HCA Healthcare

Vendor Resource Management Profee Coding Manager

HCA Healthcare • $90K — $110K *
Nashville, TN 37211In-Person
Healthcare
Less than 5 years of experience
Today
Be an Early Applicant
Job Overview by Ladders

Qualifications

  • Undergraduate degree required; Bachelor's degree preferred.
  • 3 years of healthcare management/leadership experience needed.
  • 3-5 years of inpatient/outpatient hospital coding experience preferred.
  • Management experience in a large coding pool preferred.
  • Must have RHIA, RHIT, or CCS certification.

Responsibilities

  • Provide oversight to vendors and coding staff for quality and workflow management.
  • Ensure adequate team coverage during staffing shortages.
  • Host weekly meetings to prioritize tasks and address issues.
  • Maintain compliance with coding guidelines and company policies.
  • Coach team members, resolving conflicts and promoting teamwork.
  • Manage coding issues and communicate status updates effectively.
  • Analyze quality data to identify educational opportunities for staff.

Benefits

  • Comprehensive medical, dental, vision, and behavioral health coverage.
  • Wellbeing support with free counseling services.
  • Paid time off and disability coverage for work-life balance.
  • 401(k) Plan with matching contributions and financial wellness resources.
  • Tuition assistance and support for certifications and scholarships.
Full Job Description
This position is incentive eligible.

Job Summary and Qualifications

The VRM Coding Manager is responsible for supporting the development and evolution of the overall strategy for the Company's Vendor Resource Management coding quality and operations. The VRM Manager manages, directs and coordinates VRM activities. Responsibilities include management of processes, personnel and vendors. The VRM Coding Manager is responsible for planning, assigning, and directing the VRM staff. This includes actively monitoring employee performance, providing recognition or implementing corrective actions as needed, addressing complaints, resolving issues, and effectively overseeing and managing vendor relationships.

What you will do in this role:

  • Provides direct managerial oversight to vendors, Coding Leads, Coordinators, and in management of inpatient and outpatient coding functions, quality, workflow, and overall work responsibilities
  • Reviews and ensures proper coverage for team members when short-staffed
  • Hosts weekly calls to discuss and prioritize tasks for the upcoming week.
  • Ensures complete, accurate, timely and consistent coding, while adhering to published coding guidelines and Company policies
  • Coaches and supports team members' development, addresses and resolves dysfunctional behavior and promotes teamwork. Provides discipline and counseling as needed to maintain a productive and cohesive team.
  • Proactively manages (including corresponding communications and escalation paths) significant issues in coding, status of projects, barriers and successes
  • Selects, evaluates, trains, and provides leadership and direction to reporting staff
  • Responsible for ongoing review and improvement of processes and services to ensure continuous improvement
  • Responsible for ensuring employee schedules sufficiently meet business and customer needs
  • Facilitates problem solving and collaboration within functional area(s)
  • Responsible for ensuring staff/vendor coding personnel compliance with documented and established workflow guidelines as it relates to completing and pending accounts in work queues/worklists
  • Assists in identifying and implementing process improvements to decrease costs and improve service for applicable stakeholders and submitting system enhancement and Business Intelligence report requests accordingly
  • Facilitates the resolution of IT issues as it relates to vendor workflow; submits break fix requests for any reports used by coding vendors or VRM team
  • Monitors productivity and provides timely and consistent feedback to vendor and VRM staff
  • Analyzes quality data to identify education opportunities; provides education suggestions to Parallon HIM corporate quality team when applicable
  • Monitors vendor coders pended accounts in production as well as in HIM CPART review tool to ensure timely turnaround and proper holds per contract agreement
  • Provides timely follow-up on customer escalations related to coding quality and coding process issues
  • Monitors monthly quality scores by vendor and individual coder; recommending that vendor coding personnel be placed under Quality Improvement Plan (QIP) according to VRM Quality Control Plan, and requesting actions plans from the vendors accordingly
  • Responds to customer requests for action plans to improve coding quality and operational process concerns.
  • Monitors and trends computer assisted coding (CAC) reporting and metrics including but not limited to Precision and Recall (P&R) rates, autosuggested codes entry method and actionable edits resolution percentages, ensuring compliance with contract agreements
  • Prepares coding accuracy and productivity reports for the VRM Assistant Director/VRM Directors as needed
  • Participates in Parallon HIM coding process and quality improvement pilots/initiatives, coordinating vendor activities to support these efforts
  • Participates in weekly rotation of on call coverage of IT&S issues and facilitates escalations as necessary
  • Manages and assists in the Coding Pool Mailbox to ensure timely and accurate feedback to customers and vendor(s)
  • Monitors and trends the vendor escalation log and provides insight to all stakeholders
  • Promptly reports issues or trends to the appropriate member of the Parallon HIMCAB team, HSC Leadership team, or other appropriate party
  • Maintains up-to-date knowledge of regulatory changes impacting coding requirements and ensures VRM staff and vendors are appropriately educated on new standards
  • Reviews all official data quality standards, coding guidelines, company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current
  • Ensures coder and VRM staff are in compliance with HCA/Parallon HIM educational requirements by monitoring education completion
  • Coordinates work assignments to achieve operational goals
  • Ensures safe, ergonomic, and confidentiality compliant practices are being followed within the work environment
  • Back up leads when needed to host weekly and/or ad hoc vendor conference calls
  • Prepares weekly agenda and provides minutes for weekly VRM leadership meetings
  • Establishes and maintains good working relationships with the vendors
  • Practices and adheres to the "Code of Conduct" philosophy and "Mission and Value Statement"
  • Other duties as assigned


