Manager Facility Based Coding

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Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.

LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.

Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.

Manages hospital based coding operations across the network. Manages and mentors internal and contracted staff, including management of productivity and coding quality. Implements and utilizes a variety of coding and healthcare technology. Anticipates and resolves barriers, ensuring that compliance and revenue cycle goals are achieved. Administers the monitoring and auditing program; designs and conducts the coding educational plan. Implements and manages revenue cycle initiatives. Handles coding denials. Assists with capital and operational budgets, benchmarking, and analysis of metrics.

Job Duties

• Directs functions, activities, and workflows across the enterprise to ensure revenue targets are achieved. Maintains a focus on monitoring DNFC (discharged, not final coded) to achieve cash flow to support network operating and strategic plans.
• Develops and documents uniform coding and use of technology processes and guidelines across the network that support both compliant and optimal coding practices. Ensures communication and education of same is provided to direct reports.
• Directs staff resources for optimal efficiency and productivity. Projects staffing needs and proactively plans for resources to med workload demands.
• Builds and maintains a culture of coding compliance across the network and manages the quality output. Encourages staff to code in a compliant fashion that accurately captures and reflects the severity of patient case mix. Ensures that coding practices optimize facility revenue within the scope of compliance and standards of ethical coding.
• Hires, onboards, evaluates, disciplines, and terminates staff according to performance. Monitors productivity and quality metrics and coaches staff toward optimal efficiency and effectiveness.
• Participates in documentation improvement activities and in denial mediation, allowing for accurate hospital reimbursement.
• Orients, educates, and develops coding staff and communicates regulation, policy, and guideline changes. Oversees education provided by QA specialists.
• Serves as a resource for staff, physicians, and as liaison for other hospital departments. Collaboratively communicates with colleagues across the network and acts as a representative that disseminates information to team members (upward, downward, and lateral) regarding departmental processes and outcomes.
• Supports the network by maintaining accurate and complete coded data critical to healthcare delivery, research, public reporting, reimbursement, and policymaking.
• Resolves issues and roadblocks. Professionally handles complex issues involving staffing, workflow, information systems, etc. Ensures that timelines are met.

• Bachelor's Degree in HIM, informatics, healthcare administration, or other healthcare related field.
• 5 years of experience in acute care or provider-based setting (as applicable) in coding and classification systems, hospital or provider-based reimbursement, coding compliance regulations, and information technology and
• 3 years of experience in a management capacity.
• Expert knowledge of ICD-10-CM/PCS, CPT coding, classification guidelines, regulations, DRGs, and/or APCs.
• Strong knowledge of medical terminology, anatomy and physiology, pathophysiology, regulatory agency requirements, severity of illness classification, and health care statistics computation.
• Ability to interpret documentation and reconcile ambiguous or conflicting information.
• Demonstrated skills in AR management and use of technology and coding applications.
• Excellent project management skills.
• Proficient computer skills in Microsoft Office and other applications.
• Excellent presentation skills
• CCA - Certified Coding Associate AHIMA - State of Pennsylvania Upon Hire or
• CCS - Certified Coding Specialist AHIMA - State of Pennsylvania Upon Hire or
• CCS-P - Certified Coding Specialist-Physician Based AHIMA - State of Pennsylvania Upon Hire or
• CPC - Certified Professional Coder - State of Pennsylvania Upon Hire or
• CPC-H-Certified Professional Coder-Hospital AAPC - State of Pennsylvania Upon Hire

• Master's Degree Healthcare related field
• Knowledge of and ability to defend documentation against payer denials
• Ability to manage coding staff within a large academic healthcare system
• Knowledge of provider based coding guidelines
• Experience in Epic
• Experience in Computer Assisted Coding applications
• RHIA - Registered Health Information Administrator - State of Pennsylvania and
• CDIP-Clin Documentation Improvement Prof CCHIIM - State of Pennsylvania

Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.

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