Corporate Coding Manager Radiation Oncology

Department: Radiation Oncology Entity: Clinical Practices of the University of Pennsylvania (CPUP)

Location: Perelman Center for Advanced Medicine-3400 Civic Center Blvd Hours: M-F, 8-4:30 with flexibility in hours based on operational need

Summary: The Coding Manager is responsible for timely and accurately coding, DRG assignment and auditing of the coding and staff across all entities. This includes entity coders and coding and auditing support provided by vendors. This shall be performed in conjunction with the Coding Coordinators and the Manager of the Coding Academy. All coding staff shall have quality audits performed on a consistent basis, the results of which are incorporated into their performance reviews along with their productivity monitoring. The Coding Managers will serve as the organizational coding experts and will represent the department at meetings related to documentation improvement and monitoring, coding compliance and coding guidelines and interpretation.

Responsibilities: Provide oversight and management to post discharge physician queries to assist in clarifying vague or unclear documentation. Oversee data on query response rate and report to management. Provide training to new coding staff and cross training to existing staff on coding guidelines, including but not limited to MS DRG coding and POA assignment. Research, review and respond to coding questions and coding quality issues from various internal and external departments. Communicate with coders, management, physicians, and other hospital staff regarding clinical documentation and reimbursement issues. Summarize and report quality results and coder productivity on a weekly basis and submit or management monthly. Oversee the performance of audits of the assigned ICD-10 and/or CPT codes to insure that charts are coded according to coding conventions and official coding guidelines with 95% accuracy. Present on Admission (POA) assignment is reviewed as part of the auditing process. Identify and communicate documentation issues and concerns that influence coding, DRG assignment, and severity of illness assessment to management as identified. Provide coding awareness and education as necessary to coding/service lines/CDI etc. Manages the performance of Patient Safety Indicator (PSI) reviews, complication and queries conducted for accuracy and compliance. Coordinates communication between the corporate coding the Clinical Documentation Improvement (CDI) departments to achieve optimal documentation and coding efficiencies. Works with the CEQI department on Vizient data and other external measures to ensure documentation is as accurate and thorough as possible. Works closely with the Revenue Cycle Manager to insure that all accounts are addressed and processed in a timely and complete manager. Monitor coding record assignment and completion to ensure that high dollar records, long lengths of stay and older records are prioritized for coding purposes. Facilitate any account completion activities necessary i.e. contacting CRM for disposition, contacting Surgeons for OP notes, answering coder questions, Query completion, missing documentation as needed to positively impact DNFB.Actively coordinate the development of institutional and organizational coding policies. Assist with CFB goals and maintenance of the IP and OP DNFB.Adhere to the American Health Information Management Association code of ethics.