Job description
SUMMARY
The primary role of the Director, PB Clinical Coding Operations is to direct, administer and lead our Hospital, Clinics' and Professional coding operations whose primary mission is implementation, execution and management of the Hospital's (inpatient) and Clinics' (outpatient) coding, quality assurance, and integrity to provide the institution and Physician Referral Services (practice plan) with accurate, reliable and timely revenue coding and feedback of its clinical and research services provided to its patients. The Director will be responsible for working collaboratively and in coordination with the other areas within Revenue Operations and Clinical Coding department to implement activities to provide compliant, consistent and leading-edge practices that are critical to the financial success of the Institution's patient Revenue Cycle, through its staffs' talents and ensuring compliance with Federal and States' requirements. The position will have visibility to many clinical divisions and must demonstrate strong interpersonal communication skills, excellent management skills and professional presence to function under pressure due to time and importance constraints.
K EY F UNCTIONS
W ORKING C ONDITIONS
WORKING CONDITIONS This position requires:
Working in Office Environment ______ No ___X__ Yes
Working in Patient Care Unit (e.g. Nursing unit; outpatient clinic) __ X No ______ Yes
Exposure to human/animal blood, body fluids, or tissues __X _ No ______ Yes
Exposure to harmful chemicals __X _ No ______ Yes Exposure to radiation __X _ No ______ Y
P HYSICAL D EMANDS
Indicate the time required to do each of the following physical demands:
Time Spent
Never
0%
Occasionally
1-33%
Frequently
34-66%
Continuously
67-100%
Standing
Walking
Sitting
Reaching
Lifting/Carrying
Up to 10 lbs
10lbs to 50 lbs
More than 50 lbs
Pushing/Pulling
Up to 10 lbs
10lbs to 50 lbs
More than 50 lbs
Use computer/keyboard
Required Education:
Bachelor's degree in Finance, Health Information Management, Healthcare Administration, Business Administration or related field.
Preferred Education:
Master's degree
Required Experience:
Ten years of professional progressive experience in coding, finance, accounting, information services or related field to include six years of managerial experience. Successful completion of the LEADing Self Accelerate program may substitute for one year of required supervisory or management experience.
Required Certification:
One of the following: Registered Health Information Administrator (RHIA) by the American Health Information Management Association (AHIMA) Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC) Certified Professional in Healthcare Information and Management Systems (CPHIMS) by the Health Information and Management Society Must pass pre-employment skills test as required and administered by Human Resources.
Preferred Experience/Skills:
Experience coding and managing staff for both hospital and professional coding, has RHIA certification, and 5-6 years of experience managing teams of 100+ staff members. Prefer someone who has been in a Health Information Management (HIM) or Coding Director's role for last 3+ years.
It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html
Additional Information
#LI-Hybrid
The primary role of the Director, PB Clinical Coding Operations is to direct, administer and lead our Hospital, Clinics' and Professional coding operations whose primary mission is implementation, execution and management of the Hospital's (inpatient) and Clinics' (outpatient) coding, quality assurance, and integrity to provide the institution and Physician Referral Services (practice plan) with accurate, reliable and timely revenue coding and feedback of its clinical and research services provided to its patients. The Director will be responsible for working collaboratively and in coordination with the other areas within Revenue Operations and Clinical Coding department to implement activities to provide compliant, consistent and leading-edge practices that are critical to the financial success of the Institution's patient Revenue Cycle, through its staffs' talents and ensuring compliance with Federal and States' requirements. The position will have visibility to many clinical divisions and must demonstrate strong interpersonal communication skills, excellent management skills and professional presence to function under pressure due to time and importance constraints.
