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Regional Director of Coding - full time - exempt
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Framingham, Massachusetts |
About this job
General Summary:
Reporting to the Regional Director/Regional VP of HIM of Health Information Management Services. Ensures accurate and timely coding of inpatient and outpatient records according to Vanguard Policies and Procedures. Directly manages all employees involved in medical records coding /abstracting, provides direction for all hospital coding activities, audits, education, and productivity standards required to reach unbilled targets at all hospitals in the region. Thorough knowledge of clinical coding & reimbursement topics and experience with electronic medical records required. Project management and advance software skills a must. Performs duties as necessary to support quality improvement process in the Medical Record department, as well as that of the hospitals. Must also have strong written and speaking skills as well as good verbal presentation ability.
Principle Duties and Responsibilities:
1. Manages a 4 day DNFB for the region.
2. Identifies training needs for staff; designs, develops, schedules, and implements training activities as needs are identified.
3. Provides leadership throughout the region in regards to coding and chargemaster inquiries.
4. Works with CBO to eliminate all holds on all accounts utilizing Xactimed/Emdeon software.
5. Responsible for the development and monitoring of the Clinical Documentation program throughout the facilities.
6. Creates, reviews, and submits all monthly corporate reports to Vanguard Health System for Corporate Compliance Initiative.
7. Develops and implements policies and procedures to assure clear and consistent operation of coding areas while encompassing departmental and organizational needs.
8. Works with hospital directors throughout the Market to identify and address any missed opportunities regarding revenue and corrections to daily charges.
9. Implements data collection for all JCAHO indicators in accordance with hospital needs.
10. Conducts quality review on clinical database for accuracy.
11. Provides monthly coding education to all coding staff.
12. Coordinates Corporate Education Sessions.
13. Coordinates internal and external compliance audits, including insurance and RACs.
14. Performs all management functions, including interviewing, hiring, training, evaluating, and disciplining for all direct reports.
15. Ensure integrity of Audit Expert/ARMS databases by maintenance/revision of data as necessary.
16. Demonstrates competency in the use of 3M software, including multiple groupers as well as all computer applications in area of responsibility.
17. Assigns and schedules the work of direct reports and manages to insure a smooth and efficient workflow. Identifies opportunities for efficiencies, reviews, and implements as approved.
18. Participates in the development and implementation of market goals, policies, procedures and budget.
19. Remains abreast of all developments in the Medical Record field, especially as they apply to coding, reimbursement, and clinical database developments/changes.
20. Maintains all assurance and improvement activities for managed functions
21. Establishes, maintains and updates job descriptions, job standards, and procedures for supervised areas.
Additional Responsibilities
Performs other related duties as assigned.
Special Skills and Abilities Required
1. The analytical abilities necessary to formulate policies and procedures, prepare various reports and records, assists in the development of department budgets.
2. The interpersonal skills necessary to interact with all levels of department personnel, other departments, physicians and individuals from outside the Hospital.
Knowledge, Practical Experience and Licensure/Registration Required:
1. Level of knowledge equivalent to an Associate or Bachelor's Degree in Health Information Management Administration, certification as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS).
2. 3-5 years of progressive Medical Record supervision. Five years of inpatient and outpatient coding experience. Should be an active member of the American Health Information Management Association and Local Health Information Management Association.
Working Conditions
1. Work is performed in an office environment.
The above statements are intended to describe the general nature and level of work being performed by people assigned this job. They are not exhaustive lists of all duties, responsibilities, knowledge, skills, abilities and working conditions associated with it.
Reporting to the Regional Director/Regional VP of HIM of Health Information Management Services. Ensures accurate and timely coding of inpatient and outpatient records according to Vanguard Policies and Procedures. Directly manages all employees involved in medical records coding /abstracting, provides direction for all hospital coding activities, audits, education, and productivity standards required to reach unbilled targets at all hospitals in the region. Thorough knowledge of clinical coding & reimbursement topics and experience with electronic medical records required. Project management and advance software skills a must. Performs duties as necessary to support quality improvement process in the Medical Record department, as well as that of the hospitals. Must also have strong written and speaking skills as well as good verbal presentation ability.
Principle Duties and Responsibilities:
1. Manages a 4 day DNFB for the region.
2. Identifies training needs for staff; designs, develops, schedules, and implements training activities as needs are identified.
3. Provides leadership throughout the region in regards to coding and chargemaster inquiries.
4. Works with CBO to eliminate all holds on all accounts utilizing Xactimed/Emdeon software.
5. Responsible for the development and monitoring of the Clinical Documentation program throughout the facilities.
6. Creates, reviews, and submits all monthly corporate reports to Vanguard Health System for Corporate Compliance Initiative.
7. Develops and implements policies and procedures to assure clear and consistent operation of coding areas while encompassing departmental and organizational needs.
8. Works with hospital directors throughout the Market to identify and address any missed opportunities regarding revenue and corrections to daily charges.
9. Implements data collection for all JCAHO indicators in accordance with hospital needs.
10. Conducts quality review on clinical database for accuracy.
11. Provides monthly coding education to all coding staff.
12. Coordinates Corporate Education Sessions.
13. Coordinates internal and external compliance audits, including insurance and RACs.
14. Performs all management functions, including interviewing, hiring, training, evaluating, and disciplining for all direct reports.
15. Ensure integrity of Audit Expert/ARMS databases by maintenance/revision of data as necessary.
16. Demonstrates competency in the use of 3M software, including multiple groupers as well as all computer applications in area of responsibility.
17. Assigns and schedules the work of direct reports and manages to insure a smooth and efficient workflow. Identifies opportunities for efficiencies, reviews, and implements as approved.
18. Participates in the development and implementation of market goals, policies, procedures and budget.
19. Remains abreast of all developments in the Medical Record field, especially as they apply to coding, reimbursement, and clinical database developments/changes.
20. Maintains all assurance and improvement activities for managed functions
21. Establishes, maintains and updates job descriptions, job standards, and procedures for supervised areas.
Additional Responsibilities
Performs other related duties as assigned.
Special Skills and Abilities Required
1. The analytical abilities necessary to formulate policies and procedures, prepare various reports and records, assists in the development of department budgets.
2. The interpersonal skills necessary to interact with all levels of department personnel, other departments, physicians and individuals from outside the Hospital.
Knowledge, Practical Experience and Licensure/Registration Required:
1. Level of knowledge equivalent to an Associate or Bachelor's Degree in Health Information Management Administration, certification as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS).
2. 3-5 years of progressive Medical Record supervision. Five years of inpatient and outpatient coding experience. Should be an active member of the American Health Information Management Association and Local Health Information Management Association.
Working Conditions
1. Work is performed in an office environment.
The above statements are intended to describe the general nature and level of work being performed by people assigned this job. They are not exhaustive lists of all duties, responsibilities, knowledge, skills, abilities and working conditions associated with it.
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