Coding Manager

January 8, 2024

Fred Hutch Cancer Center

Introduction:

Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle, Fred Hutch is the only National Cancer Institute-designated cancer center in Washington.

With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world’s leading cancer, infectious disease and biomedical research centers. Fred Hutch operates eight clinical care sites that provide medical oncology, infusion, radiation, proton therapy and related services, and network affiliations with hospitals in five states. Together, our fully integrated research and clinical care teams seek to discover new cures to the world’s deadliest diseases and make life beyond cancer a reality.

At Fred Hutch, we value collaboration, compassion, determination, excellence, innovation, integrity and respect. These values are grounded in and expressed through the principles of diversity, equity and inclusion. Our mission is directly tied to the humanity, dignity and inherent value of each employee, patient, community member and supporter. Our commitment to learning across our differences and similarities make us stronger. We seek employees who bring different and innovative ways of seeing the world and solving problems. Fred Hutch is in pursuit of becoming an anti-racist organization. We are committed to ensuring that all candidates hired share our commitment to diversity, anti-racism and inclusion.

Under the direction of the Senior Manager, the coding manager is responsible for the development, management, and maintenance of the FHCC facility coding team. This position oversees daily coding operations, including but not limited to staff management, data collection and analysis, and reporting to support the coding team and assist in supporting our organizational goals. This position is responsible for the development and maintenance of key performance indicators, policies and procedures, training processes, educational materials, staff management and development, as well as quality assurance protocols. Additionally, the coding manager is responsible for identifying, planning, and implementing process improvement strategy to ensure operational efficiency within the revenue cycle.

Management/Leadership:

  • Provides leadership and acts as a support resource to the supervisor and department staff to ensure smooth day-to-day operations including human resource management and retention, promotions, performance appraisals, ensuring appropriate staffing levels, regular evaluation of productivity, coding quality and competency, and providing direction and feedback to team members.
  • Effectively communicates in a courteous and professional manner and promotes diversity of thoughts and skills to foster a collegial work environment that celebrates each team member’s unique contributions while maintaining a challenging and rewarding work environment.
  • Ethically practices and communicates with integrity, transparency, honesty, and courage to advocate for self and team even when uncomfortable while also maintaining confidentiality and protecting proprietary information.
  • Develops others to lead, demonstrates good leadership by setting the example, as well as supporting and providing others with opportunities for growth through professional development and goal setting.
  • Demonstrates inclusive behaviors in their daily leadership style through active collaboration.
  • Sets directives and expectations clearly for the team.
  • Assists Senior Manager with the development and monitoring of the annual budget and financial management of resources.
  • Designs, develops, and executes coding standard processes, policies, and procedures to ensure efficient operations.
  • Represents the coding department and the revenue cycle as a key leader collaborating cross-departmentally, coordinating, and escalating issues to the appropriate level for problem solving.
  • Develops collaborative relationships with corporate integrity, denials team, billing staff, clinical staff, providers, and leadership to solve coding issues as well as support the organizational goals and strategic plan.
  • Demonstrate prioritization and flexibility by adapting to changing work assignments.

Coding:

  • Ensure timely and accurate coding of outpatient records by monitoring revenue cycle KPIs, coding quality, and appropriate training tools are provided.
  • Ensure that sound clinical evidence and coding practices are used, and the coding team has access to reputable coding resources.
  • Ensure the query process is compliant and maintains a high level of accuracy and integrity.
    Informs and educates coding staff and other departments of regulatory requirements, updates, and changes to ensure compliant practices.
  • Serve as a subject matter expert on coding processes and rules for the organization by staying up to date on national and local guidelines, laws, and coding guidance.
  • Maintain knowledge of proper coding in the inpatient, outpatient, professional fee coding, and Hospital Within a Hospital (HWH) setting as well as FHCC policies and procedures.
  • Working knowledge of CPT, ICD-10 CM, ICD-10 PCS, DRGs, & clinical indicators.
  • Responsible for ensuring appropriate staffing for the coding team as well as daily work queue level loading to ensure timely submission of claims and productivity metrics are met.
  • Provides extensive support to the team around understanding department and organizational policies and procedures, 3M encoder, nThrive coding resource, Epic EHR, and ticket management systems for both the UW and FHCC.
  • Participate in Edit Governance Committee and Dashboard optimization meetings to ensure timely and accurate coding and quality reporting.
  • Ensure a high level of customer service by analyzing customer concerns and following through to make sure the concerns are addressed in a timely manner.
  • Monitors for potential risk related to coding practices and ensures optimal reimbursement while adhering to regulations and compliance in coding and billing practices.
  • Works closely with corporate integrity, patient accounting, denials prevention, and revenue integrity to ensure services are coded accurately and timely, new services are identified and coded correctly, coders are trained around new services, and barriers or coding issues are resolved as they come up.