K EY F UNCTIONS
- Direct, administer and lead the Coding team responsible for patient, clinical and research coding and quality assurance of its inpatient and outpatient functions and 2,000+ users of Physicians and Mid- Levels. The Director will work closely with the others throughout Revenue Coding and Enablement, Clinical Operations and the Division of Finance that includes resources from Clinical Divisions (such as Surgery, Nursing, Pathology, Lab Medicine, Diagnostic Imaging, Radiation Oncology, Rehabilitation Services, etc.), HIMS, Case Management, Performance Improvement, central IS, Research Finance, Patient Business Services, Clinical Revenue and Reimbursement, Accounting, Sourcing and Contracting, Legal, Managed Care Contracting and Treasury, among others. The Director will serve as the primary contact point for all Clinical Coding functions.
- The Director will oversee team roles and responsibilities needed to execute continuous implement of the Coding team processes by utilizing people, processes and technologies to improve efficiency, effectiveness, service quality and reduce cases backlogs and cycle times measured by discharges that are not final billed so that overall performance metrics are optimized.
- The Director will participate as needed in all Revenue Cycle project related decisions including staffing, deliverable acceptance, change management and communications.
- The position must consider processes and implement functions that comply with UT System Policies, Federal and State Statutes and the institution's policies and procedures regarding revenue coding and capture compliance, financial controls and audit inquiries.
- Provide support to strategic projects that interact / overlap / or has dependencies with the Epic project including ICD-10 Coding Standards project, eResearch and the Moonshot platforms.
- Maintain personal professional growth and development through seminars, workshops and professional affiliations. Establishes goals and objective for employees to measure performance and cross training to mutually agreed-upon expectations and provides employees access to resources needed in progressing in their development plans.
- Perform special projects as assigned by the Executive Director, Revenue Operations and Clinical Coding.
W ORKING C ONDITIONS
WORKING CONDITIONS This position requires:
Working in Office Environment ______ No ___X__ Yes
Working in Patient Care Unit (e.g. Nursing unit; outpatient clinic) __ X No ______ Yes
Exposure to human/animal blood, body fluids, or tissues __X _ No ______ Yes
Exposure to harmful chemicals __X _ No ______ Yes Exposure to radiation __X _ No ______ Y
P HYSICAL D EMANDS
Indicate the time required to do each of the following physical demands:
Time Spent
Never
0%
Occasionally
1-33%
Frequently
34-66%
Continuously
67-100%
Standing
Walking
Sitting
Reaching
Lifting/Carrying
Up to 10 lbs
10lbs to 50 lbs
More than 50 lbs
Pushing/Pulling
Up to 10 lbs
10lbs to 50 lbs
More than 50 lbs
Use computer/keyboard
Required Education:
Bachelor's degree in Finance, Health Information Management, Healthcare Administration, Business Administration or related field.
Preferred Education:
Master's degree
Required Experience:
Ten years of professional progressive experience in coding, finance, accounting, information services or related field to include six years of managerial experience. Successful completion of the LEADing Self Accelerate program may substitute for one year of required supervisory or management experience.
Required Certification:
One of the following: Registered Health Information Administrator (RHIA) by the American Health Information Management Association (AHIMA) Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC) Certified Professional in Healthcare Information and Management Systems (CPHIMS) by the Health Information and Management Society Must pass pre-employment skills test as required and administered by Human Resources.
Preferred Experience/Skills:
Experience coding and managing staff for both hospital and professional coding, has RHIA certification, and 5-6 years of experience managing teams of 100+ staff members. Prefer someone who has been in a Health Information Management (HIM) or Coding Director's role for last 3+ years.
It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html
Additional Information
- Requisition ID: 152291
- Employment Status: Full-Time
- Employee Status: Regular
- Work Week: Days
- Minimum Salary: US Dollar (USD) 113,000
- Midpoint Salary: US Dollar (USD) 141,500
- Maximum Salary : US Dollar (USD) 170,000
- FLSA: exempt and not eligible for overtime pay
- Fund Type: Hard
- Work Location: Hybrid Onsite/Remote
- Pivotal Position: Yes
- Referral Bonus Available?: No
- Relocation Assistance Available?: No
- Science Jobs: No
#LI-Hybrid
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