Data Management Manager

4 days ago

Linthicum Heights, Maryland, United States University of Maryland Medical System Full time
Job Summary

As a Data Management Manager at the University of Maryland Medical System, you will be responsible for managing the daily functions of the Case-mix Oversight function of the Medical System's Finance Division. This role requires a strong analytical mind and excellent communication skills to ensure the accurate and timely reporting of financial data.

Key Responsibilities
  • Manage routine reviews of Inpatient & Outpatient Case-mix data for correct coding opportunities.
  • Act as a liaison between Finance and hospital HIM and CDI departments at each facility.
  • Develop new strategies for both Inpatient and Outpatient coding reviews to ensure proper reimbursement under Inpatient and Outpatient revenue constraint systems.
  • Coordinate UMMC coding audit process to ensure maximum return on investment.
  • Routinely evaluate 3M APG & APR grouping software for enhancement opportunities which will provide more appropriate reimbursement.
  • Manage staff in routine evaluation of abstract tape integrity.
  • Develop hospital specific processes to minimize impacts of PPC & PPR methodologies.
  • Manage staff in the routine evaluation of hospital charging practices and their impact on CPV performance.
  • Manages and directs a staff of Case-mix Coordinators who perform case-mix reviews and data analysis and reporting in accordance with departmental and UMMS personnel policies and procedures.
  • Performs individual performance evaluations and recommends and/or initiates disciplinary actions, as needed.
  • Establishes clear and concise work procedures and expectations, assessing performance levels by monitoring results and providing positive and constructive feedback.
  • Assures timely and accurate completion of work by monitoring daily work activities.
  • Trains staff on new practices, and otherwise promotes staff professional development.
  • Prepares various reports for senior management as requested for review evaluation.
Qualifications
  • Bachelor's Degree in Accounting or Finance or equivalent is required.
  • Five years progressively responsible professional financial and/or reimbursement analysis experience, or equivalent, is required. In addition, three years supervisory/management experience is required.
  • Knowledge of HSCRC and Medicare regulations is required. Proficiency in preparing and analyzing financial data and implementing changes.
  • Highly proficient mathematical skills including calculating percentages, addition, subtraction, and multiplication are required.
  • Proficient knowledge of supervising, monitoring daily work activities, evaluating, training and motivating the performance of subordinate technical, professional and clerical support staff.
  • Advanced Microsoft Excel is required. Access skills preferred. Ability to operate a personal computer is required.
  • Proficient organization and problem-solving skills are required to develop/implement efficient work processes, and to successfully resolve difficult, conflict-oriented situations. Ability to work effectively in a stressful work environment. Ability to handle confidential issues with integrity and discretion.
  • Highly effective verbal and written communication skills are necessary to work with various clinical department heads, financial management and senior management staff and to supervisor professional and clerical staff.

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