Chief of Professional Coding Operations

2 weeks ago

Irving, Texas, United States CHRISTUS Health Full time

Position Overview:

The Chief of Professional Coding Operations oversees the strategic direction and management of operational, financial, and workforce aspects within the Professional (Pro-fee) Coding, Audit, and Education sectors.

This role involves setting, achieving, and consistently evaluating the objectives while ensuring alignment with the overarching strategic goals of CHRISTUS Health.

The responsibilities are extensive and include managing daily operations, budgeting, productivity, coding compliance, and human resource oversight.

The Chief collaborates closely with various stakeholders, coordinating Professional Coding activities throughout the organization.

This position demands a diverse skill set in data-driven decision-making, project management, and process enhancement.

A comprehensive understanding of industry best practices in pro-fee coding and documentation, as well as technology and workflow, is essential.

The Chief will leverage these skills to partner with physicians, department leaders, coding managers, Education Directors, revenue cycle, and revenue integrity teams, along with other clinical and non-clinical operational stakeholders, to optimize patient and provider experiences from a coding perspective while enhancing coding accuracy and efficiency.

Key Responsibilities:

Uphold the core values of CHRISTUS through professional conduct.

Assess the impact of significant organizational changes on staff and devise strategies for effective implementation.

Utilize leadership skills to foster personal and team development.

Design and manage operational initiatives with quantifiable outcomes.

Collaboratively establish objectives, goals, and strategies with stakeholders.

Prepare and present reports to operational leadership detailing progress towards objectives, including performance metrics related to finance, quality, and staffing.

Proactively seek opportunities to enhance financial outcomes, involving staff in the process.

Analyze data to inform decisions regarding staffing and operational budgets.

Develop business plans and proposals to support operational and staffing requirements, assessing the cost-benefit of programs and resources.

Guide managers in resource allocation based on charge volume, budget limitations, and program priorities.

Contribute to the success of CHRISTUS Health by providing leadership and coordination of operations, finances, and staffing in the designated area.

Direct all activities within the area of responsibility.

Continuously evaluate services, identify issues, and utilize data to propose innovative solutions.

Engage staff and stakeholders in ongoing improvement of systems and processes; manage resources for staff involvement in improvement initiatives.

Ensure effective facilitation of improvement teams and development of leadership skills for meeting effectiveness.

Organize and prioritize time and resources for efficient management.

Stay updated on new coding and documentation guidelines, best practices, and integrate them into Professional Coding practices.

Act as a subject matter expert in Evaluation & Management (E/M) coding and documentation, CPT, ICD-10-CM, HCC, and HCPCS assignments.

Serve as an expert in Resident/Teaching Physician coding and documentation guidelines.

Establish and enforce standards for quality and productivity.

Demonstrate measurable results and develop improvement action plans.

Initiate, monitor, and enforce compliance with all regulatory requirements.

Hold self and others accountable to policies and standards, ensuring timely follow-up on inquiries.

Actively listen to staff feedback, adapting communication styles as necessary.

Facilitate meetings across Coding, Compliance, Revenue Cycle Operations, and Clinical Operations.

Create effective communication systems to share information and data with various teams and providers.

Present data and ideas clearly and concisely.

Communicate with physicians, department leaders, and senior administration to ensure coordination across CHRISTUS programs.

Manage complex interdepartmental relationships to ensure collaboration and efficiency within Coding Operations, Compliance, Revenue Integrity, and Revenue Cycle.

Foster an environment that values diverse opinions and incorporates them into processes and services.

Recognize personal attitudes and beliefs and their impact on interactions with others.

Establish a culture that acknowledges and rewards staff contributions.

Create a fulfilling workplace that promotes professional growth and job satisfaction.

Conduct interviews to select top talent, aligning Professional Coding Operations needs with suitable skill sets.

Identify and address professional development needs for self and others.

Assess development needs of managers and staff, setting goals and providing resources.

Identify performance gaps and establish corrective action plans with defined goals and interventions.

Maintain membership in professional organizations to enhance knowledge and resources through networking and continuing education.

Ensure the integration of ethical standards and CHRISTUS core values into daily operations.

Qualifications:

Education

Minimum -

Bachelor's Degree in Health Information Management or a related healthcare field.

Four years of relevant experience may substitute for the degree, in addition to the experience below.

Preferred -

Master's Degree in a related field.

Work Experience

Minimum -

Five years of management experience in Professional Medical Coding and three years of hands-on coding experience in a large healthcare facility or consulting organization.

Preferred -

Five years of management experience in Professional Medical Coding and three years of hands-on coding experience in a large healthcare system.

Experience with EPIC is a plus.

Certifications - Certified Professional Coder (CPC) or Certified Coding Specialist Professional (CCS-P). Additional AAPC specialty certifications, RHIT, RHIA are advantageous.

Required Skills, Knowledge, and Abilities

Proficiency in current E/M coding and documentation guidelines.

Expertise in CPT, ICD-10-CM, HCPCS coding for professional services.

Strong understanding of CMS/NCCI guidelines.

Knowledge of compliant coding principles.

Ability to thrive in high-pressure environments.

Effective analytical skills for developing options and recommending solutions to complex issues.

Capacity to work independently on multiple projects simultaneously.

Excellent communication and interpersonal skills, including negotiation and conflict resolution.

Demonstrated creativity and adaptability.

Strong organizational skills.

Knowledge of HIPAA and compliance requirements.

Innovative problem-solving approach.

Ability to collaborate across CHRISTUS Health entities and disciplines.

Effective planning and project management skills.

Self-awareness regarding personal strengths and weaknesses, with a commitment to professional growth.

Commitment to quality and excellence.
Leadership Competencies:
Ability to implement change positively and thoughtfully.

Planning and problem-solving skills.

Goal and objective development, establishing priorities.

Inspire confidence and promote high standards.

Self-starter with a willingness to innovate.

Positive attitude with a sense of urgency.

Good judgment and decisive action.

Ability to persuade and build consensus.

Effective written and verbal communication fostering trust and understanding.

Promote teamwork and collaboration.
Work Type:

Full Time

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