eCatalyst Healthcare Solutions Hiring for Medical Coding Manager (Remote) – $100,000 – $130,000 / yr. Job at Remote Full Time

Medical Facility Coding Manager (Remote) – $100,000 – $130,000 / yr.

Compensation: $100,000 – $130,000/yr.

Location: Chicago, IL (Preferred – Will consider remote candidates!)

Status: Salaried, Exempt

Job Summary

eCatalyst Healthcare Solutions is looking for a Medical Facility Coding Manager (Remote) to join our team. The Medical Facility Coding Manager (Remote) will oversee a portion of our client’s medical facility coding operations serving as a resource to leaders, staff, and physicians on coding and documentation standards and regulations.

Additionally, the Medical Facility Coding Manager (Remote) will conduct trend analysis, audits, and internal investigations to monitor program compliance and initiates corrective action plans where appropriate. The Medical Facility Coding Manager (Remote) will represent eCatalyst Healthcare Solutions as a trusted partner daily with the client.

eCatalyst Healthcare Solutions is committed to providing rewarding opportunities to dedicated HIM professionals who align with our values so that they can develop their skills, enhance their abilities, and further their careers.

Essential Functions

• Oversees and monitors implementation of the client’s HIM medical coding program, including appropriate documentation, accurate coding, and adherence to hospital and regulatory policies and guidelines for all appropriate personnel, including HIM medical coding staff, physicians, billing personnel, and ancillary department support.
• Ensures that coding staff, consultants, and other contracted support adhere to the organization’s HIM compliance program.
• Conducts regular audits and coordinates ongoing monitoring of coding and documentation adequacy.
• Serves as a resource for department managers, staff, physicians, and administration to obtain information or clarification on accurate and ethical coding and documentation standards, guidelines, and regulatory requirements.
• Develops and coordinates appropriate training materials, conducts in-services, and/or ensures the appropriate dissemination and communication of all regulations, policies, and guideline changes to affected personnel.
• Conducts trend analyses to identify patterns and variations in coding practices and case-mix index. Compares coding and reimbursement profiles with national and regional norms to identify variations requiring further investigation.
• Reviews claim denials and rejections pertaining to coding and medical necessity issues and, when necessary, implements corrective action plans, such as educational programs, to prevent similar denials and rejections from recurring.
• Identifies required enhancements in technology platforms to improve the accuracy and efficiency of coding. Reports non-compliance issues detected through auditing and monitoring, the nature of corrective action plans implemented in response to identified problems, and the results of follow-up audit to the Director of HIM.
• Receives and investigates reports of HIM compliance violations and communicates this information to the Director of HIM.
• Works with the Clinical Documentation Improvement team to address documentation and coding issues. Monitors CMI identifies opportunities related to documentation and coding.
• Provides training to CDI staff regarding coding and MS-DRG assignment. Assists CDI leadership in resolving DRG mismatch cases. Identifies and addresses trends in coding issues related to documentation.
• Participates in hiring, evaluation, and disciplinary action according to client policies and under the client’s direction.

Requirements

Required Certifications

• CCS, RHIT, or RHIA certification.
• Bachelor’s Degree in Health Information Management or related field.
• 5+ years of hospital or other healthcare services HIM operations management experience.
• 3+ years of coding auditing experience with a demonstrated background in hospital, physician, or other healthcare environment coding and reimbursement.
• Proficiency in Electronic Medical Records (EMR) such as EPIC and similar coding software systems.
• Microsoft Office (Excel, Word, Outlook, Teams) proficiency.

EEO Statement

ECatalyst Healthcare Solutions, Inc.’s policy is to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information, or any other protected characteristic under applicable law.

Please note this description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Job Type: Full-time

Pay: $100,000.00 – $130,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• Day shift

Supplemental Pay:

• Bonus pay

Education:

• Associate (Required)

Experience:

• Medical coding: 5 years (Required)

License/Certification:

• CCS, RHIA, or RHIT (Required)

Work Location: Remote