- Oversees the daily operations of the coding unit including workload and staffing; hiring, disciplining, and performance appraisals; training; and monitoring quality of work.
- Develops long-range and short-term goals, objectives, plans, and programs and ensures they are implemented.
- Assists in planning, developing, and controlling the budget, including staffing costs, capital equipment, and operations of the coding unit.
- Lead the establishment and implementation of Key Performance Indicators ("KPIs") for coding functions. Responsible for measurement and reporting of ongoing financial and operational performance. Ensure the implementation of action plans where performance is not meeting expectations; review KPI expectations annually and adjust appropriately. Recognize areas of excellence.
- Develop, implement, and oversee effective and consistent operational policies, processes, tools, and educational materials within all coding functional areas.
- Ensure coding staff across all functions comply with established policies, processes and quality assurance programs.
- Oversee, measure, and report ongoing financial and operational performance of coding operations across CCHC.
- Identify potential process improvements throughout coding functions, and lead design and implementation as required.
- Maintain an up-to-date knowledge of regulatory and compliance changes impacting Coding requirements and operations, and ensure coding employees are appropriately educated and processes are modified as needed.
- Ensure that the confidentiality of medical information is maintained across the health system and that use of the records and release of information is in accordance with policies and applicable laws without detriment to immediate patient care, including third party payors.
- Monitor and facilitate service level agreements ("SLAs") between coding operations and other related functions within both Revenue Cycle and Clinical operations.
- Coordinate with peers and applicable stakeholders across the revenue cycle organization on the management of coding-related billing edits and third-party denials by working with Denial Management to identify trends and implement denials prevention and/or recovery program.
- Build strong relationships and facilitate productive communication between key Revenue Cycle stakeholders, including peer leaders of Revenue Cycle services and core support departments (e.g., human resources, IT, finance, etc.).
- Responsible for reviewing and monitoring the Discharged Not Billed ("DNB") and working with key constituents to develop strategies to resolve outstanding issues and enable desired DNB performance metrics to be met.
- Support CCHC strategic initiatives that require involvement from coding areas as required.
- Assess direct reports performance on a consistent basis and provide feedback to reward effective performance and enable proactive performance improvement steps to be taken.
- Serves as the Chair of the Unbilled Committee. Serves on other committees as required.
- Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers.
- Challenges current working practices; identifies process improvement opportunities and presents recommendations and solutions to management. Engages and commits to the organization's culture of continuous improvement by actively participating, supporting, and promoting CCHC Pillars of Excellence.
- Bachelor degree in Business Administration, Healthcare Management or related discipline and or the equivalent experience. Master's degree preferred.
- Minimum of five to seven years of relevant experience with a track record of progressively responsible positions in a complex healthcare organization such as a multi-hospital system, large group practice or a major healthcare consulting firm preferred. Minimum of three to five years of supervisory/management experience.
- One of the following certifications required (RHIA, RHIT, CPC, or CCS).
- Evidence of successful Discharged Not Billed (DNB) management.
- Strong working knowledge of billing and collection processes and functions and general revenue cycle management strategies, as well as industry best practices.
- Thorough knowledge of metrics, analytics, and data synthesis in Health Information Management and revenue cycle management to identify trends, produce reliable forecasts and projections.
- Strong analytical and critical thinking, organizational, and business process optimization skills, with in-depth ability to develop and pursue goals, synthesize data to identify system vulnerabilities and develop and apply innovative solutions.
- Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
- An understanding of the psychology of complex corporate relationships, and an ability to influence within such an environment.
- Excellent communication, leadership, delegation, and interpersonal skills.
- Above average understanding of how, when, and to what extent different hospital departments relate to and communicate with one another.
-
Director, Medical Coding
Found in: Lensa US P 2 C2 - 16 hours ago
Cape Cod Hospital Hyannis, United StatesPURPOSE OF POSITION: · Implements and supports the strategic vision for CCHC Medical Coding Operations across all entities. The Director of Medical Coding will plan, organize, and manage the coding units across the system. The Director will ensure that accurate, coded data exist ...
