Description
Core Clinical Partners stands at the forefront of Emergency and Hospital Medicine, delivering unparalleled services through a model that emphasizes patient-centric care and operational excellence. Our corporate values – Genuine, Accountable, Dynamic, Respectful, and Fun – are the pillars that uphold our commitment to revolutionize healthcare delivery.
The Coding Manager oversees the medical coding department, ensuring accurate and compliant coding practices that optimize revenue cycle performance.
Essential Duties:
Team Leadership & Oversight
- Lead, mentor, and manage a team of medical coders (Emergency Medicine and/or Hospital Medicine)
- Monitor Emergency Medicine and Hospitalist auditing department to ensure quality and productivity goals are met.
- Monitor facility and clinician acuity to ensure quality standards are maintained.
Coding Operations
- Ensure coding compliance with CMS, AMA, AHA, and payer-specific guidelines.
- Oversee the coding of diagnoses, procedures, and services using ICD-10-CM, CPT, and HCPCS codes.
- Review coding audits and implement corrective actions when necessary.
- Review Medical Records for inconsistent coding practices and offer remediation solutions.
Workflow & Process Improvement
- Analyze and streamline coding workflows for efficiency and accuracy.
- Utilize data analytics and reporting to identify trends, discrepancies, or training needs.
- Participate in company-wide initiatives related to clinical documentation improvement.
Collaboration
- Liaise with physicians, clinical staff, billing, and revenue cycle teams to clarify documentation and resolve coding-related issues.
- Support accurate clinical documentation improvement (CDI) efforts.
- Perform ongoing outreach/education for new and existing clinicians for Emergency Medicine and/or Hospital Medicine documentation requirements using a variety of formats.
- Advise and educate internal operations teams on documentation coding by participating in Monthly Facility/Team Meeting group sessions.
- Participate in provider Electronic Medical Record (EMR) training and provide feedback/clarification on documentation and coding workflow concepts.
Skills, Knowledge, Abilities:
- Strong organizational skills with the ability to multi-task in a fast-paced environment.
- Ability to adapt, modify and prioritize while adhering to strict deadlines and a willingness to shift priorities to meet the needs of the organization.
- Knowledge and understanding of medical coding and billing systems and regulatory requirements. Knowledge of legal, regulatory and policy compliance issues related to medical coding and billing procedures and documentation.
- Excellent communication and interpersonal skills and demonstrated ability to interact with a variety of team members.
- Self-motivated with the ability to identify opportunities for improvement and demonstrate the initiative to resolve issues in support of improvement efforts.
- Strong analytical skills and the ability to work independently to analyze and solve problems.
- Adept at learning proprietary software applications.
- Collaborate with professionals internal and external to the company and across geographic locations
- Exhibit growth mindset and team-orientated behaviors
- Navigate competing priorities and effectively work in a fast-paced environment
Core Clinical Management, LLC is an equal opportunity employer and complies with ADA regulations as applicable.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Requirements
Education:
- Preferred: RHIA, CDI, CPC, CCS, CCS-P
- Bachelor’s degree or equivalent is required
Experience:
- 3-5 years’ experience in Hospital or Physician practice environment desired.
- Experience with Evaluation & Management coding; hospital medicine background preferred.
- EHR/EMR (Electronic Health Record/Electronic Medical Record) experience required.
- Chart Auditing/Optimization experience is a must
Skills Required
- Bachelor's degree or equivalent
- EHR/EMR experience
- Chart auditing and optimization experience
- Knowledge of ICD-10-CM, CPT, and HCPCS coding and payer/ regulatory compliance (CMS, AMA, AHA)
- Experience leading, mentoring, or managing a team of medical coders
- 3-5 years' experience in a hospital or physician practice environment
- Experience with Evaluation & Management (E&M) coding; hospital medicine background
- Preferred certifications: RHIA, CDI, CPC, CCS, CCS-P
What We Do
Core Clinical Partners is a physician-founded and led practice management company specializing in Emergency and Hospital Medicine. The firm partners with hospitals to optimize operations and improve patient care through tailored, data-driven solutions, focusing on reducing hospital length of stay and enhancing patient throughput. They provide physician services, revenue cycle management, and healthcare consulting, operating as an alternative to traditional vendor models through a transparent and accountable partnership.
