Job description
Organization Overview, Mission, Vision and Values
Washington Regional Medical System (the “System”) is our region’s only locally governed, community-owned, not-for-profit healthcare system. The System includes a 425-bed acute care hospital known as Washington Regional Medical Center (the “Hospital”) which is located in Fayetteville, Arkansas. The Hospital is supported by the System- including primary, specialty and urgent care operations - that span across Northwest Arkansas into Harrison and Eureka Springs. Being heavily supported and invested in our community makes Washington Regional a unique employer, encouraging staff to give back to the community in which we live and work … and give back to each other.
Washington Regional Mission, Vision and Values prove to be a firm foundation and inspiration from which we fulfill our purpose.
Mission: Washington Regional is committed to improving the health of people in communities we serve through compassionate, high quality care, prevention and wellness education.
Vision: To be the leading healthcare system in Northwest Arkansas - the best place to receive care and the best place to give care.
Values: To treat others – patients and their families, visitors, physicians, and each other – as we would want to be treated.
Position Summary
The role of the Inpatient Coding Manager reports to the Director of Revenue Integrity. This position is responsible for managing staff to ensure accurate and timely coding of all outpatient facility records. This position will address personnel, production, and system issues and are responsible for overseeing and supporting the continued development of the coding department.
- Organize, direct, and coordinate daily job functions of the inpatient coding teams
- Develop and maintain department policies and procedures, productivity standards, and educational and training materials for coders across all specialties
- Educate providers and other health care professionals on proper documentation practices to ensure accurate billing practices
- Apply coding knowledge to lead the DRG, MCC/CC, hierarchal condition categories, and risk adjustment coding efforts as well as supportive activities.
- Work with clinical quality to ensure accurate capture of outcomes data as directly correlated with complications, PSI/HACs, readmissions and mortality measures.
- Communicate coding issues with necessary parties and ensure timely education is provided if processes are updated
- Ensure all inpatient coding processes meet state and federal regulatory requirements
- Maintain a current knowledge of ICD-10-CM, ICD-10-PCS, CPT and HCPCS coding; including continuous knowledge of quarterly and annual code changes, coding rules and guidelines as well as LCD/NCD guidelines
- Conduct ongoing performance assessment of staff competency and provide timely and appropriate feedback
- Enforce the use of physician queries, as appropriate
- Perform continuous quality and compliance review of coded records and ensure accuracy by the coding specialists
- Work closely with central billing, clinical documentation improvement program and other services to assist and/or coordinate in resolving account, coding, and charge capture issues
- Education: High school diploma or GED; Bachelor’s degree preferred
- Licensure and Certifications: AHIMA credentials: RHIT, RHIA, CCS, or CCS-P and/or, AAPC credentials: CPPM, CPMA, CRC, COC, CPC, or CPC-H, required.
- Experience: Minimum 5 years’ experience in a coding position, required. Minimum 2 years in a supervisory or management role, required.
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