Coding Manager - Cardiology

Strength Through Diversity

Ground breaking science. Advancing medicine. Healing made personal.

The Coding Manager is responsible for overseeing staff, operations and resources within the department to ensure optimal result and high employee engagement. The Coding Manager ensures that the department is run according to institutional policies and any applicable regulatory requirements. The Coding Manager supervises coding processes and provides education regarding documentation requirements for the Outpatient infusion centers which includes chemotherapy and non-chemotherapy infusions and transfusion services to improve quality of CPT and ICD-10 coding, documentation and to ensure accurate and complete capture of revenue.

Roles and Responsibilities:

• Oversees operations within assigned department or division; uses data and fact-based problem solving techniques to improve processes and outcomes. Ensures that all operations run according to institutional and departmental policies and in accordance with any government or regulatory requirements as applicable.
• Recruits, orients, trains, coaches, counsels, mentors, disciplines, and evaluates staff in accordance with all internal policies and procedures. Communicates values, strategies, and objectives of department or division on a regular basis. Assigns accountabilities, delegates tasks and responsibilities, and plans, monitors and appraises job performance.
• Develops, maintains and reconciles departmental budget with financial responsibility and oversight for department or division.
• Plans, develops, and/or maintains departmental standard operating procedures. Regularly reviews policies and procedures and makes changes, or recommends changes to superiors as necessary.
• Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies.
• Provide leadership for staff members in the form of ongoing training, performance feedback, goal setting, and problem resolution; cultivate a culture of innovation and creativity in service of better patient care.
• Implement and manage coding process for the Outpatient infusion centers which includes infusion services, medical office visits, and transfusion services.
• Validate and determine appropriate coding levels, procedures and diagnosis codes by obtaining and reviewing clinical documentation.
• Compare and review charge tickets, both manually and system generated, to clinical documentation to ensure that all charges for procedures and pharmacy items have been accurately documented and captured.
• Ensure that documentation and coding supports billings to prevent denials and underpayments.
• Follow-up with providers regarding missing clinical documentation which is required to complete accurate coding and billing.
• Develop educational materials and policies/procedures to assist staff and providers with the new regulatory or payer policies.
• Identify and assist with implementation of documentation and revenue enhancement opportunities.
• Develop a working relationship with Clinical, Operational, Financial and Information Technology staff to identify and implement appropriate documentation, coding and charging modifications based on updated coding and billing guidelines or new services/drugs being provided.
• Review and distribute coding related information to clinical and financial staff, including CPT and ICD-10 code changes, medical necessity policies, coding/billing information regarding new procedures and pharmacy items.
• Develop educational material and policies and procedures to assist providers and staff with understanding new regulatory or payer policies.
• In conjunction with the Revenue Cycle Manager, identify relevant charge master updates.
• Responsible for resolving any coding related errors and denials that are identified by Hospital's billing and follow-up team as part of the revenue enhancement initiatives.
• Assist the Hospital billing and follow-up team with denial appeals.
• Consults and provides feedback with frontline clinical staff, financial clearance team, and financial counselors to identify reimbursable indications for treatment.
• Continuous review of revenue cycle with the Director and Revenue Cycle Manager.
• Participate in education programs to maintain up to date coding skills.
• Working with Compliance, coordinate random chart audits to ensure appropriate documentation, coding and billing.
• Supervise a staff of at least three.

Requirements:

• Bachelors degree in science or related field required.
• 0-2 years of research/laboratory experience
• Appropriate verbal, written and interpersonal skills
• Organizational, problem solving and analytical skills

Strength Through Diversity

The Mount Sinai Health System believes that diversity, equity and inclusion are drivers for excellence. We share a common devotion to delivering exceptional patient care. Yet we're as diverse as the city we call home- culturally, ethically, in outlook and lifestyle. When you join us, you become a part of Mount Sinai's unrivaled record of achievement, education, and advancement as we revolutionize medicine together and participate actively as a leader within the Mount Sinai Health System by:

Serving as the primary resource management representative of the Mount Sinai leadership teams, committees, etc., and acting as the primary executive leader interface between Mount Sinai and key executives from the health systems' vendors and partners.

Engaging with relevant thought leaders and policy-makers at the federal and state levels, and representing the Health System as assigned.

Using a lens of equity in establishing and promoting policies and procedures and providing opportunities for all to thrive.

Confronting racist, sexist or other inappropriate behavior and challenges exclusionary organizational practices and serving as a role model to promote anti-racist behaviors.

Inspiring and fostering an environment of anti-racist behaviors among and between departments and co-workers.

We work hard to acquire and retain the best people, and to create a welcoming, nurturing work environment where you can develop professionally. We share the belief that all employees, regardless of job title or expertise, can make an impact on quality patient care.

Explore more about this opportunity and how you can help us write a new chapter in our story!

Who We Are

Over 42,000 employees strong, the mission of the Mount Sinai Health System is to provide compassionate patient care with seamless coordination and to advance medicine through unrivaled education, research, and outreach in the many diverse communities we serve.

Formed in September 2013, The Mount Sinai Health System combines the excellence of the Icahn School of Medicine at Mount Sinai with seven premier hospital campuses, including Mount Sinai Beth Israel, Mount Sinai Beth Israel Brooklyn, The Mount Sinai Hospital, Mount Sinai Queens, Mount Sinai West (formerly Mount Sinai Roosevelt), Mount Sinai Morningside (formerly Mount Sinai St. Luke's), and New York Eye and Ear Infirmary of Mount Sinai.

The Mount Sinai Health System is an equal opportunity employer. We comply with applicable Federal civil rights laws and does not discriminate, exclude, or treat people differently on the basis of race, color, national origin, age, religion, disability, sex, sexual orientation, gender identity, or gender expression.

EOE Minorities/Women/Disabled/Veterans

Shift : Full-time Day Job
Primary Location : Icahn School of Medicine at Mount Sinai (New York-New York)
Allied Health
Monday - Friday
Department Name : Icahn School of Medicine