Inpatient Hospital Coding Manager

This position is responsible for promoting financial viability by effectively managing all aspects of the enterprise organization’s coding department. It works in close partnership with various members of the organization’s leadership staff and is central in creating a comprehensive and seamless coding process throughout WVU Medicine. As a member of the coding leadership team, the role requires participation in operations, strategic planning, physician relations, finance, resource allocation and/or contracting as appropriate.

• Bachelor’s degree in Healthcare Management, Business, Finance or Accounting AND five (5) years of in-depth experience within healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing either from a consulting perspective or as an employee/manager.
• Associate’s Degree in Health Information Technology AND seven (7) years of in-depth experience within healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing either from a consulting perspective or as an employee/manager.
• In lieu of a Bachelor or Associate’s degree, nine (9) years of in-depth experience within healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing either from a consulting perspective or as an employee/manager.

• Master’s degree in Finance, Business Administration, Healthcare Administration, or a related field.
• Coding certification via AHIMA or AAPC (strongly preferred).

• Seven (7) years of in-depth experience within healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing either from a consulting perspective or as an employee/manager.

• Directs the staff and operations of the coding department, ensuring optimal performance through effective employee selection, training, development, and performance management. The position is directly responsible for leading coding supervisors and teams at multiple locations and indirectly for all employees within the department.
• Holds staff accountable for achieving plans and performance targets; works with staff to identify and resolve issues impacting the department; supports development and continued professional growth.
• Develops a high-performing team that provides superior project management skills and supports overall coding department to drive improved financial performance in accordance with state and federal guidelines.
• Maintains a strong understanding of coding metrics, leadership skills, project management, and leads the team in building plans to support operational departments to achieve optimal performance. Ensures compliance with government and commercial coding regulations while maximizing reimbursement for patient claims.
• Leads the coding department’s strategic plan objectives, operational goal setting, and execution through departmental leadership.
• Designs, implements, and continuously monitors all relevant key performance indicators to ensure that cash flow is maximized throughout the revenue cycle.
• Continuously evaluates the effectiveness and efficiency of operations and implements or proposes optimization or transformation efforts. Identifies opportunities for enhancement and optimization of the overall coding process.
• Develops and maintains strong relationships with clients/providers, effectively managing relationships and business processes at all clinics/physician offices and hospitals.
• Develops, implements, and effectively manages policies, processes, and procedures for the coding department to maintain coding charge lag, productivity, and coding quality at or above goal levels.
• Provides education and policy updates for clinic, hospital, and division employees, and medical staff on policies or procedures; establishes and conducts performance reporting for revenue/coding activities of each location.
• Provides regular revenue management reports to clients, providers, and management; alerts senior management of concerns and provides status of financial…