The HIM Coding Manager is responsible for overseeing the coding operations at Brooks Rehabilitation, including inpatient rehabilitation hospitals, outpatient rehabilitation clinics, and physician practices. This position ensures accurate and compliant coding for all patient encounters, working closely with physicians, IRF-PAI coordinators, coding vendors, CDI, and clinical staff. The manager audits medical records to identify appropriate diagnoses and procedures, ensuring that clinical severity, utilization, outcomes, and quality are accurately captured for appropriate reimbursement and care delivery. The HIM Coding Manager will also work closely with the revenue cycle team to resolve coding denials and ensure compliance with both federal and state regulations, including annual updates to ICD-10 coding changes and IRF-PAI guidelines. The HIM Coding Manager may provide support services to the Skilled Nursing facility MDS coordinators who perform coding functions and monitor coding audits for Home Health service lines.

Responsibilities:

• Leads coding staff and monitors coding accuracy and efficiency.
• Conducts ongoing record audits to verify coding and grouping accuracy. Reports on coding and grouping accuracy based on audit results.
• Performs educational sessions for coding staff, vendors and physicians.
• Partners with Quality and CDI Specialist for on-going physician education.
• Interacts with healthcare providers to ensure that the terms have been translated correctly in the medical record.
• Serves as the subject matter expert resource for coding staff.
• Provides guidance to other departmental staff in identifying and resolving coding issues or errors.
• Analyze and resolve claim denials that are rejected by edits from the revenue cycle department.
• Participates in coding denials reviews with Revenue Cycle.
• Collaborate with IT implementation teams and assist as needed with data validation, go-live preparedness, training, support and on-boarding of new Brooks ventures and system updates that impact coding workflows.
• Manages workflow among employees to ensure maximum productivity and quality standards are met. Adjust work assignments as needed to cover peak periods, leave and vacancies.
• Manages human resources by recruiting, selecting, training, coaching, counseling, and communicating job expectations; planning, monitoring, appraising, and evaluating performance and goals.
• Actively participates in employee engagement by creating a positive work environment where quality and accountability are valued.
• Serve on committees as department representative.
• Provides support to Director as needed.

Qualifications:

• Bachelor's degree is preferred; BSN or RHIA or equivalent of over 10 years’ experience in coding and management experience.
• Must possess at least one of the following coding credentials: Registered Health Information Administrator (RHIA); Registered Health Information Technician (RHIT); Certified Professional Coder (CPC); Clinical Documentation Improvement Practitioner (CDIP); Certified Clinical Documentation Specialist (CCDS).
• 10 years’ experience coding in inpatient rehabilitation, outpatient rehabilitation, and physician practice services.
• Working knowledge of Meditech Expanse and 3M and Inpatient Rehabilitation Coding preferred.
• Experience managing account receivables and charge corrections preferred. Experience with Meditech Expanse preferred.
• Proficiency at researching and solving problems.
• Willingness to engage and assist in the education of physicians within multiple service lines.
• Experience with medical terminology,
• Proficient in ICD-10, IRF PAI Coding Guidelines, CPT, and HCPCS.
• In depth knowledge of IRF sequencing of ICD-10 diagnosis and comorbidity codes on the claim forms and support IGC codes for IRF-PAI for the inpatient rehabilitation hospitals.
• Strong skills with Medicare and various other payer coding, billing, and reimbursement guidelines.
• Ability to communicate with internal leaders for all service lines.
• Must be able to code and audit Inpatient Rehabilitation services.

Location: ONSITE at Brooks Rehabilitation University Campus located at 3599 University Blvd South, Jacksonville, FL 32216

Hours: 40 hours per week

Compensation: Experience, education and tenure may be considered along with internal equity when job offers are extended.

Thriving in a culture that you can be proud of, you will also receive many employee benefits such as the following:

• Competitive Pay
• Comprehensive Benefits package
• Vacation/Paid Time Off
• Retirement Plan
• Employee Discounts
• Clinical Education and Professional Development Programs