Coding Manager - MUST live in CO
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Manages all activities related to physician/provider coding for outpatient and inpatient professional fee services. Develops and maintains a close working relationship with Medical Group and Operation management to support provider coding accuracy that is consistent with industry standards and in compliance with coding guidelines. Works in conjunctions with provider education to improve coding accuracy and efficiency. Accountable for developing/maintaining a culture of service, financial discipline, compliance, ethics and integrity. Maintains knowledge of and assures departmental compliance with Kaiser Permanentes Principles of Responsibility, policies and procedures, applicable regulatory requirements and accreditation standards. Responds appropriately to observed fraud or stress.
Essential Responsibilities:
- Management of revenue cycle coding workflow, supporting a high level of coding accuracy.
- Develops operational and management reporting tools for productivity and revenue cycle management.
- Development of the Coding Management Team and Staff
- Coding department operational budget.
- Assesses impact of current compliance activities and evaluates risk factors of coding and documentation practices.
- Plans and forecasts the organizations future needs for Coding revenue cycle support.
- Uses understanding of inter-relationships among systems across functional areas to redesign processes, improve efficiency, and ensure optimal results for the future.
- Closely monitors changes in law, regulations, and coding and documentation standards as they apply to the Coding Department and Providers of Kaiser Permanente Colorado.
- Actively participates in Committees or Workgroups as required.
- Abides by the standards of ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines.
- Supervises direct reports; including interviewing, selecting, training, motivating, evaluating, counseling, disciplining, and terminating in compliance with EEO/AA goals and personnel policies of the organization.
- Minimum eight (8) years of progressively responsible experience in a coding environment, including five (5) years of supervisory/management experience.
- Experience in management of revenue cycle coding workflow in a multi-specialty setting is required.
- Bachelors degree in business administration, health care administration, health information management, or related field OR four (4) years of experience in a directly related field.
- High School Diploma or General Education Development (GED) required.
- Certified Coding Specialist from American Health Information Management Association OR Certified Professional Coder from American Academy of Professional Coders
- Strong written, verbal and interpersonal communication skills required.
- Must maintain all certifications required for this position.
- Must be able to work in partnership with Labor, Operations, and the Medical Group to assure compliance with documentation and coding guidelines is achieved, resulting in the accurate representation of services provided and diagnoses reported.
- Proven analytical and organizational ability.
- Proven communication and presentation skills, demonstrated experience with CPT-4, ICD-9-CM, and HCPCS as well as knowledge of Medicare Part C Reimbursement (HCC Model).
- Experience with electronic medical record preferred.
- Process management experience preferred.
Colorado Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 07:00 AM Working Hours End: 04:00 PM Job Schedule: Full-time Job Type: Standard Worker Location: Remote Employee Status: Regular Employee Group/Union Affiliation: NUE-CO-02|NUE|Non Union Employee Job Level: Manager with Direct Reports Department: Waterpark I - Med Reds-Professional Coding - 1608 Pay Range: $105400 - $136290 / year The ranges posted above reflect the location in the job posting. The salary range may vary if you reside in a different location or state than the location posted. Travel: No Remote: Work location is the remote workplace (from home) within KP authorized states. Worker location must align with Kaiser Permanente's Authorized States policy. At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work. Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing.
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status. Submit Interest
