding software.
Strong leadership communication interpersonal and collaboration skills.
Experience working in a complex healthcare setting with diverse specialties.
Demonstrated ability to lead and motivate a team to achieve departmental goals.
Work Experience
Minimum of 5 years of experience in medical coding with progressive leadership experience.
Indepth knowledge of ICD10CM CPT HCPCS coding guidelines and conventions.
Experience with computerassisted coding (CAC) systems (preferred).
Education
Bachelors degree in health information management (HIM) medical coding or a related field (preferred).
Certified Coding Professional (CPC) or Certified Professional Coder ICD10 (CPCICD10 certification (required).
Additional coding certifications (e.g. CCS CPCH) a plus.
Physical Demands and Work Environment
Lifting/Carrying Pushing/Pulling
Lbs. Time Lbs. Time
110 3
1 033
2 033
5 033
76100 None 76100 None
Movement Time
Bend/Stoop/Twist 033
Crouch/Squat 033
Kneel/Crawl 033
Reach above Shoulder 033
Reach below Shoulder 033
Repetitive Arm None
Repetitive Hand 033
Grasping 033
Squeezing 033
Climb Stairs None
Walking Uneven 033
Walking Even 3466
Environment Time
Indoors 67100
Outdoors 033
Extreme Heat None
Dusty None
Excessive Noise 033
Equipment Time
Motor Vehicles None
Foot Pedals None
Extreme Heat None
Dusty None
Excessive Noise 033
Work near Time
Machinery None
Electricity None
Sharps 033
Chemicals 033
Fumes 033
Heights None
Vision
Depth Perception Required
< 20 Required
Color Not Required
Peripheral Required
Endurance Hours at Once Total in 12HR
Sit 3 6
Stand 1 3
Walk 1 3