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Franciscan Health

Catholic health system providing coordinated care

Hospital Inpatient Coding Manager

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
Full-timeIndiana, USA$77.8k - $121.5kRemote

About the Job

Requirements

  • An Associate's degree in Health Information Management is required.
  • Four years of Coding Manager experience, or four years as a Franciscan Coding Supervisor and three years of coding experience, is required.
  • Inpatient coding experience is required.
  • A Registered Health Information Administrator credential from the American Health Information Management Association or a Registered Health Information Technician credential from the American Health Information Management Association is required.

Responsibilities

  • Develop and implement coding strategies and provide operational leadership to manage and maintain efficient coding processes.
  • Supervise staff, prepare and forecast budgets and strategic plans, oversee quality assurance programs, and ensure regulatory compliance.
  • Provide oversight and leadership to Coding Supervisors and manage coworker performance through ongoing coaching, feedback, and development.
  • Oversee the auditing and education program to ensure accurate and compliant inpatient coding and billing practices.
  • Make decisions regarding changes to coding staff day-to-day functions and align coding operations with acute and ambulatory corporate initiatives, including standardized corporate coding policies and procedures.
  • Identify problems, perform root cause analysis, and develop solutions that produce expected outcomes.
  • Assist with development and implementation of an organization-wide coding compliance plan that addresses external regulatory and accreditation requirements.
  • Serve as a department liaison for regional meetings, projects, and other teams that interact with the coding team; assist with coding needs for planning new department builds and revisions.
  • Assist the Coding Manager with inquiries, audits, and denials from third-party agencies related to coding.
  • Support business operations and the revenue cycle by applying coding fundamentals and understanding how coding influences physicians, clinical operations teams, BPCI, and quality measures.
  • Analyze and interpret disease and procedure classifications and terminologies to translate healthcare data accurately, applying broad guidelines to specific coding situations independently.
  • Serve as a subject matter expert on diagnosis and procedure codes, coding guidelines, medical terminology, anatomy and physiology, reimbursement schemes, payer-specific guidelines, public reporting of outcomes, quality-of-care outcome measures, and interpretation of coded data for revenue-cycle compliance.
  • Maintain expert knowledge of Franciscan Alliance coding software tools and assist with developing and maintaining software workflows for standardization and efficiency.
  • Assist with identifying and implementing process improvements based on industry best practices to use resources effectively, decrease costs, and improve coding services across specialized service lines.
  • Develop and manage departmental budgets, including making budget allocations, approving expenditures, and ensuring expenses remain within budget.
  • Follow the Standards of Ethical Coding set forth by the American Health Information Management Association and the American Association of Procedural Coders, and adhere to official coding guidelines.

Desired Qualifications

  • A Bachelor's degree in Health Information Management is preferred.

About the Company

Franciscan Health

Catholic health system providing coordinated care

Franciscan Health is a faith-based, integrated health care system across Indiana, Illinois and Michigan, operating 13 hospitals and many medical clinics. It provides a full range of medical services through Centers of Health Care Excellence, delivering care that treats mind, body, and spirit with advanced technology and skilled clinicians. It differentiates itself by combining Catholic health care values with holistic care, spiritual support, and a focus on community health and leadership development among sisters and laity. Its goal is to heal and strengthen the health of individuals and communities by offering accessible, compassionate care within a faith-based framework.

Company size
1,001-5,000
Company stage
Grant
Total funding
$1.6M
Headquarters
Mishawaka, IN
Founded
1974

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