Description
A Brief Overview
The Director - Hospital Coding oversees, directs, and provides leadership of the facility coding function across the enterprise, acting within the Mid-Revenue Cycle Department, Revenue Cycle Division reporting to the VP, Mid-Revenue Cycle.
Responsible for the management of hospital coding operations including ICD, DRG, and CPT code assignment, case abstracting, occasional charge capture, pre-bill quality reviews and other billing edit work queues. The Director participates in the formulation of objectives and strategies for integrating clinical information to support the goals of patient care, teaching, research, and optimizing management of resources.
The Director provides leadership in driving key outcomes for hospital/facility coding, including key partnerships with Compliance, CDI, Quality, & other clinical improvement groups. Through a combination of data analytics, and process improvement techniques, this leader will ensure the appropriate coding of encounters, and identify meaningful opportunities to improve quality and revenue.
Locations
Stanford Health Care
What you will do
Stakeholder Engagement: Operates as a key partner to CDI, Quality Reporting, PFS, Compliance, Medical Staff leadership and other departments to assure common goals are met.
Communication: Communicates clearly, proactively, and concisely with all key stakeholders. Directs the preparation of routine and custom reports and the execution of regular (monthly) business review meetings.
Process Optimization: Collaborates with key stakeholders to identify opportunities for documentation improvement, to improve workflows for coding & documentation improvement and to operate as a key thought partner.
Operational Effectiveness: Assure the accurate and timely completion of all coding related activities through active daily management and an overall accountability to assure Discharged Not Billed (DNB) targets are consistently met.
Subject Matter Expert: Serve as a subject matter expert for the enterprise, in IP/OP facility coding, while participating on an array of business operations and clinical committees and demonstrating in-depth working knowledge of the appropriate coding frameworks (CPT, ICD, etc).
Department Leadership: Participate in the formulation of objectives and strategies for advancing the work of the team, with a focus on supporting goals for patient care, teaching, research, and optimizing management of resources. Assure appropriate staffing levels and adherence to fiscal targets.
Coding Quality: Develop and manage key facility and professional coding performance indicators and metrics. Ensure the appropriate levels of coding quality through developing/maintaining a comprehensive quality assurance and productivity program for coding staff.
Technology Management: Assure facility coding staff is provided with the technology and education to support optimal performance while appropriately collaborating with key stakeholders to optimize EHR technology and appropriately introduce new system functionality, tools, automation, and artificial intelligence (AI) capabilities.
Leadership & Team Development: Manage and develop the facility coding leadership team. Ensure that staff are performing at top of license and drive the appropriate growth and retention of internal team members.
Compliance & Documentation Integrity: Provide consultation and expertise to coding, charge capture, and medical record documentation guidelines to assure compatibility and compliance with all SHC policies, regulatory and third party and SHC policies.
Education Qualifications
Bachelor's degree in health information management (HIM), nursing or similar field required
Master's degree in a work-related field / discipline from an accredited college or university is preferred.
Experience Qualifications
10+ years progressive leadership experience and directly related work experience required.
To include 5+ years EPIC system user/experience including financial (billing - HB/PB) and clinical documentation (EHR) functionalities.
Academic Medical Center (AMC) experience preferred
Required Knowledge, Skills and Abilities
Extensive practical/working knowledge in Inpatient and Outpatient coding.
Expertise Expert Ability to plan, organize, develop tactical plans and set priorities.
Demonstrated ability to build and foster high performing teams
Working knowledge of Vizient clinical quality measurement and benchmarking
Ability to conduct analyses and formulate conclusions based on them.
Ability to contribute to long-range business plans and strategies.
Ability to foster effective working relationships and build consensus.
Ability to mediate and resolve complex problems and issues.
Ability to provide leadership and influence others.
Ability to facilitate small to large groups of people at various organizational levels for purposes of planning, problem solving, or strategy development.
Possesses excellent interpersonal skills in building, negotiating and maintaining crucial relationships.
Knowledge of electronic Health Information Management trends, operations, and best practices.
Extensive Knowledge of federal and state laws, regulations and regulatory practices affecting the medical and business practices of healthcare providers.
Knowledge of principles and practices of organization, administration, fiscal and personnel management.
Extensive knowledge of coding principle and guidelines.
Licenses and Certifications
CCS - Certified Coding Specialist . or
RHIA - Registered Health Information Administrator . or
RHIT - Registered Health Information Technician .
