Director of Professional Coding Operations

4 days ago

Des Moines, Iowa, United States SSM Health Full time
About the Role

We are seeking a highly skilled and experienced Director of Professional Coding to lead our revenue cycle operations team. As a key member of our leadership team, you will be responsible for directing the operations and compliance of our professional coding team and functions.

Key Responsibilities
  • Provide direct oversight of daily operations, including management of coding leadership and staff.
  • Implement coding policies, guidelines, and procedures, and identify growth opportunities.
  • Ensure the Revenue Cycle goals, objectives, and vision are achieved, overseeing coding workload and staffing plans to ensure appropriate distribution of work, accuracy, and timeliness.
  • Maintain an understanding of governmental regulatory changes within the industry, local markets, etc., and update coding and charge capture policies, procedures, set-up, or processes to ensure compliance.
  • Collaborate with corporate responsibility to ensure compliance with all federal and state regulations.
  • Work collaboratively with other departments and system ministries to improve coding efficiency, quality, clinical documentation, productivity, service excellence, and appropriate reimbursement for services.
  • Monitor and justify all expenditures exceeding budgeted targets, seeking innovative ways to reduce operating expenses and develop cost-effective services and products.
  • Serve as a subject matter expert for the organization on coding/charging functions, interacting regularly with coders, physicians, quality, compliance, and other healthcare practitioners.
Requirements
  • Bachelor's degree in business, healthcare, or a related field, or equivalent years of experience and education.
  • Seven years' experience, with five years' in direct people management/leadership.
  • ProFee experience strongly preferred.
  • Certified Coding Associate (CCA) - American Health Information Management Assoc (AHIMA), Certified Coding Specialist - Physician-based (CCS-P) - American Health Information Management Assoc (AHIMA), Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC), Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), Registered Health Information Administrator (RHIA) - American Health Information Management Assoc (AHIMA), or Registered Health Information Technician (RHIT) - American Health Information Management Assoc (AHIMA).
About SSM Health

SSM Health is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through a robust and fully integrated healthcare delivery system. We are committed to equal employment opportunity based on race, color, religion, national origin, gender, sexual orientation, gender identity, pregnancy, age, physical or mental disability, veteran status, and all other statuses protected by law.

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