Manager - Coder Outpatient

Location:Avera Downtown Building-Sioux Falls

Worker Type:Regular

Work Shift:Day Shift (United States of America)

Position Highlights

You Belong at Avera

Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.

A Brief Overview

The Manager - Coding is responsible to direct the overall day to day operations for the designated service lines. This involvement includes a variety of collaborations with multiple levels of leadership and internal and external audiences. The Manager will collaborate in the establishment and implementation of performance metrics, policies and procedures, departmental objectives, and other administrative tasks in collaboration with leadership.

What you will do

Establishes annual goals and objectives along with appropriate leaders and staff. Assists in preparation of annual budget in collaboration with leadership team.

Accountable for compliance follow up on all review activities related to coding integrity and quality and to appropriately communicate and educate coding staff on a regular basis in collaboration with the review coding team as needed.

Collaborates with peer managers as appropriate on financial, quality and compliance impact from review activities across service lines which impact all coders.

Works directly with coders to ensure productivity and quality standards are met. Provides direction and feedback/action plan for coders not meeting these standards.

Perform telephone and e-mail consultation between health information management, compliance and billing departments, and between hospitals, clinics and ambulatory care facilities, as needed for coding disparities.

Keeps apprised of Federal contractor requirements for the various regions of Avera which include the following Medicare Contractors for Avera facilities: Noridian Healthcare Solutions, National Government Services (NGS), Novitas Solutions, Wisconsin Physician Service (WPS), and CGS Administrators and other agencies as appropriate.

Problem solve in reducing inpatient and outpatient coding and coding related denials backlogs in hospitals, long-term care, home care, etc relevant to MS-DRG, APC, EAPG and other groupers required of coding for various service lines and insurers. Additionally, must be able to manage coding support all varieties of hospital coding including, PPS, CAH Method I, CAH Method II and clinics.

Accountable to monitor daily statistical data on assigned service lines for discharged not final coded and discharged not final billed and other reports as direct.

Monitor internal coding performance standards and keeps an open effective communication channel with peers and leaders.

Responsibilities include interviewing, hiring, developing, training, and retaining employees; planning, assigning, and leading work; appraising performance; rewarding and coaching employees; addressing complaints and resolving problems.

Essential Qualifications

The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.

Required Education, License/Certification, or Work Experience:

Associate's Health Information Management or Health Information Technology with commensurate experience.

Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) within 1 Year or

Registered Health Information Tech (RHIT) - American Health Information Management Association (AHIMA) within 1 Year

4-6 years experience in application of coding ICD-9/ICD-10/CM and CPT.

1-3 years Previous related operational and supervisor experience

Expectations and Standards

Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community.

Promote Avera’s values of compassion, hospitality, and stewardship.

Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.

Maintain confidentiality.

Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.

Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.

Benefits You Need & Then Some

Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.

PTO available day 1 for eligible hires.

Free health insurance options, for full-time single coverage on Avera High Deductible Health Plan

Up to 5% employer matching contribution for retirement

Career development guided by hands-on training and mentorship

Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call or send an email to .

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