Director, Coding and Compliance

Do you want to work at one of the Top 100 Hospitals in the nation We are guided by our values ofLoveandExcellenceand are passionate about delivering health not just health care. Come join us at ChristianaCare!

ChristianaCare with Hospitals in Wilmington and Newark DE as well as Elkton MD is one of the largest health care providers in the Mid-Atlantic Region. Named one of Americas Best Hospitals by U.S. News & World Report we have an excess of 1100 beds between our hospitals and are committed to providing the best patient care in the region. We are proud to that Christiana Hospital Wilmington Hospital our Ambulatory Services and HomeHealth have all received ANCC Magnet Recognition.

Primary Function:

Oversee compliance accuracy and timely execution of all hospital coding and abstracting activities within the Health Information Management Services (HIMS) department across all campuses.

Duties and Responsibilities:

• Principal Direct daily operations of hospital coding (inpatient outpatient ED) abstracting administrative hospital coding bill edits regulatory coding audit reviews and denial management operations.

• Collaborate with Clinical Documentation Improvement (CDI) team and Physician Advisors to educate staff improve documentation support quality and safety initiatives and reduce denials.

• Collaborate with the Medical-Dental Staff and cross-functional teams including but not limited to Billing and Revenue Integrity to provide education and resolve issues related to coding documentation and reimbursement.

• Prepare update and train coding staff on policies and procedures for Coding/Abstracting section including internal coding guidelines.

• Oversee and validate the accuracy of Maryland Health Services Cost Review Commission (HSCRC) case mix reporting.

• Establish track and report on departmental KPIs aligned to productivity quality timeliness and compliance benchmarks including but not limited to: DNFC (Discharge Not Final Coded) and DNFB (Discharged Not Final Billed) coding accuracy and productivity.

• Review and respond to data and report requests made by administration physicians and others.

• Utilize database queries and reports to perform various auditing functions.

• Represent hospital coding initiatives across departments to improve data quality revenue integrity and reimbursement.

• Oversee the usage of agencies/vendors responsible for coding support including reviewing and managing all related contracts and invoice approvals.

• Complete performance reviews recommend and/or initiate employee selection promotion disciplinary and/or discharge actions.

• Perform system analysis implementation testing database management maintenance accuracy regulatory compliance troubleshooting and security of computer assisted coding (CAC) system interfaces databases and reporting tools for systems using coding/abstracting data.

• Drive process improvements through automation and workflow redesign.

• Work closely with vendors and information system analysts to develop products to improve performance efficiency and data integrity.

• Assist in the preparation of the capital and operating budget. Comply with approved budget. Provide variance explanations and justifications for capital budget purchases.

• Develop departmental goals and objectives.

• Develop and mentor leaders within the coding management structure to promote engagement retention and succession planning.

Education and Experience Requirements:

• Bachelors or associate degree in HIM or related field (RHIA or RHIT)

• Coding certification as a CCS required.

• Three years experience in a HIM Department on a management level preferably in an acute care teaching hospital.

• Four years Coding/DRG experience required preferably in an acute care teaching hospital.

• Experience with project management implementing and maintaining computer systems

Christianacare Offers:

• Full Medical Dental Vision Life Insurance etc.

• 403(b) with company match

• Generous paid time off

• Incredible Work/Life benefits including annual membership to access to backup care services for dependents through retirement planning services financial coaching fitness and wellness reimbursement and great discounts through several vendors for hotels rental cars theme parks shows sporting events movie tickets and much more!

Christiana Care Health System is an equal opportunity employer firmly committed to prohibiting discrimination whose staff is reflective of its community and considers qualified applicants for open positions without regard to race color sex religion national origin sexual orientation genetic information gender identity or expression age veteran status disability pregnancy citizenship status or any other characteristic protected under applicable federal state or local law.

Post End Date

EEO Posting Statement

ChristianaCare offers a competitive suite of employee benefits to maximize the wellness of you and your family including health insurance paid time off retirement an employee assistance program. To learn more about our benefits for eligible positions visit Experience:

Director