Lancaster General Health/Penn Medicine
POSITION SUMMARY: Plans, organizes, and manages the clinical coding area of the Health Information Management (HIM) Department at Lancaster General (LG). Ensures timely and accurate diagnostic and procedural coding for all inpatient, emergency department, ambulatory surgery and selected outpatient departments. Works closely with Corporate Compliance, Patient Financial Services, Quality and Decision Support, the Medical and Dental Staff and other departments to ensure compliance with Official Coding Guidelines and Federal and State regulations related to coding and reimbursement.
Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:
- Leads and manages the clinical coding area of HIM by directing productivity and staffing, maintaining job descriptions and performance standards, developing key performance indicators, and monitoring aggregate reporting of clinical coding performance. Develops and maintains performance improvement and productivity monitoring plans and manages the incentive payment plan.
- Develops, communicates, and implements changes to policies and procedures to ensure compliance with Official Coding Guidelines and regulatory requirements related to coding and reimbursement.
- Develops and maintains coding compliance strategies to ensure adherence to Federal regulations. Conducts risk assessments and develops and monitors corrective action plans, as necessary. Coordinates efforts with Corporate Compliance Officer to ensure consistency with goals in the Corporate Compliance Program.
- Develops, monitors, and manages capital, salary, and operating expense budgets.
- Manages employees through recruitment and retention, performance evaluations and discipline, and time and attendance record approval. Interviews, selects, hires, guides and monitors training within the clinical coding area.
- Maintains and provides expertise in prospective payment systems, case mix analysis, and accepted coding standards. Participates and contributes to task forces, committees, etc. guiding discussions that pertain to coding and prospective payment.
- Enhances professional growth and development of clinical coding staff through participation in education programs, current electronic resources, and workshops.
- Develops and maintains customer service oriented relationship with the Medical and Dental Staff and other departments, providing education regarding ICD-9-CM and CPT-4 coding systems and medical record documentation to optimize coding accuracy and revenue.
Minimum Required Qualifications:
- Associate’s Degree in Health Information Technology required, Bachelor of Science degree in Health Information Management preferred.
- Certification as a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) by AHIMA
5years of supervisory/management experience in a multi-entity health information management environment.
- 3 years of ICD-9-CM and CPT-4 Coding management experience.
- 3 or more years experience as a clinical coder in an acute care health care setting preferred.