Director HIM Coding

Summary:

The Professional Coding Director is responsible for oversight of the professional coding department, developing, implementing, and maintaining a system-wide quality management plan and facilitating improvement in overall quality, completeness, appropriateness and accuracy of documentation and coding for professional services. The Director will review coding and documentation by CHRISTUS Trinity Clinic (CTC) providers and coders and provide education in all divisions of the Clinics. This individual also develops and maintains policies and procedures that will improve and support the provider documentation and coding practices within CTC--as well as promote timely, accurate and complete documentation and coding. This includes oversight of Coding associates day to day operations, audits, hiring, termination, evaluations, etc. The Director utilizes project management skills, clinical knowledge, and understanding of documentation and coding requirements to improve day to day operations, processes and compliance.

Provide system-wide direction for professional documentation and coding related activities, audits, education, and monitoring

Initiate workflow improvements and standardization to increase efficiency and accuracy of documentation and coding for all services and providers

Serve as a liaison between clinical providers and coders to resolve documentation and coding issues

Establish, implement, and maintain a formalized review process for coding and documentation compliance, including a formal audit process and quality control system

Assess current compliance activities and evaluate risk factors in coding and documentation practices and implement strategies to mitigate risk, educate providers and coders

Set performance standards and conduct evaluations; drive educational programming, if necessary, to improve data quality

Monitor reports related to coding, documentation trends and results and provide feedback and education to providers and coders

Produce and analyze system-wide reports on providers coding DNFB, edits, audits, etc

Effectively communicates with providers, must be able to speak to the level of how to E&M level based on documentation with both providers and coders.

Provides timely feedback to providers/coders and take corrective action to ensure education is effective

Proficient with ICD-10 and HCC coding as well as E&M and all professional coding guidelines for large multi-specialty provider groups

Requirements:

• Bachelor's degree in a health information management or other healthcare-related field required
• Master's degree in related field preferred
• Completion and mastery of coursework in human anatomy and physiology; ICD and CPT coding; and medical terminology preferred
• Applicable HIM and coding credentials and certifications (RHIA, RHIT, CCS, CCS-P, CPC)
• 5 years of healthcare experience required; at least 3 years of progressive responsibility preferred
• 3-5 years of hands on professional coding experience large multi-specialty group
• 3+ years of experience as a trainer / educator to physicians and coders
• Strong working knowledge of ICD coding classification systems, CPT and E&M guidelines
• Working knowledge of coding for third party payers including CMS guidelines and reimbursement compliance
• Knowledge of HIPAA, JCAHO, and other compliance requirements
• Knowledge of health information systems and database technology
• Proven organizational and project management skills Demonstrated team development and interpersonal skills
• Strong analytical and problem-solving skills
• Strong communication and presentation skills
• Basic computer skills (i.e., word-processing, spreadsheets, and menu-driven software)
• Demonstrated ability as a leader

Work Type: 

Full Time