Novant Health

Novant Health.

  • Winston-Salem, NC


  • Long-term.

  • Full-time.

Overview

The Senior Director of Corporate Coding is a crucial employee of the Revenue Cycle Services Leadership Team supplying tactical instructions, administrative oversight, and extensive management and coordination of the Novant Health system health center and parts of the expert cost coding operations. The main task duty of this function is to provide the most exceptional client experience, in every measurement, each time, and comprehend how she or he adds to the health system’s vision of attaining that dedication to clients and households.

This position is remote, with minimal travel to Winston-Salem, NC.

The Senior Director of Corporate Coding is responsible for leading and establishing techniques to guarantee that finest practices are made use of throughout the coding functions, along with leading modification efforts within the department and recognizing chances for ongoing enhancement. The Senior Director will handle procedures and supply assistance, instructions, and assistance to include these elements of the income cycle, consisting of however not restricted to center and supplier coding and account follow up, compliance, education, and earnings stability in addition to interaction with other associated departments and functions. This function will establish, carry out, and direct coding compliance policy and running treatments in accordance with expert audit requirements to guarantee an arranged, reasonable, and fair technique to coding modelling activities. They will handle innovation and software application with a methodical structured technique, integrating workflow procedures from starting to end-user that supports Novant Health’s center and expert charge coding functions and profits cycle.

The Senior Director of Corporate Coding is anticipated to engage and construct significant relationships with other organizational executives at the Facility, Market, and Corporate levels to assist in a favorable effect on Novant Health’s monetary and functional efficiency. This position reports to the Vice President, Revenue Cycle.

Positions monitored by the Senior Director of Corporate Coding: Assistant Director of Corporate Coding, Coding Manager, Coding Integrity Specialist, Production Coding Supervisors and personnel, Business Services Supervisor and personnel, Coding Audit Response Supervisor and personnel, and Education Leads within the Corporate Coding organizational structure.

At Novant Health, among our core worths is variety and addition. By engaging the strengths and skills of each employee, we guarantee a strong company efficient in offering amazing health care to our clients, households and neighborhoods. We welcome candidates from all group characteristics to use to our amazing profession chances.

Come sign up with an impressive group where quality care fulfills quality service, in every measurement, each time. #JoinTeamAubergine #NovantHealth. Let Novant Health be the location for your expert development.

Qualifications

Education:

  • Bachelors Degree in appropriate field needed. Masters Degree chosen.

Licensure/Certification:

  • RHIA with CCS/CPC needed.

Experience:

  • Five (5) years of healthcare management/ management experience needed; 10 (10) years of Health Information Management (HIM)/ Coding Leadership chosen.
  • Seven (7) years current experience in Inpatient (IP)/ Outpatient (OP) healthcare facility coding experience or other health care associated field, such as intense care medical facility, QIO, Fiscal Intermediary, or CMS needed.
  • Mastery of Health Information Management (HIM) functions, consisting of Coding Operations, Systems and Compliance (ICD-10/ PCS, CPT coding systems, MS-DRGs and APCs), regulative coding (ICD-9-CM, ICD-10- CM, CPT-4), and associated compensation understanding.
  • Experience handling a big coding swimming pool, multi-facility experience and/or coding evaluation swimming pool.
  • Consulting or tested work experience in locations of procedure change, procedure reengineering, shared services, modification management and task management chosen.
  • Case Mix Index Analytical Skills: Ability to examine patterns in CMI and figure out source and address as proper.
  • Subject matter specialist for coding and billing regulative practices with strong working understanding in internal stability requirements and treatments.
  • Knowledge of governmental, federal, state, and regional guidelines connected to billing guidelines and compliance.
  • Strong analytical abilities and time management abilities.

