Mount Sinai Careers

Coding Manager

New York, New York
Professional / Managerial / Administrative


Job Description

Strength Through Diversity

Ground breaking science. Advancing medicine. Healing made personal.

 
Roles & Responsibilities:
  • A. Clinical/Technical/Service

    1.     Responsible for the day to day operations of the Coding functions for MSDUS Administration

    2.     Directs the activities related to the receipt, assembly, coding, and abstracting of medical records

    3.     Oversees coordination of coding and DRG review program

    4.     Provides guidance and direction to subordinate and supervisory personnel, ensuring their compliance to the policies and procedures, goals and objectives of the department

    5.     Monitors workflow to ensure the timelines and efficiency in processing discharged records

    6.     Regulates the accuracy of the coding abstracting, and data entry of discharged medical records

    7.     Oversee and perform audits for practices within MSDUS

    8.     Assess risks during audits for each practice

    9.     Evaluates employee productivity and conduct audits to ensure that the existing standards are met

    10.  Communicates with the Patient Financial Services and Central Billing Office and superiors the outstanding accounts for inpatient, ambulatory and emergency department cases

    11.  Communicates and respond to physicians and other departments regarding coding and DRG issues as they pertain to coding and reimbursement

    12.  Maintains coding guidelines for the unit to ensure coding quality and uniformity

    13.  Oversees coordination of coding and DRG review program and ensures compliance with State, Federal and regulatory requirements

    14.  Provides META generated reports for research projects and educational studies

    15.  Recommends medical record/coding software modifications

    16.  Oversees the receipt and distribution of the service schedules used to assign physician deficiencies

    Age Specific Competencies (Neonate/Infant, Pediatric, Adolescent, Adult, Geriatric)

    a.   Identifies physical, behavioral and emotional characteristics typical for the age group.

    b.  Modifies approaches based on patient age-specific needs and responses to treatment.

    c.   Provides care for patients based on age-specific needs.

    d.  Uses communication techniques, which are age appropriate.

    B. Organizational/Managerial

    17.  Participates in the department’s performance improvement activities

    18.  Maintains patient/employee confidentiality in the management of information

    19.  Observes the Health Care System’s compliance policies

    20.  Develops Generates and Analyzes Unit productivity reports

    21.  Participates in and contributes to management meetings

    22.  Ensures unit equipment is properly maintained and monitors supplies

    23.  Interviews, recommends hiring, orients, trains, evaluates the performance of and, when necessary, recommends discipline of subordinates

    24.  Assists in the review and revision of departmental policy and procedures

    25.  Maintains payroll, timesheets and department employee file information

    26.  Reviews work assignments, establish priorities and prepare work schedules ensuring effective utilization of time

    C. Educational/Professional Development

    27.  Participates in the development of other staff members

    28.  Meets regulatory, licensure and annual health assessment requirements

    29.  Identifies learning strengths and needs

    30.  Utilizes learning resources

    31.  Directly supervises a staff

    D. Communication/Relationships

    32.  Demonstrates a professional, courteous, and respectful attitude in dealing with staff, doctors, and patients

    33.  Displays courtesy, tact and patience during interactions with all members of the hospital staff and extended community

    34.  Demonstrates a professional, courteous, and respectful attitude in dealing with Director, Vice President and other managers in the department

    35.  Adheres to Mount Sinai’s legal and ethical standards

    36.  May be required to perform other duties as assigned

    Items 1-35 are essential functions of this position under the Americans with Disabilities Act

    Mount Sinai Hospital is committed to the tenets of diversity and workforce that is strengthened by the inclusion of and respect for our differences


 


 

Requirements:
  • EDUCATION REQUIRED

    BS or Associate’s Degree Preferred

    EXPERIENCES AND/OR SKILLS REQUIRED

    Knowledge of ICD-10-CM , CPT-4, HCPCS, reimbursement and DRG optimization/ validation.  Should be apprised of fiscal intermediary and regulatory agency regulations for coding and hospital reimbursement. Knowledge of medical record principles, basic management theory and statistics at a level normally acquired through completion of a Bachelor’s or Associate’s Degree in Medical Record Science or other related field with additional training in medical records. Must be proficient in Joint Commission, State and PRO standards regarding the requirements for a “complete” medical record. Approximately 2-3 years of progress responsibility related to the coding aspects of medical records. Analytical skills necessary in order to plan and prepare work schedules and determine work priorities. Knowledge of PC applications such as Microsoft office products.

    LICENSES/CERTIFICATIONS REQUIRED

    CPC – Certified Professional Coder Required

    CRC – Certified Risk-Adjustment Coder preferred

    RRA, ART, and /or CCS preferred

    JOB HAZARDS/PHYSICAL DEMANDS

    Bending, lifting, reaching, stepping. May be expected to lift heavy loads (i.e.: medical records) in excess of 20 lbs.

 
Strength Through Diversity

The Mount Sinai Health System believes that diversity is a driver for excellence. We share a common devotion to delivering exceptional patient care. Yet we’re as diverse as the city we call home- culturally, ethically, in outlook and lifestyle. When you join us, you become a part of Mount Sinai’s unrivaled record of achievement, education and advancement as we revolutionize medicine together.
 
We work hard to acquire and retain the best people, and to create a welcoming, nurturing work environment where you can develop professionally. We share the belief that all employees, regardless of job title or expertise, can make an impact on quality patient care. 

Explore more about this opportunity and how you can help us write a new chapter in our story! 

Who We Are

Over 38,000 employees strong, the mission of the Mount Sinai Health System is to provide compassionate patient care with seamless coordination and to advance medicine through unrivaled education, research, and outreach in the many diverse communities we serve.
 
Formed in September 2013, The Mount Sinai Health System combines the excellence of the Icahn School of Medicine at Mount Sinai with seven premier hospital campuses, including Mount Sinai Beth Israel, Mount Sinai Beth Israel Brooklyn, The Mount Sinai Hospital, Mount Sinai Queens, Mount Sinai West (formerly Mount Sinai Roosevelt), Mount Sinai St. Luke’s, and New York Eye and Ear Infirmary of Mount Sinai.
 
The Mount Sinai Health System is an equal opportunity employer. We promote recognition and respect for individual and cultural differences, and we work to make our employees feel valued and appreciated, whatever their race, gender, background, or sexual orientation. 

EOE Minorities/Women/Disabled/Veterans