Clinical Documentation Integrity:

  • Collaborates with provider and clinical staff departments to facilitate the completeness and accuracy of documentation related to coding and charge capture.
  • Serves as a resource for facility coding to help link ICD-10-CM and CPT coding guidelines for clinical documentation integrity.
  • Works closely with HIM’s missing provider documentation deficiency process to review and respond to providers inquires.
  • Serves as a resource for the organization for facility coding to help link ICD-10 CM and CPT coding guidelines to CDI.
  • Interacts with clinicians both orally and in writing regarding documentation quality, billing and coding rules, regulations, policies, and procedures.
  • Improves coding and documentation practices to compliantly optimize revenue capture through monitoring, education, and feedback processes.
  • Conducts trend analyses of coding and reimbursement profiles to identify patterns and variations requiring further investigation.

Required Qualifications:

  • Bachelor’s degree in a health sciences discipline, business administration or related field; or an equivalent combination of education and/or work experience.
  • Minimum of 5 years leadership experience, leading teams, demonstrating excellence, and managing operational implementations. Experience in managing remote teams. Experience with Epic and 3M encoder as well as working knowledge of electronic medical records and claims management systems. Experience in both inpatient and outpatient hospital settings with proficiency with facility coding practices. Experience in auditing and QA practices.
  • Coding certification (RHIT, CCS, CCA, CPC, CPC-H, or COC).
  • Strong medical terminology skills.
  • Working knowledge of compliance practices including auditing.
  • Should have the ability to be a dependable self-starter, able set priorities, manage multiple data needs, and meet appropriate deadlines independently.
  • Excellent analytical ability to develop and analyze data to recommend solutions and solve complex problems.
  • Ability to develop collaborative working relationships that foster a positive working environment with an emphasis on teamwork.
  • Proven communication, organizational, analytical, and critical thinking skills.
  • Ability to communicate effectively with all levels of management and medical staff including interacting with department leaders to facilitate problem solving, identification of process improvements, and workflow redesign related to coding activities.
  • Ability to gather data, compile information, and prepare reports utilizing knowledge of auditing concepts and principles, as well analyzing complex medical records with good knowledge of medical terminology.
  • Knowledge of electronic coding resources, encoders, & practice management systems.
  • Proficiency with MS Office applications.
  • Subject matter expert in coding including extensive knowledge of the Official Coding and Documentation Guidelines.
  • Working knowledge of insurance practices and guidelines.

Preferred Qualifications:

  • Bachelor’s or Master’s degree in Health Information Management.
  • RHIA credential.
  • Oncology coding experience preferred.
  • Experience in a research-based acute care facility preferred.
  • Epic proficiency or certifications preferred.
  • Teaching, training, or facilitating experience preferred.
  • Advanced MS Office skills strongly preferred.

Compensation/Benefits:

The annual base salary range for this position is from $93,100.80 to $139,630.40 and pay offered will be based on experience and qualifications.

This role will have the opportunity to work partially at our campus and remotely.

Fred Hutchinson Cancer Center offers employees a comprehensive benefits package designed to enhance health, well-being, and financial security. Benefits include medical/vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (12-22 days per year), paid sick leave (12-25 days per year), paid holidays (13 days per year), paid parental leave (up to 4 weeks), and partially paid sabbatical leave (up to 6 months).

Apply Online: https://careers-fhcrc.icims.com/jobs/26845/coding-manager/job