Website:
hcahealthcare.in
Job details:
Job Summary
The Coding Director is responsible for assisting in the development and evolution of the overall strategy for the Company’s coding operations in the Health Information Management Service Center (HSC). The Coding Director is responsible for overall coding compliance and daily coding operations for the HSC including management of coding specific unbilled functions. The Coding Director interprets policies and procedures, recommends changes as appropriate, and provides relevant feedback. The Coding Director assists the HSC COO with the oversight and implementation of HSC planning, service level agreements, budgets, workflow processes and internal controls. This person serves as a key promoter of the HSC and is responsible for setting the tone of the center as a service organization, continuously seeking to understand, meet and exceed customer expectations and needs.
Supervises: Assistant Coding Director, Coding Coordinators, CDI Liaisons, Coding Manager as designated
Duties (included But Are Not Limited To)
- 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 at HCA.
- Coaches and provide overall guidance to the HSC coding team to resolve internal and external issues; help resolve dysfunctional behavior within functional areas(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 1 Job Description
- 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.
- Oversee 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 SLAs.
- 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.
- Ensures that all Federal, State, and Local laws pertaining to patient privacy are adhered to Practices and adheres to the “Code of Conduct” philosophy and “Mission and Value Statement”
- Other duties as assigned.
Knowledge, Skills And Abilities
- Leadership - leads individuals and groups toward identified outcomes, setting high performance standards and delivering quality services.
- Critical thinking - actively and skillfully conceptualizing, applying, analyzing, synthesizing or evaluating information gathered from, or generated by, observation, experience, reflection, reasoning or communication as a guide to belief and action.
- Building and Maintaining Strategic Working Relationships – develops collaborative relationships to facilitate the accomplishment of work goals. Possesses excellent interpersonal skills in building, negotiating and maintaining crucial relationships
- Building Trust – interacts with others in a way that gives them confidence in one’s intentions and those of the organization.
- Effective Operational Decision Making - relating and comparing; securing relevant information and identifying key issues; committing to an action after developing alternative courses of action that take into consideration resources, constraints, and organizational values.
- Conceptual Thinking – ability to identify patterns or connections between situations that are not obviously related, and to identify key or underlying issues in complex situations. Includes using creative, conceptual or inductive reasoning.
- Change Leadership – continuously seeking and encouraging others to seek opportunities for different and innovative approaches to addressing organizational problems and opportunities.
- Adaptability – maintaining effectiveness when experiencing major changes in work tasks or the work environment; able to adapt to change in environment and/or circumstances with a positive outlook; and adjusting effectively to work within new work structures, processes, requirements, or cultures.
- Initiative – independently takes prompt proactive steps towards problem resolution.
- Managing conflict – dealing effectively with others in an antagonistic situation; using appropriate interpersonal styles and methods to reduce tension or conflict between two or more people.
- Energy – consistently maintaining high levels of activity or productivity; sustaining long working hours when necessary; operates with vigor, effectiveness, and determination over extended periods of time.
- Stress tolerance – maintaining stable performance under pressure or opposition; handling stress in a manner that is acceptable to others and the organization
- Organization - proactively prioritizes initiatives, effectively manages resources and keen ability to multi-task.
- Communication - communicates clearly, proactively and concisely with all key stakeholders.
- Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.
- Cultivating strategic 3 Job Description customer relationships and ensuring that the customer perspective is the driving force behind all value-added business activities
- Work Independently – is self-supporting; not needing to rely on others to complete a job.
- Facilitation – ability to facilitate small to large groups of people at various organizational levels for purposes of planning, problem solving, or strategy development.
- PC skills - demonstrate proficiency in Microsoft Office applications and others as required Tactical execution - oversees the development, deployment and direction of complex programs and processes.
- Coding Technical skills- regulatory coding (ICD-10-CM, ICD-10-PCS, ICD-9-CM, CPT-4, HCPCS, APCs and MSDRGs) knowledge.
- Policies & Procedures - articulates knowledge and understanding of organizational policies, procedures and systems.
- Financial management - applies tools and processes to successfully manage to budget Project Management - assesses work activities and allocates resources appropriately Project Management - assesses work activities and allocates resources appropriately.
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