Provide leadership and supervision of the Region's Documentation and Coding Services Department staff (Consultants and Coding Review Specialists). Ensure compliance with industry and government standards and guidelines. Serve as an information resource and support to Physicians, Coding Consultants, Coding Review Specialists and Leads. Support organization's mission, goals, and objectives in partnership with Northwest Permanente.
Essential Functions:
- Develop action plans as necessary to resolve knowledge gaps with employees or to address the implementation of new service offerings or code changes
- Administer program for ongoing internal and external audits
- Provide feedback to physicians and consultants on work performance to ensure consistency and accuracy with all professional coding
- Advise the Region on professional and facility coding and documentation guidelines to ensure regulatory compliance
- Provide education and resources to support Medicare Risk requirements and organization goals
- Provide physicians and consultants with training and resources on coding procedures and system workflow/functionality
- Monitor efficiency and productivity to ensure compliance to national metrics and departmental performance standards
- Provide leadership and staff supervision to accomplish timely and qualitative response to documentation and coding requests, issues, and responsibilities
- Demonstrate positive human relations skills, utilizing effective leadership, written and oral communication skills
- Ensure staff capabilities through established Kaiser Permanente policies and procedures along with prescribed management and personnel practices
- Coordinate recruitment, development, appraisal and retention of competent documentation and coding services staff
- Determine and assure the proper utilization of human resources necessary for the effective and efficient operation of the department
- Develop, administer, and maintain a comprehensive annual budget that reflects department needs and the application of cost-effective management
- Executes problem identification, data gathering, and implementation of strategy actions that are in the best interest of the department and its mission, values, and philosophy
- Provide staff with information about the Program's mission, strategic direction, values and the external environment to increase their effectiveness
Qualifications:
Basic Qualifications:
- 3 years of supervisory work experience in Health Information Management/Medical Records
- 3 years of progressive coding experience in a multispecialty provider setting including Medicare
- 1 year of experience conducting coaching/training of coding staff
- Current credential as a Registered Health Information Administrator (RHIA), or a Registered Health Information Technician (RHIT), or Certified Coding Specialist Professional (CCS-P) from AHIMA or Certified Professional Coder (CPC) from AAPC
- Bachelor's degree or equivalent combination of education and experience
- Formal knowledge of the ICD-9-CM and CPT-4 classification systems with understanding of the effect it has on data quality for prospective payment, utilization, and reimbursement
- Must possess good technical skills and should be comfortable interacting with employees, physicians, and other users of medical record information in a variety of situations
- Capable of gathering data and making sound, mature decisions. Highly motivated and self-directed
- Ability to use a computerized health record, abstract, encoder, and report writer
- Thorough knowledge of CMS and other applicable guidelines and regulations
- Thorough knowledge of medical specialties, including the clinical conditions encountered and procedures performed
- Thorough knowledge of professional service delivery in a hospital or ambulatory setting
- Demonstrates customer-focused service skills
- Excellent interpersonal and communication skills with demonstrated ability in leading and training staff
- Excellent time management and project management skills
- Ability to make presentations to clinicians and Regional Administration
Preferred Qualifications:
- Minimum of 4 years of supervisory work experience in Health Information Management/Medical Records
- Minimum of 4 years of coding experience in a multispecialty provider setting coding including Medicare
- Minimum of 2 years of experience coaching/training of coding staff
- Bachelor's degree in Health Care Administration or Health Information Management
- Excellent command of the ICD-9-CM and CPT-4 classification systems with thorough understanding of the effect of data quality on prospective payment, utilization, and reimbursement
- Knowledge of Medicare Risk Adjusted coding and reimbursement methodologies
- Thorough knowledge of state, federal, and TJC licensing and accrediting requirements/standards related to documentation for coding purposes.
- Experience with data systems and reporting for health record coding, abstracting, and performance metrics
- Strong communication skills, ability to deal tactually and assertively with physicians and nursing staff
Salary Range:
$73,540 - $100,660
External hires must pass a background check/drug screen.
We are proud to be an equal opportunity/affirmative action employer.