Major Responsibilities:

In close collaboration with the reporting leader, the manager is responsible for overseeing the development of strong relationships with MW clinical leaders across assigned service lines and medical groups. The leader will also closely collaborate with other Group and Service Line leaders for ensuring consistent model of clinician leader support across the enterprise. The MW and SE leaders will also partner closely in supporting emerging national pioneer service lines.

The leader will be accountable for coding data trend monitoring, analysis, and report creation for team’s assigned service lines and medical groups. Reporting will emphasize actionable information abstracted from aggregate data as well as being responsive insight from clinical leaders on their coding priorities

The leader will be tasked with input on budget needs, coordinating with other revenue cycle, compliance and other corporate areas as needed. The position requires identifying areas for process improvement in coordination with N6 leader and overall revenue cycle areas. The position requires a strong understanding of coding guidelines, coding metrics, analytics to support coding metrics, and relevant software tools.

As needed, implement specific projects to advance strategic goals.  Establish project timelines and KPIs.  Collaborate with individual clinician support operations and other revenue cycle leaders to implement projects.

Licensure, Registration, and/or Certification Required:

Primary Certification: CPC, CCS, RHIT, RHIA or equivalent required. Secondary Specialty Credential preferred.

Issued by (Governing Body):  American Health Information Management Association or the American Academy of Professional Coders (AAPC).

Level of Education:  Bachelor’s degree (or equivalent knowledge) in Health Information Management or related field.

Experience Required:

7 years of experience in  coding that includes experiences in advanced level of ICD, CPT and HCPCS coding in a large, complex clinic or hospital setting at a lead or senior level. Requires 1 year of progressive leadership experience in a high-volume health care setting.

Knowledge, Skills & Abilities Required:

Expert knowledge of coding guidelines.

Advanced knowledge of ICD, CPT and HCPCS coding guidelines. Advanced knowledge of medical terminology, anatomy and physiology.

Extensive knowledge of third-party reimbursement programs, state and federal regulatory issues, national and local coverage determinants, research-related restrictions, ICD-10 CM/PCS, and CPT/HCPCS coding classifications.

Demonstrated proficiency in the Microsoft Office Suite (Word, Excel, PowerPoint, Teams, etc.) or similar products and in patient accounting and billing systems.

Ability to deal and work effectively with multiple departments and in matrix organizational structures.  Proven ability to influence others not directly reporting to them.  Strong negotiating skills. Strong oral and written communication skills

Strong written and verbal communication skills Ability to deal and work effectively with multiple departments and in matrix organizational structures.  Proven ability to influence others not directly reporting to them.  Strong negotiating skills. Strong oral and written communication skills

Epic Medical Record experience, preferred

​Proficiency in statistical analysis is essential to examine revenue cycle/reimbursement activities and identifying and addressing related issues. Resolve related issues.
 

Physical Requirements and Working Conditions:

Exposed to a normal office environment.Must be able to sit for extended periods of time.Must be able to continuously concentrate.Position may be required to travel to other sites; therefore, may be exposed to road and weather hazards.Operates all equipment necessary to perform the job.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.