UnityPoint Health

Coding Quality Program Manager

UnityPoint Health$85K — $100K *
Hospitals & Medical Centers
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • High School diploma/GED required; Associate's, Bachelor's, or Master's in Coding, HIM, or related field preferred.
  • 5+ years in coding, auditing, or coding quality required.
  • Supervisory or leadership experience required.
  • At least 1 year of Project Management experience required.
  • Preferred experience in measurement and analytics for decision making.

Responsibilities

  • Monitor denial volumes and aging to adjust work assignments.
  • Identify denial trends and communicate with stakeholders.
  • Research and develop automation strategies to streamline workflows.
  • Provide feedback and education to stakeholders based on denial trends.
  • Support strategic planning including opportunities on the Huddle Opportunity Board.
  • Collaborate with leadership on operational plans to achieve goals.
  • Develop new programs and standards that impact the organization.

Benefits

  • Remote work within the UnityPoint Health footprint (Iowa, Illinois, Wisconsin).
  • Standard weekday hours (Monday-Friday 8am-4:30pm).
  • Opportunities for professional development and leadership growth.
Full Job Description
Overview

We are seeking a Coding Quality Program Manager to join our team at UnityPoint Health! This position is responsible for actively supporting and managing projects of various sizes and complexity related to Coding Quality activities. The Manager will provide high quality operational management and analysis, while partnering with key organizational leaders to identify and achieve priorities, goals, and objectives of each initiative. This position will require outstanding leadership skills, change management, and the ability to lead with influence.

Additionally, the Coding Quality Program Manager will be responsible for the opportunities identified through various avenues. This includes scoping projects in partnership with various departmental leaders. Applicants can expect to ensure standards of practice are established and followed for various projects for the Coding Quality Department. This individual will provide support by partnering with leaders across the organization to assist in the creation of the annual and long-term strategy for Coding Quality.

Finally, the Coding Quality Program Manager's responsibilities consists of designing project plans & project management for strategies with various stakeholders. The overarching goal is to provide visibility, effective communication for ongoing project plans, and ensure adherence through monitoring/reporting metrics for success. The Manager will also identify project dependencies, facilitate communication and prioritization of projects with the appropriate decision-making groups.

Hours: Monday-Friday 8am-4:30pm

Location: Remote - applicants must reside within the UnityPoint Health footprint of Iowa, Illinois, or Wisconsin

Responsibilities

Operational, Program Management & Coordination:
  • Monitor denial volumes and aging
  • Adjust work assignments accordingly
  • Identify denial trends, communicating trends with identified stakeholders
  • Research, develop, troubleshoot and assist in implementing and updating of automations of existing platforms to streamline workflows and processes within the Coding Quality Department
  • Provide feedback and education to key stakeholders based on trends in various areas of focus, including but not limited to denials, coder quality reviews, and ad hoc audits
  • Support annual and long-term strategy planning, including opportunities on the Huddle Opportunity Board
  • Responsible for working with leadership in the development and execution of operational plans to execute departmental goals and initiatives
  • Develop and implement new programs, processes, and standards at a departmental level that will impact UnityPoint enterprise wide
  • Review and make recommendations to continuously improve, expand and create efficiencies in current programs and practices
  • Synthesize high-level information into action items, programs, or initiatives


Qualifications

Education:
  • Required: High School diploma/GED
  • Preferred: Associates, Bachelor's, or Master's degree in Coding, HIM, or healthcare related field

Experience:
  • Required: 5 + years progressive experience in coding, auditing and/or coding quality
  • Required: Supervisory/leadership experience
  • Required: Minimum of 1 year of Project Management experience
  • Preferred: Experience in measurement/analytics (data collection, analysis and interpretation) to support fact-based, predictive decision making

Licenses/Certifications:
  • Required (one of the following): Certified Coding Specialist (CCS), Certified Coding Specialist -Physician Based (CCS-P) Certified Professional Coder (COC/CPC), Certified Inpatient Coder (CIC), Certified Professional Coder - Hospital Outpatient (CPC-H)

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About UnityPoint Health

UnityPoint Health is a non-profit healthcare organization that provides medical services in Iowa, Illinois, and Wisconsin. The organization was formed in 2013 through the merger of Iowa Health System and UnityPoint Health. UnityPoint Health operates hospitals, clinics, and home care services, and offers a range of medical specialties, including cancer care, heart and vascular care, neurology, and pediatrics. The organization is committed to providing high-quality, patient-centered care and improving the health of the communities it serves.
Learn more about UnityPoint Health
Size
30,000 employees
Industry
Founded
1982

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