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It's more than a career, it's a calling.MO-REMOTEWorker Type:RegularJob Summary:Manages regional coding work load and staffing plans to ensure appropriate distribution of work, accuracy and timeliness.Job Responsibilities and Requirements:PRIMARY RESPONSIBILITIES
Provides direction for the assigned coding and charge capture regional team. Manages and mentors supervisors and provides guidance, as necessary and appropriate, to ensure their success.
Identifies staff needs and removes barriers to ensure staff are able to meet the quality, productivity, and performance expectations set for them. Identifies and prevents backlogs and other impediments to charge capture. Ensures training programs are sufficient to support staff and facilitate effective performance.
Participates in setting strategy/approach regarding coding structure and developing department goals, objectives and tactical plans consistent with the organizational strategic plan and vision. Assesses issues and develops and implement solutions. Uses judgment to determine issues requiring escalation and guidance.
Ensures all staff are meeting productivity and quality goals. Evaluates staff quality assurance (QA) audit results and works collaboratively with the system director and coding educators to identify and/or design instructional resources to improve performance.
In conjunction with system director, evaluates electronic health record system build to ensure comprehensive edits are implemented, or recommend ancillary systems/tools, if appropriate, to ensure optimal charge scrubbing/clean claims submission.
Conducts denial root cause analysis with team to identify opportunities for error reduction, including additional system edits, provider education, clinic management feedback, etc.
Ensures physician feedback is regularly provided and that coding support is made available to providers at their work location as necessary. Coordinates the review and monitoring of physician templates with information technology and coding teams to assist physicians with correct coding and, where possible, streamline their work
Maintains an understanding of governmental regulatory changes within the industry, local markets, etc. that may require updates, modifications, or changes to coding and charge capture policies, procedures, set-up, or processes to ensure compliance with these regulations. Collaborates with corporate responsibility to ensure compliance with all federal and state regulations.
Fosters and maintains professional and effective relationships with regional operational and financial leaders. Coordinates and communicates key issues, charge status, or other information, as necessary and appropriate.
Serves as subject matter expert for evaluation and management and procedural coding in assigned areas. Interacts regularly with coders, physicians, and other health care practitioners to ensure common understanding of coding and documentation guidelines/principles, as well as government and commercial payer rules and regulations.
Performs other duties as assigned.
EDUCATION
Bachelor's degree in business, healthcare or related field, or equivalent years of experience and education
EXPERIENCE
Five years' experience, with two years' in leadership
PHYSICAL REQUIREMENTS
Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
Frequent keyboard use/data entry.
Occasional bending, stooping, kneeling, squatting, twisting and gripping.
Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
Rare climbing.
Licenses / Certifications:Certified Coding Associate (CCA) - American Health Information Management Assoc (AHIMA), Certified Coding Specialist - Physician-based (CCS-P) - American Health Information Management Assoc (AHIMA), Certified Professional Coder (CPC®) - American Academy of Professional Coders (AAPC), Registered Health Information Administrator (RHIA) - American Health Information Management Assoc (AHIMA), Registered Health Information Technician (RHIT) - American Health Information Management Assoc (AHIMA)Work Shift:Day Shift (United States of America)Job Type:EmployeeDepartment:8700090033 Cod & Chrg Capt-ILMOScheduled Weekly Hours:40SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status , or any other characteristic protected by applicable law. Click here to learn more. (https://www.ssmhealth.com/privacy-notices-terms-of-use/non-discrimination?ga=2.205881493.704955970.1667719643-240470506.1667719643)
