Manager Coding Operations - MS DRG

General Summary of Position

MedStar Healthhas an exciting opportunity for a Manager of Coding Operations to lead an establishedteam of highly motivated & dedicated in-patient coders. The ideal candidate has their CCScertification with expertise in MS DRG, has experience working in an academic medicalcenter, and the desire to be part of the largest healthcare provider in the Baltimore-Washington,D.C, region.

MedStar Healthoffers a comprehensive benefits package including paid time off, health/vision/dentalinsurance, short & long term disability, tuition reimbursement and thebenefits of remote work capability.

Job Summary: Responsible for maintainingadministrative, operational, and technical aspects of the Coding Operations.Ensures that coding is completed in established time frames to maintainfinancial stability of the organization.

#LI-remote

Primary Duties and Responsibilities

Adheres to all compliance regulations and maintains annual compliance education. Maintains credentials required for job classification.

Assists in developing and adhering to operating budget. Holds associates accountable to all department personnel policies. Maintains compliance with other departmental policies and procedures, as well as government and accrediting agency regulations.

Coordinates computer system downtime with IT and staff members.

Develops and contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards and safety standards. Ensures compliance with hospital/facility policies and procedures and governmental/accreditation regulations.

Establishes and maintains relationships with contracted companies.

Implements and maintains abstracting system. Responsible for data integrity of abstracted data to ensure accurate submission. Monitors IT validation reports to ensure accuracy of data reported.

Maintains appropriate coverage and associate workload.

Monitors bill holds to maintain financial stability of organization.

Monitors coding productivity and coding quality reports for assigned hospitals and holds associates accountable for their performance.

Oversees the reconciliation process for any internal or external department coding reviews (core measures, CDI-Clinical Documentation Improvement, MHAC's-Maryland Hospital Acquired Condition's, etc.) to ensure compliance.

Participates in multidisciplinary quality and service improvement teams as appropriate. Participates in meetings, serves on committees and represents the department and hospital/facility in community outreach efforts as appropriate.

Performs timely assessments of competency of staff. Responsible for completing all Talent Manager Reviews and setting individual staff goals.

Responsible for payroll approval for assigned staff.

Selects, trains and orients department staff. Develops and maintains succession plans and actively recruits.

Serves as a liaison between the appropriate operations department and other hospital departments for all issues related to coding activity.

Serves as a resident expert on coding and interacts with hospital departments for educational purposes regarding coding guidelines and principles. Maintains relationships with Corporate Coding Director, Coding Quality Director and CDI (Clinical Documentation Improvement) Director to establish consistent coding guidelines and coding practices.

Works closely with PFS/LMRP Manager for timely resolution.

Works with Coding Educator to identify areas for educational opportunities and other staff development activity. Promotes credentialing and professional growth.

Minimum Qualifications

Education

• High School Diploma or GED required
• Bachelor's degree preferred

Experience

• 5-7 years related coding experience, and experience with APR (all patient refined) severity grouper preferred
• 3-4 years experience with clinical information systems (3M grouper, soft-med, electronic medical record, etc.) and 2-3 years operational and/or supervision experience preferred

Licenses and Certifications

• CCS-P (Certified Coding Specialist-Physician), COC (Certified Outpatient Coder) or CCS (Certified Coding Specialist) certification required
• RHIT (Registered Health Information Technician) preferred or RHIA (Registered Health Information Administrator) preferred

Knowledge, Skills, and Abilities

• Excellent verbal and written communication skills.
• Basic computer skills required.
• Clinical system software skills (3M, electronic medical record, etc.).
• Data evaluation and analysis experience.
• Strong knowledge of Maryland Payment and regulatory systems.
• Supervisory skills.

Why MedStar Health?

At MedStar Health, we understand that our ability to treat others well begins with how we treat each other. We work hard to foster an inclusive and positive environment where our associates feel valued, connected, and empowered. We live up to this promise through:

• Strong emphasis on teamwork-our associates feel connected to each other and our mission as an organization. In return, our effective team environment generates positive patient outcomes and high associate satisfaction ratings that exceed the national benchmark.
• Strategic focus on equity, inclusion, & diversity-we are committed to equity for all people and communities. We continue to build a diverse and inclusive workplace where people feel a sense of belonging and the ability to contribute to equitable care delivery and improved community health outcomes at all levels of the organization.
• Comprehensive total rewards package-including competitive pay, generous paid time off, great health and wellness benefits, retirement savings, education assistance, and so much more.
• More career opportunities closer to home-as the largest healthcare provider in the Baltimore-Washington, D.C. region, there are countless opportunities to grow your career and fulfill your aspirations.

About MedStar Health

MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation, and research. Our team of 32,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates working in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest home health provider in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team. Together, we use the best of our minds and the best of our hearts to serve our patients, those who care for them, and our communities. It's how we treat people.

MedStar Health is an Equal Opportunity (EO) Employer and assures equal opportunity for all applicants and employees. We hire people to work in different locations, and we comply with the federal, state and local laws governing each of those locations. MedStar Health makes all decisions regarding employment, including for example, hiring, transfer, promotion, compensation, benefit eligibility, discipline, and discharge without regard to any protected status, including race, color, creed, religion, national origin, citizenship status, sex, age, disability, veteran status, marital status, sexual orientation, gender identity or expression, political affiliations, or any other characteristic protected by federal, state or local EO laws. If you receive an offer of employment, it is MedStar Health's policy to hire its employees on an at-will basis, which means you or MedStar Health may terminate this relationship at any time, for any reason.