Qualifications:

  • Undergraduate degree required. Bachelor's degree strongly preferred. Equivalent work experience may substitute education requirements
  • Minimum 3 years health care management/leadership experience required
  • Minimum 3-5 years inpatient/outpatient hospital coding experience strongly preferred
  • Experience managing a large coding pool or coding review pool strongly preferred
  • RHIA, RHIT and/or CCS required


Benefits

Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
  • Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
  • Wellbeing support, including free counseling and referral services
  • Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
  • Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
  • Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
  • Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Vendor Resource Management Profee Coding Manager opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

About HCA Healthcare

HCA Healthcare Careers

Join the dedicated team at HCA Healthcare, a leading provider in the medical field, and be part of a company known for its exceptional care and commitment to innovation. At HCA Healthcare, we offer a variety of job opportunities that allow professionals to grow their careers in a supportive and diverse environment.

Work You’ll Do

At HCA Healthcare, you will contribute to a culture that values patient care above all. Our team members are equipped with the skills and resources needed to provide outstanding healthcare services. With positions ranging from nursing to administrative roles, HCA Healthcare is actively hiring and offers a dynamic workplace where leadership and professional growth are encouraged.

Innovate and Lead

Join a team where innovation is at the heart of everything we do. HCA Healthcare is a place where you can lead efforts to improve patient outcomes using the latest technologies and practices in the healthcare industry. Our leadership is committed to fostering a culture of diversity and inclusion, ensuring all team members can thrive.

Professional Growth and Development

HCA Healthcare believes in nurturing the growth of its employees through robust professional development and training programs. Whether you are just starting your career or are a seasoned professional, we provide the tools and training necessary to advance your skills and take on new challenges. Explore our wide range of career paths and find the position that best suits your skills and passions.

Benefits and Culture

Our employees enjoy a range of benefits designed to support their physical, financial, and emotional well-being. From comprehensive health insurance to retirement plans and employee wellness programs, HCA Healthcare takes care of its team. Our inclusive culture and commitment to work-life balance make HCA Healthcare a desirable place to work.

Internship and Networking Opportunities

For those new to the healthcare field, HCA Healthcare offers internship programs that provide real-world experience and a pathway to full-time employment. Additionally, our extensive professional network allows for endless networking opportunities, helping you to build relationships and advance your career.

Join Our Team

Search open positions that match your skills and interests. We look for passionate, curious, creative, and solution-driven team players. Ready to start your journey with HCA Healthcare? Prepare your resume, sharpen your interview skills, and apply today to become part of a team that’s dedicated to improving lives.

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Personalize your subscription to receive job alerts, latest news, and insider tips tailored to your preferences. Discover the exciting and rewarding career opportunities that await at HCA Healthcare. Explore the possibilities with HCA Healthcare, where your career is nurtured, and your contributions are valued. Join us in our mission to deliver high-quality patient care through innovative practices and a compassionate approach.
Learn more about HCA Healthcare
Size
204,000 employees
Market Cap
$67.9 billion
Industry
Healthcare
Net Income
$3.7 billion
Founded
1968
5 Year Trend
+7.2%
Revenue
$51.5 billion
NASDAQ
HCA
* Ladders Estimates

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