-
Director, Medical Coding
Found in: Lensa US P 2 C2 - 4 days ago
Cape Cod Hospital Hyannis, United StatesPURPOSE OF POSITION: · Implements and supports the strategic vision for CCHC Medical Coding Operations across all entities. The Director of Medical Coding will plan, organize, and manage the coding units across the system. The Director will ensure that accurate, coded data exist ...
-
Portuguese Medical Interpreter
Found in: One Red Cent US C2 - 3 days ago
Harbor Health Services Hyannis, United StatesHarbor Health Services is seeking a talented Portuguese Medical Interpreter to join our Care Team at the Harbor Community Health Center-Hyannis. The Portuguese MedicalInterpreter provides interpretation for patients and staff and supports the operations of the department, in the ...
-
Hospitalist
Found in: One Red Cent US C2 - 1 day ago
The Inline Group Hyannis, United StatesHospitalist physician job in Massachusetts : The Inline Group - FT/PT Hours:Block schedule Employed New Graduates Sign-On Bonus: $20000 Compensation: Competitive compensation is provided. Salary is determined based on experience with a range of $240k-$310k. Open and flexible to d ...
-
Primary Care
Found in: One Red Cent US C2 - 1 day ago
The Inline Group Hyannis, United StatesThis Advertisement is for Physicians Only Primary Care physician job in Massachusetts : The Inline Group - FT/PT Hours:Block schedule Employed New Graduates Sign-On Bonus: $20000 Compensation: Competitive compensation is provided. Salary is determined based on experience with a r ...
-
PT Clerk
Found in: Lensa US P 2 C2 - 2 days ago
Stop & Shop Hyannis, United StatesAddress: USA-MA-Hyannis-425 Attucks Lane · Store Code: SS - Grocery · At Stop & Shop, we are dedicated to creating and maintaining a culture where the diverse backgrounds and experiences of our associates are celebrated, and all associates feel they belong and thrive. We work a ...
-
Primary Care
Found in: Talent US A C2 - 15 hours ago
The Inline Group Barnstable, United States Full timeThis Advertisement is for Physicians Only · Primary Care physician job in Massachusetts : The Inline Group - FT/PT · Hours:Block schedule · Employed · New Graduates · Sign-On Bonus: $20000 · Compensation: Competitive compensation is provided. Salary is determined based on experie ...
-
Primary Care
Found in: Talent US A C2 - 19 hours ago
The Inline Group Barnstable, United States Full timeThis Advertisement is for Physicians Only · Primary Care physician job in Massachusetts : The Inline Group - FT/PT · Hours:Block schedule · Employed · New Graduates · Sign-On Bonus: $20000 · Compensation: Competitive compensation is provided. Salary is determined based on experie ...
-
Hospitalist
Found in: Talent US A C2 - 19 hours ago
The Inline Group Barnstable, United States Full timeHospitalist physician job in Massachusetts : The Inline Group - FT/PT · Hours:Block schedule · Employed · New Graduates · Sign-On Bonus: $20000 · Compensation: Competitive compensation is provided. Salary is determined based on experience with a range of $240k-$310k+. Open and fl ...
-
Hospitalist
Found in: Talent US A C2 - 15 hours ago
The Inline Group Barnstable, United States Full timeHospitalist physician job in Massachusetts : The Inline Group - FT/PT · Hours:Block schedule · Employed · New Graduates · Sign-On Bonus: $20000 · Compensation: Competitive compensation is provided. Salary is determined based on experience with a range of $240k-$310k+. Open and fl ...
-
PT Pharmacy Technician Certified
Found in: Lensa US P 2 C2 - 2 days ago
Stop & Shop Hyannis, United StatesAddress: USA-MA-Hyannis-425 Attucks Lane Store Code: SS - Pharmacy At Stop & Shop, we are dedicated to creating and maintaining a culture where the diverse backgrounds and experiences of our associates are celebrated, and all associates feel they belong and thrive. We work as one ...
-
PT Nonunion PT Closer
Found in: Lensa US P 2 C2 - 2 days ago
Stop & Shop Hyannis, United StatesAddress: USA-MA-Hyannis-425 Attucks Lane · Store Code: SS - Store Admin · At Stop & Shop, we are dedicated to creating and maintaining a culture where the diverse backgrounds and experiences of our associates are celebrated, and all associates feel they belong and thrive. We wo ...
