The HIM Coding Manager is responsible for overseeing the coding operations at Brooks Rehabilitation, including inpatient rehabilitation hospitals, outpatient rehabilitation clinics, and physician practices. This position ensures accurate and compliant coding for all patient encounters, working closely with physicians, IRF-PAI coordinators, coding vendors, CDI, and clinical staff. The manager audits medical records to identify appropriate diagnoses and procedures, ensuring that clinical severity, utilization, outcomes, and quality are accurately captured for appropriate reimbursement and care delivery. The HIM Coding Manager will also work closely with the revenue cycle team to resolve coding denials and ensure compliance with both federal and state regulations, including annual updates to ICD-10 coding changes and IRF-PAI guidelines. The HIM Coding Manager may provide support services to the Skilled Nursing facility MDS coordinators who perform coding functions and monitor coding audits for Home Health service lines.  

Responsibilities: 

Leads coding staff and monitors coding accuracy and efficiency.  Conducts ongoing record audits to verify coding and grouping accuracy. Reports on coding and grouping accuracy based on audit results. Performs educational sessions for coding staff, vendors and physicians.  Partners with Quality and CDI Specialist for on-going physician education. Interacts with healthcare providers to ensure that the terms have been translated correctly in the medical record. Serves as the subject matter expert resource for coding staff. Provides guidance to other departmental staff in identifying and resolving coding issues or errors. Analyze and resolve claim denials that are rejected by edits from the revenue cycle department. Participates in coding denials reviews with Revenue Cycle. Collaborate with IT implementation teams and assist as needed with data validation, go-live preparedness, training, support and on-boarding of new Brooks ventures and system updates that impact coding workflows.  Manages workflow among employees to ensure maximum productivity and quality standards are met. Adjust work assignments as needed to cover peak periods, leave and vacancies.  Manages human resources by recruiting, selecting, training, coaching, counseling, and communicating job expectations; planning, monitoring, appraising, and evaluating performance and goals. Actively participates in employee engagement by creating a positive work environment where quality and accountability are valued. Serve on committees as department representative. Provides support to Director as needed.

Qualifications: