Director of Professional Coding Operations

7 days ago

Des Moines, Iowa, United States SSM Health Full time
Job Summary

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, modify, or change coding and charge capture policies, procedures, set-up, or processes to ensure compliance with these regulations.
  • 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 and develop the necessary programs to deliver cost-effective services and products.
  • 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.
  • Work collaboratively with other departments to share feedback and ensure high-functioning revenue cycle processes.
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.
  • Required Professional License and/or Certification: 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).
Benefits

SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.

Paid Parental Leave: We offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).

Flexible Payment Options: Our voluntary benefit offered through DailyPay provides eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.

Upfront Tuition Coverage: We provide upfront tuition coverage through FlexPath Funded for eligible team members.

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