-
Portuguese Medical Interpreter
Found in: Jooble US O C2 - 2 hours ago
Harbor Health Services Hyannis, MA, United StatesHarbor Health Services is seeking a talented Portuguese Medical Interpreter to join our Care Team at the Harbor Community Health Center-Hyannis. The Portuguese MedicalInterpreter provides interpretation for patients and staff and supports the operations of the department, in the ...
-
Physician / Hospitalist / Massachusetts / Any / Hospitalist Opportunity in Hyannis, MA Job
Found in: One Red Cent US C2 - 23 hours ago
The Inline Group Hyannis, United StatesCape Cod Healthcare-Cape Cod Hospital (Hyannis, MA)FT/PT · Hours: Block schedule · Employed · New Graduates · Sign-On Bonus: $20000 · Compensation: Competitive compensation is provided. Salary is determined based on experience with a range of $240k-$310k+. Open and flexible to di ...
-
PT Clerk
Found in: Lensa US 4 C2 - 2 days ago
Stop & Shop Hyannis, United StatesAddress: USA-MA-Hyannis-425 Attucks Lane · Store Code: SS - Grocery · At Stop & Shop, we are dedicated to creating and maintaining a culture where the diverse backgrounds and experiences of our associates are celebrated, and all associates feel they belong and thrive. We work a ...
-
PT Courtesy Clerk-Bundler
Found in: Lensa US 4 C2 - 1 day ago
Stop & Shop Hyannis, United StatesAddress: USA-MA-Hyannis-425 Attucks Lane · Store Code: SS - Store Admin · At Stop & Shop, we are dedicated to creating and maintaining a culture where the diverse backgrounds and experiences of our associates are celebrated, and all associates feel they belong and thrive. We wo ...
-
PT Courtesy Clerk-Bundler
Found in: Lensa US 4 C2 - 2 days ago
Stop & Shop Hyannis, United StatesAddress: USA-MA-Hyannis-425 Attucks Lane Store Code: SS - Store Admin At Stop & Shop, we are dedicated to creating and maintaining a culture where the diverse backgrounds and experiences of our associates are celebrated, and all associates feel they belong and thrive. We work as ...
-
Physician (MD/DO) - Hospitalist in Hyannis, MA - Excellent Benefits 2024-04-26
Found in: One Red Cent US C2 - 4 days ago
LocumJobsOnline Hyannis, United StatesLocumJobsOnline is working with The Inline Group to find a qualified Hospitalist MD in Hyannis, Massachusetts, 02601 · About The Position · Cape Cod Hospital - Full Time · schedule · Employed · New Graduates Welcome to Apply · Sign-On Bonus: $20000 · Compensation: Competitive com ...
-
Wound Care Advanced Practice Clinician in Centerville, MA
Found in: beBee S2 US - 1 week ago
TeamHealth Barnstable, United States Full timeTeamHealth is currently seeking a highly skilled wound care nurse practitioner (NP) or physician assistant (PA) to join our team on a part-time basis in the Centerville, MA, area. As an advanced practice clinician (APC) within our post-acute care division, you will play a vital r ...
-
Service Plumber
Found in: ZipRecruiter Test10S US C2 - 7 hours ago
Work With Your Handz West Yarmouth, United StatesJob Description · Job DescriptionJoin as a Residential Service Plumber with great benefits and work-life balance · Ready to take your Plumbing career to new heights? Join us, a trusted plumbing, electrical, heating, and air conditioning company with a legacy spanning 70 years We ...
Director, Medical Coding - Barnstable, United States - Cape Cod Healthcare
Description
PURPOSE OF POSITION:
Implements and supports the strategic vision for CCHC Medical Coding Operations across all entities. The Director of Medical Coding will plan, organize, and manage the coding units across the system. The Director will ensure that accurate, coded data exists for optimal reimbursement by the organization, and coordinate all quality and compliance monitoring of assignments for hospital and professional technical services.
PRIMARY DUTIES AND RESPONSIBILITIES:
EDUCATION/EXPERIENCE/TRAINING:
