Manager Coding

About Us

We’re Maimonides Health, Brooklyn’s largest healthcare system, serving over 250,000 patients each year through the system’s 3 hospitals, 1800 physicians and healthcare professionals, more than 80 community-based practices and outpatient centers. At Maimonides Health, our core values H.E.A.R.T drives everything we do. We uphold and maintain Honesty, Empathy, Accountability, Respect, and Teamwork to empower our talented team, engage our respective communities and adhere to Planetree’s philosophy of patient-centered care.

The system is anchored by Maimonides Medical Center, one of the nation’s largest independent teaching hospitals and home to centers of excellence in numerous specialties;
Maimonides Midwood Community Hospital (formerly New York Community Hospital), a 130‑bed adult medical‑surgical hospital; and Maimonides Children’s Hospital, Brooklyn’s only children’s hospital and only pediatric trauma center. Maimonides’ clinical programs rank among the best in the country for patient outcomes, including its Heart and Vascular Institute, Neuroscience Institute, Boneand Joint Center, and Cancer Center. Maimonides is an affiliate of Northwell Health and a major clinical training site for SUNY Downstate College of Medicine.

The Manager of Professional and Outpatient Coding Services will direct the daily activities of the professional and outpatient coding specialists, including, but not limited to scheduling, selecting staff, collaborating with outsource contract coding vendors, assigning work, and addressing client support needs. Additionally, the Manager will implement procedures to reasonably ensure compliance with Federal, State and Third Party Payer coding rules and regulations, including conducting coding reviews of staff’s work.

The Manager will collaborate with peers in Health Information Services, EPS and Compliance, contracted vendors, as well Faculty Practice Administrators, Physicians, and other leadership positions. The Manager may also be an integral part of various Medical Center committees and work groups and fill in for the Director in his/her absence.

• Responsible for all key aspects of managing the internal and day‑to‑day operations of the Professional and Outpatient Coding Services Department, including recruitment, selection, training, monitoring, counseling, evaluating, scheduling, and assignment of work to staff as well as coordinating with any external contractors working with Department
• Ensures workload is distributed in such a way to result in accurate and timely billing
• Conducts quality assurance reviews on an acceptable sample of all coding performed by the staff within the department and arrange for education or corrective action based on results of the internal quality assurance reviews
• Collaborates with the Director to prepare policies and procedures for all aspects of the Department. Assists the Director in budget preparation and variance explanation
• Provides routine management reports to the Director and other departments or practices served that address the Department’s ongoing performance
• Manages the daily reconciliation process to track the receipt of encounters requiring coding from clients and transfer of coded encounters to EPS and/or AHS
• Reviews billing denial reports related to coding to identify areas requiring process change and/or education to achieve coding and/or billing compliance. Implements education or other corrective action as indicated to reduce or eliminate coding‑related denials. Prepares and educates others on how to appeal coding‑related denials as appropriate
• The Manager will collaborate with the Department’s clients to facilitate accurate and timely submission of codes to EPS and/or AHS
• Routinely monitors…