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Guidehouse Medical Coding Operations Manager- Remote in Pierre, South Dakota

Overview

Guidehouse is a leading management consulting firm serving the public and commercial markets. We guide our clients forward towards new futures that build trust in society and your professional skills along the journey. Join us at Guidehouse.

Responsibilities

The Health Information Coding Operations Manager shall report directly to the Director of Coding Operations and will be responsible for managing client projects to ensure quality and productions standards are met. The Coding Operations Manager will work as the liaison between Coders and the client to ensure work functions are carried out according to the project contract. This position will perform any and all related job duties as assigned.

Duties and Responsibilities

  • Provides training to Coders on assigned facility, including facility specific coding/abstracting guidelines, encoder and EHR or Chartone functionality.

  • Develops and maintains Client Policies and Procedures specific to the project.

  • Post all Policies and Procedures to the Client Portal.

  • Performs Coding project assessments as needed for potential new clients.

  • Acts as liaison between Coders and client and relays expectations in a clear, organized manner to ensure accurate and efficient job performance.

  • Reviews all new Coder's work to ensure compliance with facility guidelines and quality standards before Coder is released to code and notifies the review team once they have been released.

  • Monitors and tracks daily staff productivity, workload, chart assignment, and workflows to ensure turnaround standards are met.

  • Determines staffing needs and adjust Coder schedules to support workflow needs to meet goals.

  • Completes employee timesheets and time off in iemployee.

  • Assists in interviewing and hiring qualified Coders and ensure minimum requirements are met.

  • Reports to the Director of Coding Operations if productivity standards or turnaround times are not met and provides weekly project status report.

  • Maintains ongoing dialogue with client and coders by participating in monthly conference calls to communicate issues, recommend process improvements and ensure client expectations are being met.

  • Coordinates and leads weekly “Stand UP Calls”.

  • Post all weekly Stand Up minute notes to the Client Portal the same business day as the meeting occurred.

  • Provides daily support to Coder to resolve problems and respond to questions relating to the facility.

  • Evaluates Team Member job competency, identifying strengths & weaknesses and provides ongoing training and development.

  • Completes annual evaluations and provides feedback to staff on performance.

  • Maintains a working knowledge of ICD-10-CM and CPT coding principles including Evaluation and Management coding guidelines, governmental regulations, official coding guidelines, and third party requirements regarding documentation and billing.

  • Assists with Coding or Reviewing as needed.

  • Conducts 100% preview of first 25 charts assigned t new coder on a client project.

  • Ensures that all services documented in the patient’s chart are coded with appropriate ICD-9 and CPT codes. When services/diagnoses are not documented appropriately, seeks to attain proper documentation in a timely manner according to facility standards.

  • Achieves and maintains 95% or 98% accuracy in coding based on client contract while maintaining a high level of productivity. Accuracy will be monitored during monthly reviews either within the facility or via e-web.

  • Ability to maintain average productivity standards as follows: Inpatients 3-4 charts per/hr, outpatient surgery 4-6 charts per/hr, emergency room/clinics 25-30 charts per/hr, emergency room with E/M 20-25 charts per/hr, ancillary/diagnostic 25-30 charts per/hr.

  • Works the review queue on a daily basis to ensure all charts that are placed in the review queue are worked and any corrections are communicated to the facility if necessary.

  • Charts that require re-bills are to be corrected and communicated to the facility daily for the rebill process. See re-bill policy in facility guidelines.

  • Downtime must be reported immediately to the administrative staff to ensure 24 hr twenty four hour turnaround is met.

  • E-web system problems should be reported to administrative staff and e-web immediately.

  • Will be responsible for working directly with the IQC staff to ensure quality standards are being met for each facility.

  • Provides accurate answers to physician’s/hospitals coding and/or billing questions within eight hours of request.

  • Responsible for coding or pending every chart placed in their queue within 24 hours.

  • Quality reports must be reviewed and necessary corrective action plan should be communicated to the IQC Coding Director within five working days of receipt of the monthly quality report.

  • Maintains current professional credentials while working for Guidehouse.

  • Coders are responsible for maintaining HIPAA compliant work stations (reference HIPAA work station policy).

  • Coders are responsible for maintaining patient privacy at all times (reference company handbook policy compliance section 105).

  • Coders are responsible for signing a client and Company confidentiality statement.

  • It is the responsibility of each Coder to review and adhere to the coding division policy and procedure manual content.

  • Works well with other members of the facilities coding and billing team to insure maximum efficiency and reimbursement for properly documented services.

  • Communicates problems or coding principle discrepancies to your supervisor immediately..

  • Communication in emails should be professional at all times (reference e-mail policy).

  • Active involvement with the ICD-10 Training of the Guidehouse coding team.

  • Assist with the roll out of the education plan for the ICD-10 training.

Responsibility to Client:

  • Serves as liaison between Guidehouse and client.

  • Works diligently with client to resolve concerns or issues in a timely effective manner.

  • Ensures high quality customer service.

  • Communicates and maintains the performance expectations of client.

  • Anticipates customer needs and initiates action to meet and/or exceed those needs.

  • Identifies and recommends ways to improve client satisfaction.

Qualifications

  • Must be hold one of the following credentials: (RHIT, RHIA, CCS).

  • Must have three years of coding management experience.

  • Abide by all client policies and procedures.

  • Abide by all Guideshouse policies and procedures.

  • Personal responsibility, respect for self and others, innovation through teamwork, dedication to caring and excellence in customer service.

Additional Requirements

The successful candidate must not be subject to employment restrictions from a former employer (such as a non-compete) that would prevent the candidate from performing the job responsibilities as described.

Candidates from Eastern Standard Time, Central Standard Time, and Pacific Standard Time Zones as well as candidates from Arizona, New Mexico and Utah will be considered for this position.

Disclaimer

About Guidehouse

Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Rewards and Benefits

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

  • Medical, Rx, Dental & Vision Insurance

  • Personal and Family Sick Time & Company Paid Holidays

  • Position may be eligible for a discretionary variable incentive bonus

  • Parental Leave and Adoption Assistance

  • 401(k) Retirement Plan

  • Basic Life & Voluntary Life Insurance

  • Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

  • Short-Term & Long-Term Disability

  • Tuition Reimbursement, Personal Development & Learning Opportunities

  • Skills Development & Certifications

  • Employee Referral Program

  • Corporate Sponsored Events & Community Outreach

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