Provide leadership and supervision of the Region's Professional Services Coding staff. Ensure compliance with industry and government coding standards and guidelines. Serve as an information resource and support to Coding Auditors and Supervisor. 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
- Provide feedback to physicians through the consultants on work performance to ensure consistency and accuracy with all professional coding
- Advise the region & staff on professional coding and documentation guidelines to ensure regulatory compliance
- Provide education to support Medicare Risk requirements and organization goals
- Provide staff with training and resources on coding procedures and system workflow/functionality
- Demonstrate positive human relations skills, utilizing effective leadership
- Ensure staff capabilities through established KP policies and procedures along with prescribed management and personnel practices
- Coordinate recruitment, development, appraisal and retention of competent professional coding services staff
- Monitor efficiency & productivity to ensure compliance to national metrics and departmental performance standards
- Provide leadership & staff supervision to accomplish timely and qualitative response to professional services documentation/coding requests, issues, and responsibilities
- Determine & 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 leadership/supervisory work experience
- Minimum 2 years combined experience in professional fee coding in a multi-specialty provider setting including Medicare and business management
- 1 year experience conducting coaching/training of coding staff
- Bachelor's degree in Health Care Administration, Health Information Management or equivalent experience
- Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA), Certified Coding Specialist Professional (CCS-P) from AHIMA, or Certified Professional Coder (CPC) from AAPC
- 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
- Capable of gathering data and making sound, mature decisions
- 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 and/or ambulatory setting
- 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
- 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
- Highly motivated and self-directed
Preferred Qualifications:
- Minimum 4 years supervisory work experience in Health Information Management/Medical Records
- Minimum 4 years professional fee coding experience in a multi-specialty provider setting coding including Medicare
- Minimum 2 years 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.