Manager DRG Coding & CDI - Coding Services

Location: METROHEALTH MEDICAL CENTER

Biweekly Hours: 80.00

Shift: Monday - Friday 8am - 5pm

The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient transportation, legal help and other services. The system strives to become as good at preventing disease as it is at treating it. Founded in 1837, Cuyahoga County's safety-net health system operates four hospitals, four emergency departments and more than 20 health centers.

Summary:


Plans, organizes, and manages the system wide DRG (Diagnosis Related Groups) Coding and CDI (Clinical Documentation Integrity) functions. Manages the activities of and provides leadership to the DRG Coders and CDI teams. Acts as a liaison and subject matter expert for hospital/medical staff in DRG assignment, inpatient ICD-10 coding and CDI. Monitors coding and CDI performance to meet regulatory, legal and risk management implications of health information, coding, and documentation compliance guidelines. Actively participates in the evaluation, selection, and maintaining of information systems supporting DRG coding and CDI. Manages adherence to the policies and procedures governing coding and reimbursement in compliance with federal and state laws and regulatory guidelines. Manages DRG coding and CDI quality, productivity, workflow and performance activities. Upholds the mission, vision, values, and customer services standards of The MetroHealth System.

Qualifications:

Required: Bachelor's degree in Health Information Management or related healthcare field, or any equivalent combination of education, training, and experience in addition to the experience stated below. One of the following active credentials issued by the American Health Information Management Association (AHIMA): • RHIA - Registered Health Information Administrator • RHIT - Registered Health Information Technician or • RN - Registered Nurse with active AHIMA CCS Credential A minimum of five years experience working with inpatient coding and/or clinical documentation integrity in an acute care hospital setting. Supervisory experience. Proficiency with Microsoft Office Suite. Proficiency with computerized encoder, computer assisted coding and CDI technology. Analytical ability necessary to conduct basic research, analyze and interpret data, evaluate processes and propose solutions. Strong leadership and interpersonal skills. Extensive knowledge of regulations and guidelines pertaining to documentation and inpatient coding. Ability to prioritize work, meet deadlines, and produce quality results on time with strong attention to detail. Excellent written and oral communication skills including excellent presentation skills and the ability to communicate. effectively with all levels of management and medical providers. Must pass a screening coding test during the application process. Preferred: Master's degree in related field. One or more of the following active credentials: • CCS (Certified Coding Specialist) - AHIMA • CDIP (Certified Documentation Improvement Practitioner) - AHIMA • CCDS (Certified Clinical Documentation and Certification) - ACDIS Physical Demands: May need to move around intermittently during the day, including sitting, standing, stooping, bending, and ambulating. May need to remain still for extended periods, including sitting and standing. Ability to communicate in face-to-face, phone, email, and other communications. Ability to read job related documents. Ability to use computer.