Maine Medical Center in beautiful Portland, Maine, is seeking Clinical Coding Manager with solid leadership experience. This is an excellent opportunity to lead a growing team of experienced Coders as we transition our organization to ICD-10.
Job Description:
This position manages HIM?s Clinical Data Section, which is accountable for:
Coding and abstracting the medical records of inpatients, ambulatory surgery, urgent care, observation and outpatient clinics
Preparing statistical analysis of medical records data
Compiling, analyzing and summarizing data from medical records into various formats.
The output of the Clinical Data Section is used for:
Meeting hospital licensure requirements
Financial and billing purposes, which includes the identification and determination of appropriate reimbursement under inpatient and outpatient prospective payment systems
Maintenance of acceptable accounts/receivables and DNB levels
Compliance with internal and external regulatory agencies, such as Quality Improvement Organizations, the Centers for Medicare & Medicaid Services, and JCAHO.
The position also coordinates hospital DRG activities through chart reviews, DRG validation activities, and provides information and reports to fulfill requests made by members of the medial staff, administration and planning.
Required Qualifications:
Full working knowledge of: medical information and revenue cycle systems; Grouper and Severity of Illness Systems; medical record systems, medical terminology, anatomy, physiology, pathophysiology, microbiology, and pharmacology; State, Federal and JCAHO requirements pertaining to medical records; DRG prospective payment system.
Have current coding certifications for ICD-10. Skilled in ICD coding and case mix index management. Experienced with EPIC, HP CDM, claim edit processes, 3M encoder and CDI programs. Prior CAC and Lawson a plus.
A minimum of four years prior successful supervisory experience. Advanced education which should include communication and mathematical/statistical skills and/or extensive knowledge in organization, research and analysis normally acquired through the completion of Health Record Administration/Science Bachelor?s program with certification as an RHIA and coding credentials (CCS, CPC). Credentials are a job requirement and RHIT may be substituted for RHIA credentials provided held in conjunction with CCS and CPC certifications.
Demonstrated abilities to: correctly interpret and apply Federal regulations and PRO requirements in the assignment of DRG?s, APCs and in the interpretation of various billing guidelines (i.e., medical necessity, resident supervision policies, correct coding initiative, etc. Ability to direct concurrent and retrospective coding reviews and provide physician education for the roll-out of ICD-10 CM and PCS.
Effective skills in leadership, communications, coaching, planning, motivation, and establishing effective working relationships with at all levels of staffing in the organization.
Those interested, please contact:
Amber Baxter, Talent Acquisition Partner
P: 207-662-6318 E: abaxter@mainehealth.org
Job Description:
This position manages HIM?s Clinical Data Section, which is accountable for:
Coding and abstracting the medical records of inpatients, ambulatory surgery, urgent care, observation and outpatient clinics
Preparing statistical analysis of medical records data
Compiling, analyzing and summarizing data from medical records into various formats.
The output of the Clinical Data Section is used for:
Meeting hospital licensure requirements
Financial and billing purposes, which includes the identification and determination of appropriate reimbursement under inpatient and outpatient prospective payment systems
Maintenance of acceptable accounts/receivables and DNB levels
Compliance with internal and external regulatory agencies, such as Quality Improvement Organizations, the Centers for Medicare & Medicaid Services, and JCAHO.
The position also coordinates hospital DRG activities through chart reviews, DRG validation activities, and provides information and reports to fulfill requests made by members of the medial staff, administration and planning.
Required Qualifications:
Full working knowledge of: medical information and revenue cycle systems; Grouper and Severity of Illness Systems; medical record systems, medical terminology, anatomy, physiology, pathophysiology, microbiology, and pharmacology; State, Federal and JCAHO requirements pertaining to medical records; DRG prospective payment system.
Have current coding certifications for ICD-10. Skilled in ICD coding and case mix index management. Experienced with EPIC, HP CDM, claim edit processes, 3M encoder and CDI programs. Prior CAC and Lawson a plus.
A minimum of four years prior successful supervisory experience. Advanced education which should include communication and mathematical/statistical skills and/or extensive knowledge in organization, research and analysis normally acquired through the completion of Health Record Administration/Science Bachelor?s program with certification as an RHIA and coding credentials (CCS, CPC). Credentials are a job requirement and RHIT may be substituted for RHIA credentials provided held in conjunction with CCS and CPC certifications.
Demonstrated abilities to: correctly interpret and apply Federal regulations and PRO requirements in the assignment of DRG?s, APCs and in the interpretation of various billing guidelines (i.e., medical necessity, resident supervision policies, correct coding initiative, etc. Ability to direct concurrent and retrospective coding reviews and provide physician education for the roll-out of ICD-10 CM and PCS.
Effective skills in leadership, communications, coaching, planning, motivation, and establishing effective working relationships with at all levels of staffing in the organization.
Those interested, please contact:
Amber Baxter, Talent Acquisition Partner
P: 207-662-6318 E: abaxter@mainehealth.org
Coding Manager needed in Portland, ME
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