Manager - H.I.M. Operations And Coding

EHS Overview:

Episcopal Health Services Inc. (EHS) is a health system located on the Rockaway Peninsula in Queens, New York. EHS provides inpatient, outpatient, and emergency care to the diverse populations of the Rockaways, Five Towns, South Nassau, and beyond. The system offers comprehensive preventive, diagnostic, and rehabilitative services to people of all faiths.

St. John's Episcopal Hospital is accredited by The Joint Commission's Health Facilities Accreditation Program and is approved by the New York State Department of Health. The hospital is a recipient of the Gold-Plus Get with the Guidelines-Stroke Quality Achievement Award and the Gold-Plus Get with the Guidelines-Heart Failure Quality Achievement Award from the American Heart Association. Additionally, St. John's is proud to be redesignated as a Baby-Friendly Hospital by Baby-Friendly USA - the accrediting body and national authority for the Baby-Friendly Hospital Initiative (BFHI) in the United States.

Come Grow With Us!

Type: Full-Time (75 hours bi-weekly), Hybrid 3 Days On-Site

Shift: Days

Hours: 8:30 AM - 5:00 PM

Pay Range: $100,000 - $115,000

Job Description:

The Manager, HIM Operations & Coding is responsible for the day-to-day leadership of Health Information Management (HIM) Operations and Hospital Coding services. This position oversees coding operations, chart completion, release of information, document imaging, record integrity activities, productivity, quality, vendor performance, and regulatory compliance while supporting organizational revenue cycle goals.

The Manager serves as a key operational leader within Revenue Cycle and partners closely with CDI, Revenue Integrity, Patient Financial Services, Patient Access, Compliance, Information Technology, Medical Staff Services, and clinical departments to ensure timely, accurate, and compliant documentation, coding, billing, and record management practices.

This role plays a critical role in maintaining DNFB performance, supporting Meditech Expanse readiness activities, improving operational efficiency, and reducing revenue leakage.

Responsibilities:

• Leadership & Operations

• Provide operational leadership for HIM and Coding functions. • Manage day-to-day department operations, staffing, productivity, scheduling, payroll, and performance management. • Develop and maintain departmental policies, procedures, and workflows. • Identify operational risks and implement process improvement initiatives.

• Coding Operations

• Oversee inpatient and outpatient coding operations. • Monitor coding productivity, quality, and turnaround times. • Ensure compliance with ICD-10-CM, ICD-10-PCS, CPT, HCPCS, Medicare, Medicaid, and commercial payer requirements. • Coordinate coding audits and quality reviews. • Review coding-related denials and implement corrective action plans.

• HIM Operations

• Oversee chart completion, deficiency management, release of information, document imaging, and record integrity functions. • Monitor compliance with regulatory, accreditation, and organizational standards. • Support record retention and medical record management processes. • Ensure timely completion of physician documentation requirements.

• Revenue Cycle Integration

• Monitor DNFB performance and coordinate efforts to reduce discharge-to-bill delays. • Partner with CDI, Revenue Integrity, PFS, and Patient Access to resolve documentation and coding issues impacting reimbursement. • Participate in denial prevention and revenue optimization initiatives. • Support implementation of coding edits and workflow enhancements.

• Vendor & Compliance Oversight

• Manage coding and HIM vendor relationships and performance expectations. • Coordinate internal and external audit activities. • Develop and monitor corrective action plans related to coding and documentation compliance. • Maintain readiness for regulatory and accreditation reviews.

• Meditech Expanse Readiness

• Participate in workflow design, testing, training, and implementation activities related to Meditech Expanse. • Identify operational gaps and support future-state workflow development. • Assist with transition planning and post-go-live stabilization efforts.

Requirements:

• Bachelor's Degree required
• CPC and CCS or CIC certification required
• Minimum five (5) years progressive experience in hospital coding, HIM operations, or revenue cycle leadership
• Demonstrated leadership experience managing teams, productivity, quality, and operational performance
• Strong knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and hospital reimbursement methodologies
• Excellent communication, organizational, and problem-solving skills
• RHIA or RHIT certification
• Experience with Meditech and/or Meditech Expanse preferred
• Experience managing HIM operational functions including chart completion, ROI, and document imaging preferred
• Experience supporting revenue cycle transformation initiatives preferred