Manager, Coding Education and Quality

Job Description

Description:

At e4health, we Empower Better Health. The e4health Team is on a relentless mission to care for those teams who care for others. We bring our passion, ingenuity, and expertise to every engagement. In joining our Team, we want your help to provide our customers with powerful solutions in the pursuit of quality, integrity, clinical and financial value across healthcare.

Our People make the difference. Serving more than 400 hospitals and health systems nationwide for nearly two decades, e4health provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-revenue cycle, and operational expertise. e4health solutions streamline clinical, financial, and health information data and workflows, optimize coding, quality, and clinical documentation integrity processes, and address health IT operational challenges to deliver material results for healthcare organizations across the country. Learn more about us at

RESPONSIBILITIES:

Lead coding quality and education teams of hospital, professional fee and global coding auditors

Evaluate and revise policies and procedures as needed to ensure quality coding

Develop and provide education to internal coders and providers as needed.

Develop and update coding department newsletters, education and reference documents.

Post to True North page as needed.

Ensure team members are educated on coding concepts and coding software

Review, evaluate and educate coding team members and providers on updated rules and regulations related to coding, include new LCDs/NCDs/Medicare guidelines/AMA guidelines

Ensure completion of provider audits to meet compliance policies and timelines

Collaborate with coding and CDI operation managers on coding topics and guidelines

Provide regular audits and education to coding team members on relevant coding topics

Track, rend and advise on outcomes of coding audits and needs for coder or provider specific education.

Submit reports and monitor monthly audits are completed timely.

Share information with leadership and providers.

Research denial trends related to coding

Provide necessary education to mitigate denials to coding team based on review

Collaborate with leaders on education related to coding for providers and identify opportunities for improvement

Provide guidance and counsel to providers face to face and or virtually.

Identifies educational/learning needs, planning, evaluating and implementing educational programs

Enhance documentation and coding practices across the organization.

Attends meetings specific to coding topics as needed and requested.

Serve as liaison between the providers, clinical staff and coders.

Serves a point of contact for clinical coding inquiries.

Demonstrate the attention to detail to minimize coding errors

Legitimately optimize reimbursement and ensure accurate billing.

Analyzes billing trends and claim denial reports to ensure optimal reimbursement.

Ensure global coding team members are meeting established quality standards

Works closely with global vendors to analyze coder competency

Ensure quality standards are being met.

Escalates recommendations to HIM leadership based on review results.

Department Specific Job Function

Read and revise HIM policies specific to coding and auditing

Attend management training for HIM leaders

Use specific coding software, including Solventum and encoder pro Requirements:

Bachelor's Degree - Allied Health, Education, or Health Information Management

Coding experience of at least 5 years

Reporting experience of at least 1 year

Ability to lead and direct teams at least 1 year

Ability to analyze data and create actions plans at least 1 year

Working knowledge in billing and EMS systems at least 1 year

Epic System experience preferred

Certified Coding Specialist (CCS) or Certified Professional Coder (CPCH)

Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA)

KEY SUCCESS ATTRIBUTES:

Integrity, passion, and ethics are required

Demonstrates strong collaboration skills

Has strong analytic and problem-solving abilities and techniques

Exhibit consistent initiative with strong drive for results and success

Demonstrate commitment to a team environment?

Well-developed written, verbal, and presentation communication skills including deep listening and attention to detail

Ability to self-motivate and self-direct

Possess strong time management and organizational skills

Commitment and adherence to company Core Values

CORE COMPETENCIES:

High level of integrity & ethical judgement

Communication

Consistency and Reliability

Meeting Standards

401(k) ELIGIBILITY e4health offers a retirement benefits package including 401(k) with company match.

Full-time employees will be eligible to contribute to a 401(k)-retirement account after successfully completing 90 days of employment.

Part-time employees will be eligible to contribute to a 401(k)-retirement account after completing 250 hours of worktime.

The items listed below pertain to Full-Time Employees only

BENEFITS: We offer an excellent salary, medical, dental, vision, life, short/long term disability insurance, and PTO policy. PHYSICAL DEMANDS OF THE ESSENTIAL FUNCTIONS: Sitting, talking, hearing and near vision are required over 90% of the time. Feeling is required over 90% of the time and reaching is required about 50% of the time. The ability to travel to field sites may be required up to 15% of the time.

WORKING CONDITIONS WHILE PERFORMING ESSENTIAL FUNCTIONS: Over 90% of the time is spent indoors, with protection from weather conditions. Exposure to noise levels that may be distracting or uncomfortable is present in only unusual situations.

PAY RANGE

Pay range for this position is negotiable based on experience.

e4health is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.

At our organization, we believe in the principles of pay transparency to foster a fair and equitable workplace for all employees. In alignment with this commitment, we openly communicate salary ranges, bonus structures, and additional financial benefits associated with each position. We believe that transparency in compensation not only promotes trust and accountability but also helps mitigate wage gaps and biases. By providing clear and comprehensive information about compensation in our job descriptions, we aim to create a transparent and inclusive environment where all employees feel valued and respected. Join us in building a culture of fairness and transparency as we strive for excellence together.

Part-time

Fully remote