Directs the operations of coding and abstracting for the System's ambulatory, acute hospital inpatient and outpatient services. Manages timely completion of work in line with revenue cycle management goals. Manages quality of coding for DRG revenue assurance, compliance and quality outcomes. Manages financial performance of Coding Operations cost center to include budget and cost management with emphasis upon management of workforce productivity. Responsible for management of all direct reports to include employee relations, performance evaluation, staff development and retention.
Extensive coding/coding management experience for acute hospital inpatient and outpatient as well as ambulatory (physician practice) services. In-depth working knowledge of the following:ICD10; CPT procedural coding; physician and facility E&M;, MS-DRG, AP-DRG, APR-DRG, APC; Case Mix Index; coding regulatory and compliance requirements including RAC process; physician concurrent and retrospective query; coding technology to include encoders, groupers, and Computer Assisted Editing (CAE) software; medical record structure in hybrid and EMR format. Coding management experience includes human resource, cost and revenue cycle management.
At least 7 years coding experience and at least 5 years coding management experience for acute hospital and ambulatory services.
Bachelors degree in Health Information Management, Nursing or related field. Will consider someone with an Associates Degree only with 8 or more years of progressive leadership experience in a multi-facility health system.
RHIA/RHIT/CCS or RN. If RN, must also have CCS certification
ICD10 proficiency A minimum of 5 years direct experience directing Revenue Cycle activities for a large hospital, medical group and/or healthcare system
$140K - $160K
$130K - $150K