Description
General Summary of Position
Collaborates within a system-wide multi-disciplinary team approach to achieve documentation excellence to help facilitate the precise representation of a patient's clinical status to accurately reflect the patient's severity of illness and quality of care. Provides guidance to the Coding and CDI team and Coding and CDI associates. Assists in developing and implementing system-wide strategies related to coding and CDI to ensure all information is accurately documented, coded and abstracted, and in full compliance with applicable rules. Leads coding quality review processes, both internal and with outside vendors, to review & improve coding accuracy as well as provide constant feedback on coding quality & learning opportunities. Provides an advisory role to the clinical documentation improvement associates staff related to documentation, coding, and regulatory compliance, as well as playing a key role in working with Clinical Documentation Integrity, including the Physician Advisor, on documentation improvement initiatives. Assist in the operational efforts related to reporting and tracking of quality measures initiatives (MHAC, PSI, HCC, Elixhauser). Subsequent optimization and maintenance projects and initiatives.
Primary Duties and Responsibilities
Minimum Qualifications
Education
- Bachelor's degree in Health Information Management or related healthcare area. required or
- additional experience can substitute for education
Experience
- 5-7 years Coding management experience in an acute care hospital setting and demonstrated experience in developing standardized processes, procedures and policies that positively impact efficiencies and demonstrated training/education experience. required
- One year of relevant professional-level work experience may be substituted for one year of required education.
Licenses and Certifications
- RHIT - Registered Health Information Technician Upon Hire required or
- RHIA - Registered Health Information Administrator Upon Hire required and
- CCS-Certified Coding Specialist Upon Hire required and
- AHIMA ICD-10 Trainer Certif - ICD-10 Upon Hire required and
- Certified Project Management Professional (PMP)-PMI Upon Hire preferred
Knowledge, Skills, and Abilities
- Superior written, organizational, and presentation skills.
- Superior interpersonal skills with management, users, customers, and coworkers.
- Strong interpersonal communication skills to effectively interface with internal/external customers and senior management.
- Knowledge of coding and documentation compliance related to CMS and other regulatory agencies.
- Demonstrated ability to lead system-wide coding initiatives in a corporate setting including coding, training, clinical documentation, and quality review practices.
- Demonstrated knowledge of Patient Accounting, Patient Access and other related Revenue Cycle areas.
- Knowledge of the conventions, rules and guidelines for multiple classification systems.
- Knowledge of coding and operational implications of ICD-10.
- Knowledge of multiple reimbursement systems.
- Versatile computing skills.
This position has a hiring range of $131,497 - $256,630
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