Director Coding Quality Assurance Job Listing at MedStar Medical Group in MD (Job ID req40323)

Description

General Summary of Position
Collaborates within a system-wide multi-disciplinary team approach to achieve coding quality to help facilitate the precise representation of a patient's clinical status via assigned codeset. Provides guidance, oversight, and management in Coding Quality in collaboration with revenue cycle and clinical quality teams. Assists in developing and implementing system-wide strategies related to coding quality 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. Collaborates with the Clinical Documentation Integrity Director related to documentation, coding, and regulatory compliance. Plays a key role in working with Clinical Documentation Integrity Director and CDI Physician Advisor regarding documentation requirements to support coding quality and development initiatives. Assists in the operational efforts related to reporting and tracking of quality measures initiatives (MHAC, PSI, HCC, PPC, Vizient, & Elixhauser risk models). Provides expertise in identification of 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 preferred 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