Clinical Services Support Enterprise Director

3 weeks ago

Milwaukee, Wisconsin, United States Advocate Aurora Health Full time
Job Summary

We are seeking a highly skilled and experienced Clinical Services Support Enterprise Director to join our team at Advocate Aurora Health. This leadership role will be responsible for overseeing the clinical services support functions, ensuring the highest level of quality and efficiency in our coding and health information management processes.

Key Responsibilities
  • Evaluate the impact of innovations and changes in programs, policies, and procedures on the Production Coding team.
  • Partner in the design and implementation of systems and methods to improve data accessibility, such as single path coding.
  • Conduct trend analysis to identify patterns and variations in coding practices and case-mix-index.
  • Compare coding profile with national and regional norms to identify variations requiring further investigation.
  • Identify, assess, and resolve problems, and prepare administrative reports.
  • Role model the best of AAH Health's culture by demonstrating personal accountability and understanding the value of diversity in teams.
  • Engage actively with colleagues in assessing and developing talent, focusing on competencies and character.
  • Coordinate with Medical Group and Facility Compliance, Documentation Improvement, Physician Leadership, Internal Audit, Hospital Coding, Physician Compensation, Population Health, and Health Information Management to ensure accurate understanding of key coding/charging concepts and medical record documentation requirements.
  • Develop functional requirements, requests for proposals, product evaluation, contract negotiation, and selection for key software tools to support coding functions.
  • Develop a cohesive team of coding leaders and revenue cycle support within and outside the health information management department to ensure all locations meet expectations and achieve established long-range strategies.
  • Perform human resources responsibilities for staff, including interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale.
  • Develop and recommend operating and capital budgets and control expenditures within approved budget objectives.
  • Understand and adhere to the organization's Code of Ethical Conduct and ensure personal actions and the actions of employees supervised comply with policies, regulations, and laws applicable to the organization's business.
Requirements
  • A Coding Certification from American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA).
  • Bachelor's Degree in Health Care Administration or Health Information Management.
  • Typically requires 10 years of experience in coding and health information management for a large complex healthcare system, including 5 years of management experience in leading coding, health information management, and/or auditing functions.
  • Demonstrated knowledge of physician coding guidelines, financial and statistical analysis, third-party reimbursement programs, state and federal regulatory issues, national and local coverage decisions, research-related restrictions, and ICD-9/ICD-10, CPT/HCPCS coding classification systems.
  • Ability to deal and work effectively with multiple departments and in matrix organizational structures, strong written and verbal communication skills, and proven leadership ability to guide individuals and groups toward desired outcomes.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the incumbent. The incumbent may be required to perform other related duties.

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