Responsibilities

  • Management: Provides administrative oversight and develops a proper management structure for the department of Corporate Coding in the management of center inpatient and outpatient coding functions, parts of the expert cost coding function, work lines, work procedures and total work obligations. Makes sure total, precise, prompt and constant coding, while sticking to released coding and regulative standards. Offers tactical instructions and establishes and carries out Key Performance Indicators (KPIs) and metrics to drive efficiency quality. Develops and carries out short, mid, and long term particular objectives and goals. Develops and handles business health center coding and parts of the expert charge coding operating and capital spending plans associated with personnel, procedures, and innovation. Leads the advancement and execution of Corporate Coding policies and treatments. Finishes and carries out efficiency evaluations for direct reports. Handles external supplier relationships, consisting of working out agreements and keeping track of compliance with contracted service level contracts.
  • Leadership: Selects, examines, trains, and offers reliable management and oversight to direct reports. Cultivates an environment of team effort and service quality within the department. Coaches the Assistant Director Corporate Coding and coding management personnel to establish in the locations of personnel advancement, efficiency enhancement, expert interaction within the business, and any associated 3rd parties. Makes sure that all Federal, State, and Local laws referring to client personal privacy are stuck to regularly. Supervises information collection and prepares and provides center and expert cost coding benchmarking, efficiency, quality, relative information reports and charts consisting of chances for enhancement for the Vice President Revenue Cycle Services, Facility Leadership, Market/Division Leadership, and Novant Health Medical Group Leadership. Immediately reports concerns or patterns. Practices and abides by the “Code of Conduct” viewpoint and ‘Mission and Value Statement.”
  • Operational: Provides administrative oversight, tactical instructions, and coordination connecting to center and expert charge coding operations to consist of production coding, claim edits, doctor inquiries, and rejections (as appropriate). Works as topic specialist for numerous Corporate coding efforts. Guarantees compliance with the Office of Inspector General, Centers for Medicare and Medicaid Services, state and federal policies, and coding and billing practices. Understands modifications in laws, guidelines, and policies that affect center and expert charge coding operations, medical documents, compensation, and coding and billing practices, and interacts info plainly and successfully to the suitable audience consisting of the advancement of an action strategy as relevant. Makes sure safe work practices are being followed.
  • Quality Improvement: Oversight duty for evaluation and enhancement of procedure and services. Functions carefully with other members of the HIM, Revenue Cycle Services, Corporate Coding and NHICS Leadership Teams in attending to problems connected to accurate/timely center and expert cost coding, documents, claim edits, doctor questions, unbilled management and rejections. Cultivates an environment to work together in between Revenue Cycle Services and Corporate Coding to resolve concerns connected to unbilled management and rejections. Accountable for making sure personnel compliance with recorded and developed workflow standards as it associates with including and re-assigning accounts to work lines. Recognizes and carries out procedure enhancements to reduce expenses and enhance service for appropriate stakeholders. Carries out performance tracking and supplies prompt and constant feedback to staff members and Vice President.
  • Collaboration: Facilitates issue fixing and partnership within practical location( s). Functions with multi-disciplinary groups in dealing with concerns connected to center and expert cost coding and scientific documents enhancement operations (as suitable). Takes part in different IT associated guiding committees for IT modifications which impact the earnings cycle and department particular work streams. Takes part in and collaborates interaction with the IT department to guarantee proper systems, improvements, and tools are made use of to successfully handle daily operations.
  • Education: Utilizes offered resources and continuing education programs to stay experienced and present with coding and billing compliance guidelines affecting center and expert cost coding and makes sure coding personnel are properly trained and informed. Satisfies yearly requirements to preserve AHIMA qualifications. Evaluations all main information quality requirements, center and expert charge coding standards, system policies and treatments, and clinical/medical resources to guarantee coding understanding and abilities stay present. Makes sure personnel compliance with Novant HIM academic requirements. Collaborates training and education for HIM, Corporate Coding, and NHICS operations.
  • Revenue Integrity: Accountable for center based coding earnings stability and NHICS expert charge capture oversight and reconciliation procedures, modify resolution, rejections management, information stability as required for significant usage, worth based acquiring, and MACRA. Accountable for recording and reporting crucial efficiency indications and metrics particular to NHICS service providers in the choice of Evaluation and Management code precision and medical record documents with subsequent feedback and instructional chances for enhancement.

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