Clinical Enterprise Director
4 days ago
Advocate Aurora Health is seeking a highly skilled and experienced Clinical Enterprise Director to lead our coding and health information management functions. This role will be responsible for evaluating the impact of innovations and changes in programs, policies, and procedures for the Production Coding team. The ideal candidate will have a strong background in coding and health information management, with experience in leading coding, health information management, and/or auditing functions.
Key Responsibilities:
- Evaluates the impact of innovations and changes in programs, policies, and procedures for the Production Coding team.
- Conducts trend analysis to identify patterns and variations in coding practices and case-mix-index.
- Identifies, assesses, and resolves problems.
- Prepares administrative reports.
- Role models the best of Advocate Aurora Health's culture by demonstrating personal accountability and understanding the value of diversity in teams.
- Engages actively with colleagues in assessing and developing talent, focusing both on competencies and character.
- Cordinates with Medical Group and Facility Compliance, Documentation Improvement, Physician Leadership, Internal Audit, Hospital Coding, Physician Compensation, Population Health and Health Information Management to ensure that clinicians and coders have the most accurate understanding of key coding/charging concepts and medical record documentation requirements.
- Develops functional requirements, requests for proposals, product evaluation, contract negotiation and selection for key software tools that will provide high-quality, cost-effective tools to support the coding functions.
- Develops a cohesive team of coding leaders and revenue cycle support within and outside the health information management department to ensure that all locations are meeting expectations, to achieve established long-range strategies, and to accomplish goals of health information management and the Advocate Aurora Health system.
- Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale.
- Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives.
- Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations, and laws applicable to the organization's business.
- 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 Bachelor's Degree in Health Information Management.
- Typically requires 10 years of experience in coding and health information management for a large complex health care system. Includes 5 years of management experience in leading coding, health information management and/or auditing functions.
- Demonstrated knowledge of physician coding guidelines.
- Demonstrated skills in financial and statistical analysis necessary to examine revenue cycle/reimbursement activities and detect/resolve any related issues.
- Demonstrates extensive knowledge of 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.
- Demonstrated proficiency in the Microsoft Office Suite (Word, Excel, PowerPoint) or similar products and in patient accounting and billing systems.
- Ability to deal and work effectively with multiple departments and in matrix organizational structures.
- Strong written and verbal communication skills.
- Proven leadership ability to guide individuals and groups toward desired outcomes.
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Milwaukee, Wisconsin, United States Advocate Aurora Health Full timeJob SummaryWe 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...
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