• El Mirage, AZ


  • Long-term.

  • Full-time.

1. Selects, trains, coaches, motivates, carries out performance assessments, and directs the workflow for personnel appointed to coding function. Establishes goals and efficiency expectations for staff in targeted areas, such as unbilled balance dues, quality and timeliness of medical coding projects, information integrity and reimbursement with 3rd party payors. Attends to the education, advancement and shared management of personnel.

2. Participates in the advancement of the department budget plan in conjunction with recognized goals and objectives. Plays a crucial function in ensuring budgetary objectives are met on an annual basis.

3. Drives company efficiency enhancements by refinement and tracking of the coding scorecard which includes unbilled A/R; Medicare second reviews; RAC denials; first time submission acceptance for the state; coding accuracy; % clean claims; personnel statistics; etc. Takes part in the improvement of procedures and programs.

4. Functions collaboratively with other leaders to establish coding quality, productivity and best practices. Displays objectives and standards efficiency and quality standards in conjunction with market trends. Recognizes prospective improvements and relocations team to accomplish next level of efficiency with regards to coding quality, performance and best practices.

5. Participates in establishing standard coding policies/procedures/guidelines to ensure compliance with federal, state and regional regulatory guidelines to reduce threat for the company. Supports coding facilities to ensure regulatory compliance in all aspects of coding and abstracting of scientific information to support patient care procedures.

6. Screens information integrity on routine basis to make sure abstracted data elements meet requirements, performs personnel training and education, interacts with associated departments including semi-annual information submission to state health departments. Supports software application screening by providing personnel to make sure appropriate functionality of applications when requested.

7. Keeps up with new medical technologies, treatments and pending regulative modifications which affect the company. Proactively analyzes possible effect to the organization to decrease adverse effect. Takes part as a crucial member for ICD-10 preparation and implementation.

8. Position supervises coding for a designed coding group and is accountable for guaranteeing compliance with regulatory requirements, coding precision, information stability and/or complete and proper reimbursement from third party payors. The coding will endure the examination of internal and/or external evaluations. This position works collaboratively with other HIMS leaders in addition to corporate and facility management. External customers include clients, third party payors, coding associated vendors, medical personnel.

MINIMUM

Credentials

Should have a strong understanding of company and/or healthcare as normally obtained through the completion of a bachelors degree in company, healthcare administration or related field.

In the intense care environment, needs a Registered Health Info Administrator (RHIA), Registered Health Info Technologist (RHIT) or Licensed Coding Professional (CCS) in an active status with American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). In the ambulatory setting, requires Certified Professional Coder (CPC) certification or Qualified Coding Specialist-Physician (CCS-P), with RHIA, RHIT or CCS certification chosen.

Needs to possess a strong knowledge and background in coding as generally demonstrated through 3 or more years of progressive coding management experience ideally within a major health care company or health system setting. Should have extremely developed interpersonal abilities and the capability to work collaboratively. Needs the capability to work efficiently with all common office software application and coding software applications.

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