Offer summary

Qualifications:

Bachelor's degree and 7 years of revenue cycle experience, including 2 years in a leadership role, or 11 years of revenue cycle experience with 2 years in a leadership role., In-depth knowledge of hospital coding and reimbursement methodologies and regulatory guidelines., Proficient in Microsoft Office Suite and healthcare billing systems, with Cerner/Medipac experience preferred., Certification as a CCS, RHIT, RHIA, or CPC is required..

Key responsabilities:

Manage the design and documentation of procedures to support business applications.

Ensure coding compliance with local, federal, and state regulations.

Assist in project status presentations to senior management and committees.

Develop and manage projects related to coding operations and revenue optimization.

Job description

Purpose:

Ensures both business unit and corporate goals and objectives within the Professional Corporate Coding Division are met and monitored regularly.

Responsibilities:

Manage the design and documentation of system level, operations level, and end user level procedures to support business applications.
Provide ongoing troubleshooting, support, and maintenance of production applications as required.
Ensure coding is completed in accordance with local, federal and state coding regulations and guidelines.
Assist in the preparation and presentation of project statuses to Sr. Management and Steering Committees.
Maintain open communications with other Revenue Cycle Division Directors as well as the IT support management to ensure product integration, enhancements and processes lend overall value to the revenue cycle.
Work with technical services to assist with the design, testing, and deployment of appropriate hardware solutions, connectivity requirements and interface solutions.
Provide definition and implementation of organizational standards within area of expertise.
Management of all related activities including the potential use of consultants/outsource firms and/or internal staff with the assessment and delivery of coding services within the Revenue Cycle Coding Division.
Ensure all financial related goals are met in accordance with revenue cycle requirements.
Ensure quality of information through business case and application level testing; validates test results to initial business needs.
Ensure coding optimization methods are in place and done in accordance with regulatory requirements.
Participate as needed with staff and/or vendors to evaluate, develop, and implement solutions including both packaged system solutions and custom development applications options.
Ensure departmental level processes and thresholds and productivity benchmarks are defined and measurable.
Ensure processes are in place to identify, trend and minimize all coding claim edits or electronic rejections.
Develop and manage projects such as those related to coding operations, CAC-related technology, revenue optimization and ICD-10 transition plans as they relate to coding.
Complete and participate in staff evaluation and assist Sr. management with staff development as needed.
Maintain current industry knowledge and trends, attending educational events, acquiring certification, and participating in committee work as appropriate.
Continuously investigate ongoing ways to automate coding division processes to gain speed and efficiency.
Assist management with budget and staffing processes as needed.
Ensure delivery or products and services within budget and targeted delivery date.
Establish working relationships and communication with professional Division Administrators.
BA and 7 years of revenue cycle experience, with a minimum of 2 years in a leadership role - OR - 11 years of revenue cycle experience with a minimum of 2 years in a leadership role
Must have experience in managing coder level personnel.
Must have in-depth knowledge of all hospital coding and reimbursement methodologies and regulatory guidelines.
Must have demonstrated the ability to communicate well, both orally and in writing, effectively problem solve, and make appropriate decisions.
Require proficient knowledge of computer software consisting, but not limited to Microsoft excel, access, word, PowerPoint, email, and extensive experience with healthcare billing systems (Cerner/Medipac knowledge/experience preferred).
Must be able to establish appropriate procedures to ensure the proper day-to-day management of the coding department.
This individual must be able to function in a high-pressure environment with very little direct supervision.
This individual must be extremely dependable, highly professional in manner, an excellent communicator and must possess the ability to prioritize a demanding workload.