Manager, Clinic/Practice Plan Coding

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Through values of Diversity, Integrity, Responsibility, Excellence, Compassion, Creativity, and Teamwork (DIRECCT) the U community works together to create an environment driven by purpose, excellence, community, and service. About This Position The University of Miami, Miller School of Medicine's Department of Health Information Management HIM) has an exciting opportunity for a full time Manager, Clinic/Practice Plan Coding. The Manager, Clinic/Practice Plan Coding manages the coding and classification activities of the outpatient coding section. The incumbent oversees coding professionals responsible for accurately assigning codes to Surgical, Non-Surgical and Ancillary Services. The Manager, Clinic/Practice Plan Coding ensures the efficiency, accuracy, completeness, and compliance of medical coding. Educates internal and external staff on the coding function. Selects, orients, and trains outpatient coding staff. Evaluates staff performance. Collaborates with physicians and other caregivers to ensure complete and detailed information is received for accurate coding. Develops, implements, monitors, and maintains the coding compliance program. Participates in regular audits and coordinates ongoing monitoring of coding accuracy and documentation adequacy. Assists in identifying and correcting claims that have failed coding edits. Reviews claim denials and rejections pertaining to coding and medical necessity issues. Analyzes and interprets coding data to identify problems or trends. Maintains knowledge of coding and billing requirements and regulatory changes and acts as a resource to the coding and health information management staff. Establishes and continuously assesses the effectiveness of the internal controls within the unit and compliance with University policies and procedures. Ensures employees are trained on controls within the function and on University policy and procedures. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary. Minimum Qualification Bachelors degree in a relevant field of study. Certification in one of the following: CCA, CPC, CPC: H, CCS, CIRC, RCC or RHIT, RHIA Five years of relevant experience Knowledge of business and management principles Ability to direct, manage, implement, and evaluate department operations. Ability to establish department goals and objectives that support the strategic plan. Ability to effectively plan, delegate and/or supervise the work of others. Ability to lead, motivate, develop and train others. Any relevant education, certifications and/or work experience may be considered Educates internal and external staff on the coding function. Selects, orients, and trains outpatient coding staff. Evaluates staff performance. Collaborates with physicians and other caregivers to ensure complete and detailed information is received for accurate coding. Develops, implements, monitors, and maintains the coding compliance program. Participates in regular audits and coordinates ongoing monitoring of coding accuracy and documentation adequacy. Assists in identifying and correcting claims that have failed coding edits. Reviews claim denials and rejections pertaining to coding and medical necessity issues. Analyzes and interprets coding data to identify problems or trends. Maintains knowledge of coding and billing requirements and regulatory changes and acts as a resource to the coding and health information management staff. Establishes and continuously assesses the effectiveness of the internal controls within the unit and compliance with University policies and procedures. Ensures employees are trained on controls within the function and on University policy and procedures. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary. CORE QUALIFICATIONS Education: Bachelor’s degree in relevant field Certification and Licensing: CCA, CPC, CPC: H, CCS, CIRC, RCC or RHIT,RHIA Experience: Minimum 5 years of relevant experience Knowledge, Skills and Attitudes: Knowledge of business and management principles Ability to direct, manage, implement, and evaluate department operations. Ability to establish department goals and objectives that support the strategic plan. Ability to effectively plan, delegate and/or supervise the work of others. Ability to lead, motivate, develop and train others. The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more. UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for. Patient safety is a top priority. As a result, during the Influenza ("the flu") season (September through April), the University Of Miami Miller School Of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination. Failure to meet this requirement will result in rescinding or termination of employment. The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information. Job Status: Full time Employee Type: Staff Pay Grade: c107