Director, Professional Coding & Education

Director, Professional Coding & Education page is loaded
Director, Professional Coding & Education Apply
locations
Remote
time type
Full time
posted on
Posted 7 Days Ago
job requisition id
34503
The Director of Professional Coding and Education is responsible for the direction and leadership of operational, financial, programmatic, educational, workforce management, for Professional Coding. This includes establishing, meeting and continuously monitoring the goals and objectives while maintaining alignment with the strategic goals and objectives for BMCHS. While the range of duties and responsibilities is broad and varied, the position includes directing the day-to-day operations, budgeting, financial management, and human resource management. The Director works closely with a variety of stakeholders, coordinating the activities of Professional Coding across the enterprise.Position: Director, Professional Coding Operations & EducationDepartment: HIM/ Revenue CycleSchedule: Full TimePOSITION SUMMARY: The Director of Professional Coding and Education is responsible for providing coding oversight and creating standards to ensure coding accuracy, compliance and appropriate reimbursement across BUMG, along with managing operational execution of these standards in areas reporting to Revenue Cycle.The Director has responsibility for managing coding operations and overall success of an effective program, including oversight for coding training across BUMG.The Director manages coding staff to ensure compliance with coding guidelines, regulatory agencies and that appropriate reimbursement is received for the level of service rendered.
The Director is responsible for a diverse, growing department, requiring skills in data-driven decision-making, project and portfolio management, system redesign, process improvement/lean management, and customer relationship management. This position requires a deep knowledge of industry best practices in technology and workflow. The Director will use these skills and experience to partner with physicians, department chairs, department administrators, and other clinical and non-clinical operational stakeholders in a highly complex and decentralized professional coding model, to develop an organization-level roadmap of process and technology improvements to maximize patient and provider experience from a coding perspective, while increasing efficiency.JOB REQUIREMENTSEDUCATION:Minimum: Bachelor’s Degree in a health-related field. Four (4) years of relevant experience may be considered in lieu of degree in addition to the experience below.Preferred: Bachelor’s Degree in Health Information ManagementCERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:Minimum: Certified Professional Coder (CPC) or Certified Coding Specialist Professional CCS-P)Preferred: RHIT, RHIAEXPERIENCE:Minimum: of 4 years related experience in professional coding with ICD-9/ICD-10, E/M and CPT. 3 years management experience in Medical Coding medium or large health care facility.Preferred: 3 years management experience with an academic medical centerKNOWLEDGE AND SKILLS:Expertise knowledge of ICD-9/ICD-10, CPT and E&M coding principals and guidelinesKnowledge of MS, AP, and APR DRG systems APG, EAPGsKnowledge of payer reimbursement methodologies, federal, state and payer specific regulations, policies and compliance standardsExcellent written verbal and communication skillsExcellent critical thinking skillsExcellent skill in providing hands-on education to providers including audit finding and improvement opportunities. Excellent organizational skills, including ability to multi-task, prioritize essential tasks, follow-through and meet timelines.Ability to work cooperatively with members of the healthcare delivery team and staff,Ability to adapt to changes in workload and priorities, responding quickly to urgent requests.Ability to mentor, guide and motivate direct reports through demonstration of best practices and leading by example.Excellent communication and interpersonal skills to include the ability to negotiate and resolve conflicts and build teams.Demonstrated creativity and flexibility.Ability to operate in high-pressure situations.Excellent organizational skills.Demonstrated innovative approach to problem resolution.Ability to work collaboratively across BMCHS entities and disciplines.Demonstrated commitment to patient- and family centered care.Broad knowledge of modern health care administration practices and principles within a managed care environment and/or an academic medical center.Effective analytical ability in order to develop and analyze options, recommend solutions to and solve complex problems and issues.Demonstrated effective managerial and administrative leadership of clinical operationsKnowledge of principles and techniques used in negotiation as applied to service contracts and equipment purchasing.Effective organizational, planning and project management abilities.Experience in financial and programmatic presentations.Ability to function independently and deal with multiple, simultaneous projects.ESSENTIAL RESPONSIBILITIES / DUTIES:Administrative LeaderContribute to the success of BMCHS by providing leadership, direction and coordination of operations, finances, and human resources for Professional CodingManage and direct all Professional Coding activities within areas of responsibility.Continually assesses all services, identifies problems, utilizes data to analyze and propose innovative approaches for solutions.Maintain records related to operations and services that are complete, accurate, available, and in compliance with all legal, regulatory, and policy requirements.Engages staff and other stakeholders in continuous improvement of systems and processes; manages resources for staff participation in improvement work activities.Ensures effective facilitation of