Responsible for HSC coding operations and clinical documentation improvement operations (as applicable) ensuring timeliness accuracy completeness consistency compliance and standards fulfillment as defined in HSC Service Level Agreements (SLAs)
Contributes to the development of strategic direction of HIM.
Coaches and provides overall guidance to the HSC coding team to resolve internal and external issues; help resolve dysfunctional behavior within functional area(s); discipline and counsel staff as necessary
Monitors HIM coding performance according to productivity and quality standards as defined in job descriptions and SLAs
Manages and motivates HSC coding and clinical documentation improvement operations (as applicable) staff
Assists in the development and management of strategy specific goals objectives budgets and performance standards for the HSC Proactively manages including corresponding communications and escalation paths significant issues in HIM coding processes (e.g. coding backlogs HIM coding delays abstracting backlogs and data discrepancies) status of projects barriers and successes
Identifies and implements process improvements to lower costs and improve service to facility and various HSC stakeholders/customers
Routinely meets with the SSC Billing Director Operations Director HIM Document Imaging Manager and facility HIM Directors to proactively manage A/R (e.g. uncoded accounts unbilled accounts rebills)
Stays abreast of regulatory requirements and company compliance policies ensuring compliance and timely staff education and training
Monitors overall market trends (e.g. physician documentation record receipt data request types coding quality) and communicates to SSC team HSC team Facility team and others as appropriate
Provides leadership to coding management team regarding monthly trending analysis of HSC coding performance including weekly and monthly A/R reports
Provides leadership to coding management team regarding abstracting coding quality and data requests including weekly and monthly reports
Oversees HIM coding personnel providing recommendations for hiring promotion salary adjustment and personnel action where appropriate
Responsible for overseeing performance review process for all direct and indirect reports Responsible for ensuring employee work schedules sufficiently meet those requirements as established by the HSC Leadership team and through executed SLAs
Oversees training and education for HSC coding staff
Assists SSD HIM staff in company-wide initiatives such as the development of operational models and education programs
Assumes a lead role for innovation knowledge sharing and leading practices identification within the HSC and among peer group
Promptly reports issues or trends to the appropriate member of the HSC Leadership team or other appropriate party
Stays abreast of regulatory requirements and company compliance policies ensuring timely staff education
Reviews all official data quality standards coding guidelines Company policies and procedures and clinical/medical resources to assure coding knowledge and skills remain current
CaseMix Index Analytical skills the ability to analyze tends in CMI and determine root cause and address as appropriate
Responsible for HSC coding operations and clinical documentation improvement operations (as applicable) ensuring timeliness accuracy completeness consistency compliance and standards fulfillment as defined in HSC Service Level Agreements (SLAs) Contributes to the development of strategic dir...
Responsible for HSC coding operations and clinical documentation improvement operations (as applicable) ensuring timeliness accuracy completeness consistency compliance and standards fulfillment as defined in HSC Service Level Agreements (SLAs)
Contributes to the development of strategic direction of HIM.
Coaches and provides overall guidance to the HSC coding team to resolve internal and external issues; help resolve dysfunctional behavior within functional area(s); discipline and counsel staff as necessary
Monitors HIM coding performance according to productivity and quality standards as defined in job descriptions and SLAs
Manages and motivates HSC coding and clinical documentation improvement operations (as applicable) staff
Assists in the development and management of strategy specific goals objectives budgets and performance standards for the HSC Proactively manages including corresponding communications and escalation paths significant issues in HIM coding processes (e.g. coding backlogs HIM coding delays abstracting backlogs and data discrepancies) status of projects barriers and successes
Identifies and implements process improvements to lower costs and improve service to facility and various HSC stakeholders/customers
Routinely meets with the SSC Billing Director Operations Director HIM Document Imaging Manager and facility HIM Directors to proactively manage A/R (e.g. uncoded accounts unbilled accounts rebills)
Stays abreast of regulatory requirements and company compliance policies ensuring compliance and timely staff education and training
Monitors overall market trends (e.g. physician documentation record receipt data request types coding quality) and communicates to SSC team HSC team Facility team and others as appropriate
Provides leadership to coding management team regarding monthly trending analysis of HSC coding performance including weekly and monthly A/R reports
Provides leadership to coding management team regarding abstracting coding quality and data requests including weekly and monthly reports
Oversees HIM coding personnel providing recommendations for hiring promotion salary adjustment and personnel action where appropriate
Responsible for overseeing performance review process for all direct and indirect reports Responsible for ensuring employee work schedules sufficiently meet those requirements as established by the HSC Leadership team and through executed SLAs
Oversees training and education for HSC coding staff
Assists SSD HIM staff in company-wide initiatives such as the development of operational models and education programs
Assumes a lead role for innovation knowledge sharing and leading practices identification within the HSC and among peer group
Promptly reports issues or trends to the appropriate member of the HSC Leadership team or other appropriate party
Stays abreast of regulatory requirements and company compliance policies ensuring timely staff education
Reviews all official data quality standards coding guidelines Company policies and procedures and clinical/medical resources to assure coding knowledge and skills remain current
CaseMix Index Analytical skills the ability to analyze tends in CMI and determine root cause and address as appropriate
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