• Responsible for HSC coding operations and clinical documentation improvement operations (as applicable), ensuring timeliness, accuracy, completeness, consistency, compliance and standards fulfillment as defined in HSC Service Level Agreements (SLAs)
• Contributes to the development of strategic direction of HIM.
...
• Coaches and provides overall guidance to the HSC coding team to resolve internal and external issues; help resolve dysfunctional behavior within functional area(s); discipline and counsel staff as necessary
• Monitors HIM coding performance according to productivity and quality standards as defined in job descriptions and SLAs
• Manages and motivates HSC coding and clinical documentation improvement operations (as applicable) staff
• Assists in the development and management of strategy, specific goals, objectives, budgets and performance standards for the HSC • Proactively manages, including corresponding communications and escalation paths, significant issues in HIM coding processes (e.g., coding backlogs, HIM coding delays, abstracting backlogs, and data discrepancies), status of projects, barriers and successes Identifies and implements process improvements to lower costs and improve service to facility and various HSC stakeholders/customers
• Routinely meets with the SSC Billing Director, Operations Director, HIM Document Imaging Manager and facility HIM Directors to proactively manage A/R (e.g., uncoded accounts, unbilled accounts, rebills)• Stays abreast of regulatory requirements and company compliance policies, ensuring compliance and timely staff education and training
• Monitors overall market trends (e.g., physician documentation, record receipt, data request types, coding quality) and communicates to SSC team, HSC team, Facility team and others as appropriate
• Provides leadership to coding management team regarding monthly trending analysis of HSC coding performance including weekly and monthly A/R reports
• Provides leadership to coding management team regarding abstracting, coding quality and data requests including weekly and monthly reports
• Oversees HIM coding personnel, providing recommendations for hiring, promotion, salary adjustment and personnel action where appropriate
• Responsible for overseeing performance review process for all direct and indirect reports • Responsible for ensuring employee work schedules sufficiently meet those requirements as established by the HSC Leadership team and through executed SLA’s
• Oversees training and education for HSC coding staff
• Assists SSD HIM staff in company-wide initiatives such as the development of operational models and education programs
• Assumes a lead role for innovation, knowledge sharing and leading practices identification within the HSC and among peer group
• Promptly reports issues or trends to the appropriate member of the HSC Leadership team, or other appropriate party
• Stays abreast of regulatory requirements and company compliance policies, ensuring timely staff education
• Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current
• CaseMix Index Analytical skills – the ability to analyze tends in CMI and determine root cause and address as appropriate
experience
15show more
• Responsible for HSC coding operations and clinical documentation improvement operations (as applicable), ensuring timeliness, accuracy, completeness, consistency, compliance and standards fulfillment as defined in HSC Service Level Agreements (SLAs)
• Contributes to the development of strategic direction of HIM.
• Coaches and provides overall guidance to the HSC coding team to resolve internal and external issues; help resolve dysfunctional behavior within functional area(s); discipline and counsel staff as necessary
• Monitors HIM coding performance according to productivity and quality standards as defined in job descriptions and SLAs
• Manages and motivates HSC coding and clinical documentation improvement operations (as applicable) staff
• Assists in the development and management of strategy, specific goals, objectives, budgets and performance standards for the HSC • Proactively manages, including corresponding communications and escalation paths, significant issues in HIM coding processes (e.g., coding backlogs, HIM coding delays, abstracting backlogs, and data discrepancies), status of projects, barriers and successes Identifies and implements process improvements to lower costs and improve service to facility and various HSC stakeholders/customers
...
• Routinely meets with the SSC Billing Director, Operations Director, HIM Document Imaging Manager and facility HIM Directors to proactively manage A/R (e.g., uncoded accounts, unbilled accounts, rebills)• Stays abreast of regulatory requirements and company compliance policies, ensuring compliance and timely staff education and training
• Monitors overall market trends (e.g., physician documentation, record receipt, data request types, coding quality) and communicates to SSC team, HSC team, Facility team and others as appropriate
• Provides leadership to coding management team regarding monthly trending analysis of HSC coding performance including weekly and monthly A/R reports
• Provides leadership to coding management team regarding abstracting, coding quality and data requests including weekly and monthly reports
• Oversees HIM coding personnel, providing recommendations for hiring, promotion, salary adjustment and personnel action where appropriate
• Responsible for overseeing performance review process for all direct and indirect reports • Responsible for ensuring employee work schedules sufficiently meet those requirements as established by the HSC Leadership team and through executed SLA’s
• Oversees training and education for HSC coding staff
• Assists SSD HIM staff in company-wide initiatives such as the development of operational models and education programs
• Assumes a lead role for innovation, knowledge sharing and leading practices identification within the HSC and among peer group
• Promptly reports issues or trends to the appropriate member of the HSC Leadership team, or other appropriate party
• Stays abreast of regulatory requirements and company compliance policies, ensuring timely staff education
• Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current
• CaseMix Index Analytical skills – the ability to analyze tends in CMI and determine root cause and address as appropriate
experience
15show more
