Manager - Coding & Health Information Mgmt Services (HIMS) presso St Croix Health

Description

The Coding and HIMS Manager oversees all coding and HIM functions for St. Croix Health, including coding completion/accuracy (both hospital and professional), medical record integrity, compliance, and timely documentation. This role ensures adherence to federal, state and payer regulations, supports revenue integrity, and leads initiatives related to documentation improvement and data governance. Is responsible for planning, implementing, and educating coding staff, physicians, nurses and other departments to ensure coding quality and timely reimbursement. Conducts regular coding audits and implements corrective action plans. Also responsible for managing effective and efficient billing operations including people, process and technology that results in leading practice clean claim creation and submission daily supporting strong and stable cash-flow; Leads employees and influences stakeholders to follow appropriate standards, workflow as well as a systematic improvement process.

Essential Duties and Responsibilities:

1. Operational Accountability

• Manages the day-to-day programs, systems, operations, and resources of Coding and HIMS to ensure accurate and appropriate delivery of best-practice procedures, and compliance with regulatory requirements.
• Provides input, suggests modifications, and implements policies and procedures in accordance with industry standards; evaluates and monitors compliance on a routine basis.
• Collaborates with department director and other leadership to ensure the necessary resources are in place to execute the work of the department.
• Evaluates and monitors effectiveness and promotes continuous quality improvement.
• Establish and maintain relevant controls and feedback systems to monitor the operation of the department.

2. Staff Management and Development

• Plans, directs, and guides work of direct reports.
• Manages and monitors department schedules, ensures adequate staffing levels and coverage based on acuity and need.
• Ensure staff are appropriately trained and competent in performance of assigned duties; assess competencies of staff on regular basis in accordance with established standards and practices.
• Coaches, mentors, and develops staff to promote skill development.
• Manage hiring initiatives; generate requisitions, coordinate interview team, conduct interviews, select staff to fill open positions, establish training plan, assist with orientation and onboarding activities
• Monitors and evaluates staff performance and accountability; perform rounding with assigned staff on routine basis; assist with resolving concerns or performance barriers to ensure staff are set up for success. 

3. Performance and Quality Improvement

• Collects and reviews appropriate data to assist in the assessment of programs, procedures, and quality initiatives. 
• Assists team with advanced procedures and concepts.
• Identify and implement process improvement efforts both within functional oversight areas and spanning multiple departments.
• Plan, evaluate, and improve the efficiency of business processes and procedures to enhance speed, quality, efficiency, and output.

4. Department Budget and Fiscal Scope

• Reviews requests for new supplies and equipment; orders and maintains necessary supplies, tools, and equipment through requisition process.
• Identifies and escalates capital equipment needs.
• Monitors supply usage and special/one-time requests. Works with departmental leadership and vendors on pricing. 
• Identifies, communicates and initiates cost reduction ideas.
• Assists in the development and monitoring of operational and capital budgets.

5. Regulatory Compliance

• Ensures all functional areas are in full compliance with internal and external legal and regulatory standards; regularly assesses and monitors to ensure effective controls are in place and desired outcomes are achieved.
• Ensures compliance with all record management and retention policies, provisions, and practices.

6. Strategic Planning and Execution

• Assists in the development and deployment of plans and programming to assist in attainment of organizational strategic initiatives.

Requirements

Education & Licensure: 

• Bachelor’s degree in related area is preferred
• Certification through AHIMA as RHIA (Registered Health Information Administrator) or CCS (Certified Coding Specialist) or CCS-P (Certified Coding Specialist-Physician based) or certification through AAPC as CPC (Certified Professional Coder) or COC (Certified Outpatient Coder) or CIC (Certified Inpatient Coder). 

Experience:

• Minimum of 5 years’ experience of coding in physician and/or hospital healthcare organization required
• Three (3) years supervisory/management progressive leadership experience required
• Knowledge of Coding/Billing regulatory requirements
• Epic and/or Excellian experience preferred

Knowledge, Skills & Abilities: 

• Knowledge of Coding/Billing regulatory requirements
• Effective oral and written communication skills
• Demonstrated effective leadership skills
• Ability to deal with difficult people and stressful situations in a professional manner
• Ability to review and analyze data with a high level of accuracy

Supervisory Responsibilities:

• Oversee Coding & HIMS staff including scheduling, timecard review, identifying developmental & training needs, navigating performance concerns and other relevant employee relations functions.

Physical Requirements

• Prolonged periods of sitting at a desk and working on a computer
• Prolonged periods of standing, bending, and reaching
• Must be able to lift up to 50 pounds at times

St. Croix Health has been a healing force in the St. Croix Valley for over 103 years. We are a purpose-driven organization with a dedicated team committed to serving our patients and communities throughout the St. Croix Valley. This commitment is rooted in our mission, vision and values. 

Mission:  We help people live healthier, happier, and longer lives.              

Vision:  To transform from quality sick care to quality well care that is sustainable and affordable. 

Values:  People Centered, Trust, Innovation, and Growth. 

Here at St. Croix Health we offer our employees with a robust benefits package that includes: 

• Health, vision and dental insurance
• 403b retirement program with employer match
• Paid time off
• Short-term disability, long-term disability and life insurance options
• Education reimbursement
• Employee assistance program (EAP)
• Wellbeing incentive program
• Free parking
• Employee prescription discount program

St. Croix Health is a not-for-profit healthcare system located in St. Croix Falls, WI dedicated to helping people live healthier, happier, and longer lives. St. Croix Health offers the services of 80+ providers and 20 specialties with five community clinics in Minnesota and Wisconsin all supported by a critical access hospital on the main campus in St. Croix Falls, just an hour northeast of Minneapolis/St. Paul. Nestled in the bluffs of the St. Croix River Valley, St. Croix Falls is the ideal place to work, live and play.