Guidehouse Coding Operations Manager – Physician Coding in Des Moines, Iowa
Guidehouse is a leading global provider of consulting services to the public and commercial markets with broad capabilities in management, technology, and risk consulting. We help clients address their toughest challenges and navigate significant regulatory pressures with a focus on transformational change, business resiliency, and technology-driven innovation. Across a range of advisory, consulting, outsourcing, and digital services, we create scalable, innovative solutions that prepare our clients for future growth and success. The company has more than 10,000 professionals in over 50 locations globally. Guidehouse is a Veritas Capital portfolio company, led by seasoned professionals with proven and diverse expertise in traditional and emerging technologies, markets, and agenda-setting issues driving national and global economies. For more information, please visit: www.guidehouse.com.
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.Essential Job Functions
Advanced Coding Skills, ICD-10-CM and CPT
Excellent verbal and written Communication Skills
Strong working knowledge of governmental regulations relating to coding
High level of productivity
Ability to work independently
HIPAA compliant work stations
Strong working knowledge of Protected Health Information
Maintains professional credentials at all times
Duties and Responsibilities
Provides training to Coders on assigned project, including facility/provider specific coding/abstracting guidelines, EHR and other systems as appropriate.
Develops and maintains Client Policies and Procedures specific to the project.
Post all Policies and Procedures to the Client Portal or Teams.
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.
Approves employee timesheets and time off
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, providers as approriate 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-10 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.
Provides oversight of assigned coding teams and monitors productivity based upon contractual agreement.
Creates and posts monthly production reports by client in timely manner.
Charts that require re-bills are to be corrected and communicated to the facility daily per the rebill process. Manager is responsible for ensuring policies are created/updated regarding rebills.
Downtime must be reported immediately to the administrative staff to ensure 24 hr twenty four hour turnaround is met.
Guidehouse system problems should be reported to administrative staff 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.
Responsible for maintaining HIPAA compliant work stations (reference HIPAA work station policy).
Responsible for maintaining patient privacy at all times (reference company handbook policy compliance).
Responsible for signing a client and Company confidentiality statement.
Ensure coding team reviews and adheres 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/compliance issues to Operations Director and/or Compliance immediately.
Communication in emails should be professional at all times (reference e-mail policy).
Responsibility to Client:
Serves as liaison with 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.
Must be hold one of the following credentials: (CPC, CPMA, CDEO or other specialty credential).
Must have three years of coding management experience.
Abide by all client policies and procedures.
Abide by all Guidehouse policies and procedures.
Personal responsibility, respect for self and others, innovation through teamwork, dedication to caring and excellence in customer service.
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.
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.
Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Parental Leave and Adoption Assistance
401(k) Retirement Plan
Basic Life & Supplemental Life
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
Emergency Back-Up Childcare Program
- Position may be eligible for a discretionary variable incentive
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