improvement teams and development of leadership skills to ensure overall effectiveness of the meetings.Organizes and prioritizes time and resources to manage efficiency and appropriately delegates.Remains current of new trends and best practices and incorporates into Professional Coding practices and programs.Articulates and enforces standards for quality/productivityIdentify trends in documentation and coding concerns and collaborate with Leadership and Compliance to assess and implement corrective actionDemonstrates achievable and measurable results and develop action plans for improvementInitiates, monitors, and enforces regulatory requirementsHolds self and others accountable to policy, standards and commitments and provides timely follow through on questions and concerns.Ensures development Professional Coding initiatives to improve patient satisfaction and family centered care.Develops and implements clinical outcome measures for quality improvement • Incorporates the use of evidence-based practice and appreciative enquiry into program development and improvement activitiesActively listens to staff ideas and concerns, assesses others communication styles and adapts to them.Effectively facilitates meetings within Coding, CDI, and Revenue Cycle Operations and organizational level.Creates bi-directional systems that effectively communicate information and data, utilizing multiple methods.Articulates and presents data, information, and ideas in a clear and concise manner.Participate in rejections, denials and claims review process with billing team to ensure compliance and accurate reimbursementCommunicates with physicians, academic department leaders, and senior administrators to maintain coordination with BMCHS programs.Demonstrates empathy and concern while ensuring goals are met.Manages the complex interdepartmental and interdisciplinary relationships to assure collaboration and effective/efficient operations within Coding and Revenue Cycle.Creates an environment that encourages diverse opinion, recognizes differences, and incorporates into process and services.Exhibits awareness of personal attitudes and beliefs, recognizing its effect on response to others.Creates a culture and systems for recognizing and rewarding staffResource ManagerCreates and maintains a satisfying workplace that fosters professional growth and job satisfaction for all members of the healthcare team.Interviews to select top talent, matching Professional Coding Operations needs with appropriate skill sets.Develops and implements recruitment and retention strategies that support a culture of leadership.Identifies and addresses own professional growth needs.Assesses manager and staff development needs, identifies goals and provides resources.Identifies lack of competency in performance and establishes a plan which includes goals, interventions, and measures.Maintains membership in professional organization(s) to develop knowledge and resources through networking, continuing education, and participation in national, regional, and/or local activities.Ensures integration of ethical standards and core values into everyday work activities.Educator/Research FacilitatorFacilitate accurate representation of professional coding and clinical documentation through interaction with physicians, coders and practice staff by providing ongoing education Contributes to a learning environment by providing educational opportunities to staff, cross-functional departments, students, residents, fellows, and faculty.Critical InterfacesLeads and/or serves on a variety of appropriate internal and external committees to represent the Professional CodingDepartmental LeaderMust adhere to all of BMC’s RESPECT behavioral standards.Interprets impact of broad scope organizational change for staff and develops change strategies for successful implementation.Models Respect for People commitments through all interactions.Leverages Leadership Competencies to develop themselves and othersDevelops and manages operational initiatives with measurable outcomes.Formulates objectives, goals and strategies collaboratively with other stakeholders.Prepares and delivers reports to operational leadership outlining progress toward meeting annual goals and objectives, to include performance related to finance, clinical activity, quality, and human resources. IND123Equal Opportunity
Employer/Disabled/Veterans
Our PeopleWorking at Boston Medical Center is more than a job. It’s a chance to make a difference as part of our mission to provide exceptional and equitable care to all. As a
nationally-recognized
leader in health equity, nursing, initiatives to combat climate change, and many other areas, BMC is dedicated to improving the health of our community in Boston and beyond.BMC’s mission to provide exceptional care without exception extends to our employees, and we have been recognized as a top employer and best place to work. A strong sense of teamwork and support for our staff are the bedrock of BMC, as we know that we can only provide exceptional care to patients when our staff are cared for too.EEO & Accommodation StatementBoston Medical Center is an equal
employment/affirmative
action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic.If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail to
#####
or call 617-638-8582 to let us know the nature of your request.RequirementsBoston Medical Center participates in the Electronic Employment Verification Program. As an E-Verify employer, prospective employees of BMC must complete a background check before beginning their employment at the hospital. BMC requires all staff to be vaccinated against COVID-19 and flu, as well as receive a booster dose of the COVID-19 vaccine. According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment. To avoid becoming a victim of an employment offer scam, please follow these tips from the FTC: FTC Tips
#J-18808-Ljbffr