Site Manager for Medical Coders at Walter Reed Medical Center

Site Manager for Medical Coders at Walter Reed Medical Center

Job Location: Remote and On-site at Walter Reed Medical Center in Bethesda, Maryland
Type: Full Time 
Education Level: Certificate 
Experience:  At least two years of coding management experience and 5 years direct coding with the Department of Defense

 

Summary

The Site Manager supervises Medical Coders (both on-site and remote) under the direction of the Program Manager at Walter Reed Medical Center ensuring that medical coding meets both quality and productivity standards.  The Site Manager oversees medical record coding and review of Inpatient/APV/Outpatient Clinics and onsite coding of Emergency Department encounters in support of but not limited to the following departments: Internal Medicine, Cardiology, Ophthalmology/Optometry, Pediatrics, Surgery, Behavioral Health, Urology, and Obstetrics/Gynecology.
The Site Manager leads a team in reviewing all coding daily, weekly, and monthly to assure that all coding meets or exceeds the 97% accuracy. The Site Manager provides the Program Manager an audit report regarding audit results before the 25th of each month.  

Responsibilities

  • Perform all work in accordance with all applicable government regulations and directives and assists in addressing government requirements
  • Provide project oversite and Quality Assurance (QA) support
  • Provides direction and supervision to all coders, resolving issues and developing coders for future opportunities.
  • Ensures availability during business hours defined as Monday through Friday, 0700 to 1700 hours (local time), exclusive of Federal Holidays and communicated leave
  • Provides emergency coding if coders are not available to code
  • Interact and work with the clinic leadership on issues pertaining to coding of physician documentation
  • Ensure that coding staff maintain their certifications and stay current on updates and changes to the International Classification (ICD), Current Procedural Terminology (CPT), Military Healthcare System (MHS) Professional and Inpatient Coding Guidelines, and other classification systems utilized within the MHS and Defense Health Agency
  • Respond to all email and telephonic inquiries from clinical and administrative staff (Government and IMS) within one hour of request during business hours
  • Respond to coding resource inquiries by Physicians regarding number of Relative Value Units (RVUs)
  • Respond to coder inquires within 24 hours for coding, system issues, payroll, or HR questions, etc.
  • Attend regularly scheduled clinic meetings as requested by clinic leadership (at least 4 meetings per month)
  • Attend and participate in all meetings regarding implementation of any command documentation and or coding strategic initiatives
  • Prepare monthly productivity reports for payroll and for submission of invoice to IMS and the government to be given to the Program Manager for confirmation of accuracy
  • Work with the Program Manager to confirm any question about coder productivity
  • Ensure training of all outpatient IMS onsite and remote coders regarding HIPAA, CBTs, Command trainings and all coding updates, DoD, Defense Health Agency (DHA), National Health Region, and Military Health System directives issued are completed within the suspense
  • Ensure coders are given information for DHA Training and encourage to Coders to participate in training
  • Review and assist in the preparation and updating of clinic coding templates
  • Compare Physician documentation with Center for Health Care Strategies (CHCS) coding output to determine accuracy level as well as direct training methodology for audited physician or clinic
  • Ensure all identified coding errors will be recoded within 3 business days of notification

Education

The Site Manager holds a current coding credential from either the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC). 
The American Health Information Management Association (AHIMA) (i.e., Certified Coding Specialist (CCS), Certified Coding Specialist – Physician Based (CCS-P), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), etc.) or the American Academy of Professional Coders (AAPC) (i.e., Certified Professional Coder CPC). 
Experience

The Site Manager must have at a minimum, two years of coding management experience.
The Site Manager must have a minimum of at least 5 years direct coding with Department of Defense (DoD) medical coding, specifically for the outpatient and inpatient medical coding areas and the following specific skills:

Extensive knowledge for understanding and applying both civilian and MHS official coding clinic/guidelines;
Extensive Knowledge of software, systems and reports with coding related systems
Knowledge of medical terminology and usage, including general medical, surgical, pharmaceutical, hospital terms and abbreviations and abstracting techniques;

  • Knowledge of broad range of references such as the International Coding of Disease ICD-10-CM/PCS, CPT, HCPCS, medical dictionaries, and manual related to coding textbooks and glossaries;
  • Knowledge of legal and regulatory requirements of medical records;
  • Knowledge of medical records procedures, maintenance and documentation, regulations, and principles to carry out a variety of medical records functions such as retrieval of information, analysis, coding, ensuring compliance, and compiling data; 
  • Knowledge of laws and regulations on the confidentiality of medical records. 
  • Knowledge and skill in data collection methods for basic health care, research information and statistical reporting;
  • Skill in effective oral and written communication; and, 
  • Ability to train staff and provide guidance to the Program Manager regarding their coding capabilities and audit results. 

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