Responsible for monitoring and facilitating improvement in the overall quality timeliness completeness and accuracy of coding processes for assigned facilities. Further this individual is responsible for ensuring adherence to applicable governmental and payer regulations and maintaining a coding compliance plan in order to avoid penalties. Ensures optimization reimbursement and accurate reporting of severity of illness. Assures daily adherence to Lifespan revenue goals for optimal management of the system?s AR. Establishes and manages training and development for coders to acquire the knowledge and skills necessary.
Participates with the Director in the development and implementation of short and long-term goals of health information systems in consideration of Lifespan?s mission its values and key business objectives. Provides sponsorship to the function by identifying resources required to achieve the operating results and advocates for them during resource allocation. Provides input into the development of the capital and operating budgets for the academic medical center?s abstracting and coding activities; monitors same investigates and resolves variances.
Directs the effective utilization of resources (people financial material and equipment) to meet established goals and objectives of Lifespan?s agreed-upon operating priorities to ensure activities support the system?s strategies while maintaining fiscal responsibility.
Ensures effective recruitment selection development and evaluation of technical and clerical support staff to optimize achievement of goals and objectives. Directs health information systems activities related to medical records abstracting and diagnostic-related group coding activities for all inpatient and observation services. Ensures staff are thoroughly trained in usage of ICD-10 CM/PCS and CPT-4 coding procedures for accurate reimbursement to Lifespan for its services.
Collaborates and consults with peers and colleges by defining functional standards and translating them into usable applications. Collaborates with peers and colleagues to develop mutually workable solutions to ensure consistency and continuity of functional applications across the academic medical center. Participates in the investigation analysis evaluation and implementation of automated systems. Participates in the development and assessment of new programs; provides input into the decision-making process; participates in the development or related business plans. Ensures processes provide for optimum productivity and reimbursement.
Promotes effective planning and coordination of services with physicians other departments and outside agencies. Ensures all activities support established quality standards and are in compliance with various regulatory agencies meeting or exceeding quality standards through management of continuous quality improvement processes. Assumes responsibility for ensuring all activities are maintained. Ensures effective customer relations between hospital departments physicians and the community.
Serves as a role model to staff by continuously demonstrating Lifespan?s values and principles creating and maintains effective positive customer service relationships by identifying customs and their needs ensuring needs are met or exceeded and responding appropriately to difficult interactions. Ensures compliance to promote employee-manger effectiveness and satisfaction in the workplace. Creates employee ownership for their careers and success and provides staff with positive and actionable feedback to maximize the utilization and potential of the organizations human resources. Collaborates with human resource development staff to identify needs and recommend programs to provide for continued development of clerical support staff.
Maintains level of knowledge of developments in the field of health information management and coding programs and innovative technology including automated systems by participation in ongoing independent study education-related professional activities and affiliations.
Participates in or leads various committees task forces and quality improvement teams as needed.
Bachelor?s Degree or its equivalent in healthcare administration business administration finance or similar field.
Coding certification required preferably from the American Health Information Management Association. In addition to coding certification RHIA (Registered Health Information Administrator) or RHIT (Registered Health Information Technologist) preferred.
Three years or more progressively more responsible experience performing diagnostic-related group coding preferably in a similar setting and operationally complex healthcare environment. Experience should demonstrate a high level of knowledge in ICD-10 CM/PCS and CPT-4 coding methodologies effective written and oral communication skills effective leadership/management skills familiarity with automated systems commitment to continuous quality improvement.
Supervisory responsibility for up to 35 FTE?s telecommuting and non-telecommuting employees.
Lifespan is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status. Lifespan is a VEVRAA Federal Contractor.