Remote Risk Adjustment Coder Jobs in Tyler, TX (NOW HIRING)

Summary:

The Manager Health Information Management Coding oversees daily coding operations to support remote coding associates in meeting and exceeding performance metrics. The Manager HIM Coding reports to the Director of HIM Coding Operations and works collaboratively with customer groups across all levels of the systems organization and facilities. The Manager ensures that Associates follow CHRISTUS standards, policies, and practices along with industry-specific coding guidelines and federal guidelines directing correct coding initiatives. These include American Health Information Management Association (AHIMA) and American Hospital Association (AHA) practices and coding rules, among other regulatory agencies such as CMS, the Joint Commission, and related to HIM Coding operations. This role ensures that coding operations are standardized, meet regulatory requirements, and support hospital operations and revenue cycle initiatives. The Manager HIM Coding is expected to maintain effective professional relationships to coach, encourage, instruct, share, and implement actions in support of remote Coding Associates and related to coding functions and process improvements. This role monitors and reports barriers to meeting our key performance indicators as requested by the System Director of HIM.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Analyze internal and external audit results to identify individual and global improvement opportunities.
• Participate in audit discussions and ensure timely updates to billing systems following audit-related rebills.
• Provide coaching and feedback to coding staff based on audit findings and support the Lead in managing audit rebuttals.
• Ensure coding staff attend all required and supplemental training, including inpatient/outpatient coding, APC, MS-DRG/APR-DRG, and Coding Integrity education.
• Deliver education to external coding consultants and contracted entities in alignment with CHRISTUS HIM standards.
• Coordinate and provide training for non-coding staff, including physicians, billing personnel, and ancillary departments, on documentation, coding compliance, and data management.
• Support the Education Manager in serving as a resource for regional staff, department directors, and administration on coding and documentation standards.
• Facilitate cross-training opportunities for coding staff to enhance team flexibility and coverage.
• Serve as a subject matter expert and liaison for coding-related issues across the organization.
• Oversee coder work assignments, manage account reallocation, and monitor coding/billing reports to ensure timely processing.
• Collaborate with corporate and regional departments (e.g., CDI, HIM, Revenue Cycle, IT) to optimize workflows and reduce billing errors.
• Partner with Coding Integrity, Compliance, and Quality teams to analyze coding trends and support educational initiatives.
• Ensure adherence to ethical coding standards (AHIMA/AAPC) and CHRISTUS-wide policies and procedures.
• Monitor regulatory changes affecting documentation, reimbursement, and coding to maintain compliance.
• Support denial management processes related to HIM and coding issues.
• Contribute to discussions and implementations of new systems and processes to improve coding and billing accuracy.
• Lead and support team performance through coaching, documentation, scheduling, and conflict resolution.
• Promote a culture of teamwork, service excellence, and continuous improvement.
• Participate in interviewing, hiring, onboarding, and training new coding associates.
• Produce clinical and statistical reports for use in hospital efficiency, quality assurance, administrative planning, compliance reporting, and medical research.
• Perform other responsibilities as assigned by leadership.

Job Requirements:

Education/Skills
• Bachelor's degree, medical record science/administration, or equivalent healthcare leadership experience required.
• Extensive knowledge of health information management functions, including coding and compliance (ICD-10/PCS, CPT coding systems, MS-DRGs, and APCs) required.
• Knowledge of internal integrity requirements and procedures.
• Knowledge of governmental, federal, state, and local regulations related to billing rules and compliance.
• Must be proficient in Microsoft Office (Excel, Outlook, PowerPoint, and other web-based applications).

Experience
• 3+ years of coding supervisory/management experience preferred.
• At least 5 years of experience in a medical record department of a mid-to-large inpatient facility preferred.
• Remote work force operations experience required.
• Centralized staffing model experience preferred.

Licenses, Registrations, or Certifications
• Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) preferred.

Work Schedule:

8AM - 5PM Monday-Friday

Work Type:

Full Time