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About This Employer


As one of the nation's leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy.

 

We offer integrated, family-centered care to more than 280,000 children each year in our pediatric hospitals, specialty clinics and primary care practices in Delaware, Florida, Maryland, New Jersey and Pennsylvania.  Nemours strives to ensure a healthier tomorrow for all children - even those who may never enter our doors - through our world-changing research, education and advocacy efforts.

 

At Nemours, our Associates help us deliver on the promise we make to every family we have the privilege of serving: to treat their child as if they were our own.


Nemours Children's Health System

CITY :

WILMINGTON

STATE :

DE

COUNTRY :

USA

ZIP CODE :

19803

JOB ID NUMBER :

106115024

POSTED :

12/15/2016

Coding Manager, Health Information Management, Days (CCS, RHIT, RHIA, Quantim)


Nemours Children's Health System


POSITION TYPE:  fulltime

JOB SUMMARY:


Coding Manager, Health Information Management, Days (CCS, RHIT, RHIA, Quantim)
Nemours is seeking a Coding Manager to join our Health Information Management team in Wilmington, Delaware.
 
As one of the nation’s leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more than 280,000 children each year in our pediatric hospitals, specialty clinics and primary care practices in Delaware, Florida, Maryland, New Jersey and Pennsylvania. Nemours strives to ensure a healthier tomorrow for all children – even those who may never enter our doors – through our world-changing research, education and advocacy efforts. At Nemours, our Associates help us deliver on the promise we make to every family we have the privilege of serving: to treat their child as if they were our own.

As the birthplace of the Nemours health care system, the Nemours/Alfred I. duPont Hospital for Children in Wilmington, Delaware, honors our legacy of delivering exceptional care to the children of the Delaware Valley and beyond. Ranked among the nation’s best pediatric hospitals by U.S. News & World Report and honored with the ANCC’s Magnet® Designation for excellence in nursing practice, we offer intensive and acute inpatient and outpatient services covering more than 30 pediatric specialties. In October, we will complete a multi-phase hospital expansion that will include new inpatient rooms, Pediatric Intensive Care Unit and Emergency Department. Additionally, Nemours duPont Pediatrics allows us to reach more children across the region through community-based physician services and collaborative partnerships with health and hospital systems.

Coordinates the daily workflow and reporting activities for inpatient coders, ensuring that quality and productivity standards are consistently achieved. Function as the primary communication point between the Coding unit and the Clinical Documentation Improvement (CDI) manager, to ensure collaboration of both functional areas. The determinant of success is to achieve accurate documentation of the severity and complexity of the patients served by the Nemours Healthcare System, to enable accurate coding of that clinical information to be used for quality measures and reimbursement. Assures compliance with all regulatory bodies, including Joint Commission (TJC), and Center for Medicare and Medicaid Services (CMS). Assures the timely, efficient, and accurate transfer of required data into the billing system on a daily basis. Monitor and oversight of coding applications to assure alignment with the EMR and compliance with Federal and State regulations.
 
Main Responsibilities: 
  • Oversees job performance, attendance and quality issues of the hospital coding staff.
  • Interviews, hires and trains new staff.
  • Completes evaluations as per Departmental and Corporate Policy.
  • Selects, assigns, and sequences the appropriate ICD10-CM/PCS and CPT codes to patients’ current encounter of care according to established sequencing guidelines for optimal reimbursement and generation of the appropriate DRG and/or AP/APR/DRG. Abstract inpatient records in an accurate manner according to established procedures and guidelines.
  • Develops, coordinates, implements, and provides training on new coding programs.
  • Performs quality review on all hospital coders, providing feedback and education on areas identified as opportunities of improvement.
  • Contacts the appropriate health care provider when there is inadequate information on which to base code assignment; or clarify inconsistent, doubtful or non-specific information in a medical record by querying the responsible provider.
  • Provides the healthcare providers feedback and education on clinical documentation practices as identified through the review process.
  • Participates in departmental and hospital programs for Quality Assessment and Improvement and working with department management to improve the services provided.
  • Takes on other responsibilities as assigned by the Director of the HIM department.
Additional Requirements:
  • Presents professional appearance at all times, including adhering to the dress code and maintaining a neat work environment. (core competency/serve)
  • Is punctual and present as stipulated by appropriate Attendance Policy. (core competency/serve)
  • Possesses strong customer service skills. (core competency/serve customer focus)
  • Breaks down barriers and develops influential relationships with and across teams (core competency/excel teamwork)
  • Builds partnership with peers. Develops relationship within and across teams. (Teamwork excel)
  • Communicates courteously, professionally and effectively (core competency /communication excel)
  • Communicates in open, candid, clear, complete and consistent manner (core comp/communication/excel
  • Takes on extra work when necessary to ensure the team meets or exceeds it goals (core competency/excel teamwork)
  • Pays attention to all aspects of the job to achieve/support high quality standards set for by HIM. (core competency/honor/quality)
  • Ensures all details of a task are accomplished meeting productivity standards set forth by HIM. (core competency/excel/initiative)
Education and Training:
  • Bachelor's Degree.
  • RHIT/RHIA Certification with CCS certification required.
  • Minimum 3 - 5 years job related experience.
  • Quantim Encoder.
Our dedication to professionals who are dedicated to children frequently earns Nemours a spot on the list of top workplaces in the communities we serve. Our Associates enjoy comprehensive benefits including our unique “Bridge to a Healthy Future” pediatric health plan, an integrated wellness program, opportunities for professional growth, and much more. As an equal opportunity employer, Nemours is committed to focusing on the best-qualified applicants for our openings.
 

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