Director of Professional Coding Operations
2 days ago
As the Director of Professional Coding, you will be responsible for leading the operations and compliance of the professional coding team and functions. This role requires a strong understanding of coding policies, guidelines, and procedures, as well as the ability to implement and maintain them.
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, and oversee 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, and seek innovative ways to reduce operating expenses.
- Serve as a subject matter expert for the organization on coding/charging functions, and interact regularly with coders, physicians, quality, compliance, and other healthcare practitioners to ensure common understanding of coding and documentation guidelines/principles, as well as government and commercial payer rules and regulations.
- Bachelor's degree in business, healthcare, or related field, or equivalent years of experience and education.
- Seven years' experience, with five years' in direct people management/leadership.
- ProFee experience strongly preferred.
- Required Professional License and/or Certification: Certified Coding Associate (CCA), Certified Coding Specialist - Physician-based (CCS-P), Certified Outpatient Coder (COC), Certified Professional Coder (CPC), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT).
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. With 40,000 team members and more than 12,800 providers, SSM Health is one of the largest employers in every community it serves.
SSM Health is 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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