Director, Professional Coding Support Services Job in Walnut Creek, California US
Director, Professional Coding Support Services
Provides strategic direction of department in support of strategic finance initiatives and goals. Leads and manages complex finance projects, working collaboratively with leaders. Directs all efforts to ensure highest customer/sponsor satisfaction. Essential Functions: - Serves as an expert consultant to executive leadership on major and highly complex healthcare issues with strategic importance. - Provides leadership and direction for the department in accordance with the overall strategic direction of Finance. - Communicates information strategically, delivering results-oriented messages. - Actively monitors operational and financial performance to anticipate and meet the needs of leadership. - Drives for changes in work products and processes that will improve departmental efficiencies and effectiveness. - Applies thorough understanding of key business processes to effectively anticipate and address the longer-term implications of decisions/actions. - Manages all steps of major projects or processes and adjusts planned approach as required. - Fosters a positive and proactive work environment, emphasizing respect for individuals, high standards of quality, customer service, innovation and team work. - Fosters strong results orientation within department by motivating staff and holding them accountable to meeting customer needs and organizational goals. - Facilitates the ongoing learning, well-being, professional satisfaction and development of staff through training, work assignments, increased responsibility/autonomy and mentoring. - Understands interrelationships among systems and process across functional areas to redesign process, improve efficiency, and ensure optimal results. - Identifies and communicates opportunities for change to improve performance. Secondary Functions: Establishes Strategic direction and determines operational vision for Professional Fee Coding within Hospital Licensed Space and manages operating unit accountable for coding billable events not coded by providers and clearing charge review work queues which require the expertise of certified coders. This includes establishing and implementing Physician Coding infrastructure to meet current and future regulatory changes that impact professional fee coding processes. Also responsible for establishing and maintaining relationships with senior leaders of the Medical Group through meetings, providing information, reviewing coding performances and balancing priorities. Develops, coordinates and oversees implementation of departmental policies and procedures that support revenue cycle, and organizational goals, timely complete and accurate professional fee coding, business objectives and workflow standardization. Directs the activities and provides strategic direction for the Edit Correction Unit (ECU) Reports to Northern California Revenue Cycle Integrity Managing Director Directs professional fee coding initiatives throughout Northern California. This includes the design of charge capture and coding functionality for professional services throughout the region Facilitates compliance with professional fee coding guidelines and protocols; third party payer coding rules and regulations Directs a team of coders who are responsible for billable events not automated within KP HealthConnect Works with Regional RCI to implement and monitor departmental policies and procedures that support organizational goals, business objectives, coding accuracy and data quality Generates monthly reports on coding productivity and quality metrics Coordinates professional fee coding training requirements with TPMG/EIO Manages and directs the Regional Professional Fee and ECU Coding Supervisors Represents Region/Professional Fee Coding and all required Labor Partnership meetings Establishes effective working relationships with TPMG leadership, HIM directors, physicians, physicians reviews and HIM data quality managers. Qualifications: Basic Qualifications: - Substantial (8-10 years) directly related financial experience with analytically challenging projects. - Significant (3+ years) general management experience. - Certification in one of the following preferred: Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS-P) - Direct operational experience. - Significant experience with KP data sources. - Bachelors degree in business administration, economics, finance, accounting, or related field. - CPA or Master's Degree highly preferred. - Knowledge in one or more of the following: accounting, finance, Quantitative analysis, financial analysis, healthcare economics, information systems, organizational development, health care delivery systems, project management or new business development. - Knowledge of applicable federal and state laws and regulations related to the healthcare industry. - Excellent communications, presentation and interpersonal skills. - Able to manage through influence and collaboration. - Excellent skills in complex analytic problem solving, strategic planning, program development, project management, change management and group process. - Demonstrated effectiveness in staff development, team building, conflict resolution and group interaction. - Proficiency with Microsoft office (i.e., Excel, Word, PowerPoint). Preferred Qualifcations: Substantial experience (10 years) in professional fee coding Significant experience (5+ years) as a Physician Coding Director/Coding Director Previous experience managing professional fee coding in a large multi-specialty clinic, Academic Medical Organization Faculty Practice or a multi-hospital system Previous EPIC or electronic health record (EHR) experience preferred Demonstrated ability to understand, utilize and apply the methods, principles, practices and techniques related to professional fee coding of health information data Demonstrated leadership experience with results-oriented approach; must excel in a collaborative and consensus building environment Demonstrated ability to interact with diverse groups at all levels of the organization Must have excellent communication and presentation skills (written and verbal) Demonstrated ability to respond to detailed coding questions from physicians, professional fee coders, review analytical data and monitor quality reviews and identify coding trends Develop data requirements and work with analytical groups to extract, organize and analyze coded data Must be able to work in a Labor/Management partnership environment Skills Testing: Coding Assessment provided by the hiring department