Coding Services Manager

Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs). Work Shift Day Work Day(s) Monday-Friday Shift Start Time 8:00 AM Shift End Time 5:00 PM Worker Sub-Type Regular Children’s is one of the nation’s leading children’s hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We’re committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children’s. Job Description Works in partnership with Coding/HIM department leaders to provide coding program direction and management for service lines within Children’s Healthcare of Atlanta. Develops and oversees functional area and system programs. Works closely with internal and external stakeholders, which include patients and families, vendors, payers, coding staff, clinical operations and physicians in partnership with the Children’s Coding/HIM teams and overall revenue cycle team. Experience 1 year of experience developing and coordinating small or department programs 1 year of experience in a professional working environment 3 years of experience in coding in a hospital or physician practice/clinic setting Preferred Qualifications Master's degree Registered Health Information Technologist (RHIT) or Registered Health Information Administrator (RHIA) certification from the American Health Information Management Association Vendor management experience Experience optimizing Epic revenue cycle applications Demonstrated experience developing and interpreting revenue cycle data using Epic, SQL reporting, Microsoft Access, QlikView data visualization or similar technologies Education Bachelor’s degree in business administration, accounting, finance, or related area Certification Summary Minimum of one of the following: Certified Coding Specialist (CCS) from the American Health Information Management Association Certified Coding Specialist - Physician (CCS-P) from the American Health Information Management Association Certified Professional Coder (CPC) from the American Academy of Professional Coders (AAPC) Knowledge, Skills and Abilities Demonstrated ability to develop and manage budgets and other financial skills Strong communication, facilitation, and presentation skills Strong interpersonal skills, including demonstrated experience working collaboratively with teams and employees at all levels within an organization Must possess excellent customer service skills Must have strong analytical and critical thinking skills to support problem solving and associated change management Demonstrated success in program development, project planning, and project management Ability to multitask, balance multiple priorities, and work independently and within teams Personal organization and time management Demonstrated knowledge of the conventions, rules, and guidelines for multiple classification systems, including ICD-10 diagnosis and procedures, CPT and evaluation & management coding systems Knowledge of multiple reimbursement systems (e.g., Medicare Severity-Diagnosis Related Groups (MS-DRG) and Ambulatory Payment Classification (APC) Knowledge of clinical documentation improvement concepts Ability to accurately interpret and implement regulatory standards, including the National Correct Coding Initiative (NCCI) and Medically Unlikely Event (MUE) policies Strong understanding of data security and patient confidentiality issues Ability to work within a team environment as well as work independently Job Responsibilities Oversees coding programs and processes to support the revenue cycle strategy. Manages external vendor relationships and budgets. Reconciles daily file transfers to all outsourced coding vendors. Monitors coding productivity for all outsourced entities, assesses coding backlogs and validates that the vendor is meeting all production service level agreements. Reviews coding quality reports provided by the vendor and validates that the vendor is meeting all quality service level agreements. Develops action plans where productivity and quality do not meet service level agreements. Reconciles monthly invoices to work completed and achievement of service level agreements. Addresses inquiries from parents, insurance companies, and revenue cycle staff regarding coding and charging for assigned entities. Main point of contact between coders and providers for documentation related queries. Creates, manages, and executes project scope, schedule, resources, and change management initiatives. Communicates and documents project plan, status updates, business goals, and governance plan to team and stakeholders effectively. Identifies and manages project risks, issues, and opportunities. Collaborates with internal and external partners on assigned tasks as the subject matter expert for assigned responsibilities and activities. Ensures project deliverables are completed on time, of a high quality, and on budget. Develops and maintains strong working relationships with clinical teams. Children’s Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law. Primary Location Address 1575 Northeast Expy NE Job Family Program/Project Management Children’s Healthcare of Atlanta has been 100 percent committed to kids for more than 100 years. A not-for-profit organization, Children’s is dedicated to making kids better today and healthier tomorrow. With 3 hospitals, 20 neighborhood locations and a total of 673 beds, Children’s is the largest healthcare provider for children in Georgia and one of the largest pediatric clinical care providers in the country. Children’s offers access to more than 60 pediatric specialties and programs and is ranked among the top children’s hospitals in the country by U.S. News & World Report. Children’s has been recognized as a Fortune 100 Best Place to Work, a Best Place for Working Mothers, and as a top employer for diversity and millennials. We offer a comprehensive compensation and benefit package that supports our mission, vision and values. We are proud to offer an array of programs and services to our employees that have distinguished us as a best place to work in the country. Connect to our mission of making kids better today and healthier tomorrow. Have questions about the recruitment process? Check out What to Expect. https://careers.choa.org/lp/What to Expect/2895392d3ba166e6/?locale=en_US