Director Of Professional Coding Operations job at Albany Medical Center in Albany, NY
Title: Director Of Professional Coding Operations Location: NY, Albany Job Description: Department/Unit: Full time job requisition id 69985 Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $116,823.00 - $186,917.00 The Director of Albany Med Health System, Professional Coding Operations, is responsible for the strategic leadership and management of activities and services related to professional coding operations. This position is accountable for developing strategy and establishing efficiencies that align with the organizational goals. Responsible for ICD and CPT code assignment, case abstracting, charge capture, HCC capture and other billing edit work queues. Oversees the coding team, developing goals and objectives, and establishing policies and procedures for team operations, as well as ensuring proficiency, value and education related to professional coding guidelines. This position is responsible for positioning the AMHS professional coding operation for financial and operational sustainability, and proactively identifying and responding to internal and industry trends in addition to overseeing the development and communication of established performance targets, key performance indicators, and other departmental performance goals. This is a Remote opportunity Essential Duties and Responsibilities Strategic and Operational Planning Create and manage a strong coding culture; ensures the recruitment, training, and retention of motivated coding specialists, establishes goals and standards for performance appraisals. Designs, establishes and maintains an organizational structure and staffing model to accomplish AMHS goals and objectives in an effective manner; recruits, trains, coaches and evaluates all staff members. Organizational Management Develops, implements and manages efficient and effective operational policies, processes and best practices with coding functions of the revenue cycle across AMHS, which include denials management, coding productivity and quality standards, and open encounter management. Provides vision, leadership, and operational oversight for standardization across AMHS professional coding operations. Safeguards all department activities across AMHS professional coding operations are performed in a consistent manner, following standardized policies and procedures pursuant with all regulatory standards, including CMS, JCAHO, coding guidelines. Monitor data to assure AMHS professional coding departmental KPIs are being met. Operates with a mindset of continual process improvement, adjusting KPIs as needed. Ensures the highest quality of departmental operations, using a philosophy of quality management that supports continuous improvement and a team approach to problem-solving Development of an AMHS integrated LEAN Organizational Structure that supports the collective Coding needs of all constituents. Leadership Promotes and coordinates a continuous learning environment, employee engagement and motivation, employee retention and recruitment, skill development, and productivity among staff and management. Manages direct reports and has responsibility for hiring, firing, disciplinary action and performance management. Builds effective relationships and communicates clearly. Continued development and mentoring of new managers by providing development tools, activities and practical suggestions. Hospital-wide Leadership Analyzes and establishes plans to ensure that AMHS professional coding services are progressive and effective; work with other hospital and system service departments to promote consistency in processes. Maintains a supportive and positive working relationship with AMHS medical staff and management; serves as an internal consultant throughout all organizations on coding related issues. Continual collaboration with Patient Billing Services, Patient Access, Corporate Compliance and other departments across AMHS as it relates to coding, coding edits and denials.
Qualifications
Bachelor's Degree in health information management or related field - required Master's Degree in health information management or related field - preferred 10+ years’ experience in medical coding using ICD, CPT and evaluation and management coding - required Five+ years' experience in a progressive management capacity - required Excellent oral and written communication skills, excellent presentation, planning and organizational skills, a problem solver with an understanding of systems design, procedure development and team building skills. Demonstrated ability to establish and maintain effective relationships with the staff and customers. Ability to communicate with professional healthcare providers. Demonstrates expertise in coding quality. Demonstrates a clear understanding of the revenue cycle in its entirety. Ability to effectively prioritize and execute tasks in a high-growth, fast paced environment. RHIT - Registered Health Information Technician Upon Hire, or RHIA - Registered Health Information Administrator with CCS-Certified Coding Specialist Upon Hire or Certified Coder-AHIMA or AAPC CPC- Certified Professional Coder Upon Hire - required Equivalent combination of relevant education and experience may be substituted as appropriate. Physical Demands Standing - Occasionally Walking - Occasionally Sitting - Constantly Lifting - Rarely Carrying - Rarely Pushing - Rarely Pulling - Rarely Climbing - Rarely Balancing - Rarely Stooping - Rarely Kneeling - Rarely Crouching - Rarely Crawling - Rarely Reaching - Rarely Handling - Occasionally Grasping - Occasionally Feeling - Rarely Talking - Constantly Hearing - Constantly Repetitive Motions - Frequently Eye/Hand/Foot Coordination - Frequently Working Conditions Extreme cold - Rarely Extreme heat - Rarely Humidity - Rarely Wet - Rarely Noise - Occasionally Hazards - Rarely Temperature Change - Rarely Atmospheric Conditions - Rarely Vibration - Rarely This role may require access to information considered sensitive to Albany Med Health System, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Health System policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
About Us
Albany Medical Center is the centerpiece of medicine, research, and medical education in New York’s Capital Region and is the area's largest private employer with more than 10,000 employees. Albany Medical Center offers excellent career opportunities in a wide range of roles in both patient care and administration. We value all our staff members and offer outstanding employee benefits including: · Excellent health care coverage with no copay at Albany Medical Center providers · A wide array of services and programs to support emotional, physical, and mental wellbeing Anchored in the state’s historic capital city, Albany Medical Center offers a full range of inpatient and outpatient care and is home to the region’s largest hospital, only Level 1 adult and pediatric trauma centers, and only children’s hospital. The downtown campus also offers opportunities at Albany Medical College. Albany Medical Center, along with Columbia Memorial Health, Glens Falls Hospital, Saratoga Hospital, and the Visiting Nurses, form the Albany Med Health System, serving more than three million people over 25 counties. Apply tot his job Apply To this Job