Manager of RCO Coding & QA - Professional Outpatient/Hospital (Remote)

REQUIRED EDUCATION & EXPERIENCE:

Minimum Qualifications:

• Bachelor’s degree or equivalent.
• Three years of complex multi-specialty coding experience.
• Three years of previous management experience.

LICENSES, REGISTRATIONS OR CERTIFICATIONS:

Required: Must possess at least one of the following certifications or related certification as approved by department leadership:

• CCA – Certified Coding Associate (AHIMA)
• CCS – Certified Coding Specialist (AHIMA)
• CCS-P – Certified Coding Specialist – Physician-Based (AHIMA)
• RHIA – Registered Health Information Administrator (AHIMA)
• RHIT – Registered Health Information Technician (AHIMA)
• CIC – Certified Inpatient Coder (AAPC)
• COC – Certified Outpatient Coder (AAPC)
• CPC – Certified Professional Coder (AAPC)
• CPC-A – Certified Professional Coder – Apprentice (AAPC)
• CRC – Certified Risk Adjustment Coder (AAPC)
• CMC – Certified Medical Coder (Practice Management Institute)

Preferred: One or more of the following certifications:

• CIC – Certified Inpatient Coder (AAPC)
• COC – Certified Outpatient Coder (AAPC)
• CPC – Certified Professional Coder (AAPC)
• CPC-A – Certified Professional Coder – Apprentice (AAPC)
• CRC – Certified Risk Adjustment Coder (AAPC)
• CMC – Certified Medical Coder (Practice Management Institute).

JOB SUMMARY:

Develops, coordinates and manages all coding activities related to professional and outpatient hospital coding. The Manager of Coding ensures accurate and timely coding of all professional and outpatient hospital coding at UTMB. This position actively establishes policy and procedure both internally within the Revenue Cycle as well as throughout the institution to ensure compliance with all Federal and State-mandated billing and coding laws. The Manager of professional and outpatient hospital coding is responsible for managing critical key indicators and direct supervision of professional and outpatient hospital coders.

ESSENTIAL JOB FUNCTIONS:

• Under the direction of the Director of Coding, actively manages physician and Outpatient hospital coding operations for UTMB to promote compliance with Federal, state and professional requirements for physician and hospital documentation, coding and billing standards.
• Analyzes monthly key indicator data from the area of responsibility to identify areas of opportunity and impacting trends.
• Execute procedural process changes based on identified opportunities.
• Create, oversee and implement QA/coding team policies, processes, and procedures, to ensure timely and accurate processing of charges.
• Use creative thinking to solve problems and work through issues and recommend actionable solutions.
• Monitor key revenue cycle functions and staff productivity standards to ensure optimal departmental performance.
• Identifies process improvement opportunities for physician and outpatient hospital coding to achieve high quality outcomes in physician and hos