Director - Coding Hospital and Professional (Remote)

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Day - 08 Hour (United States of America)

This is a Stanford Health Care job.

A Brief Overview

The Director, Coding oversees, directs and provides leadership of the coding function within the Revenue Integrity Department, Revenue Cycle Division. Responsible for the management of hospital and Professional coding operations including ICD and CPT code assignment, case abstracting, charge capture, pre-bill quality reviews and other billing edit work queues. The Director participates in the formulation of objectives and strategies for integrating clinical information to support the goals of patient care, teaching, research, and optimizing management of resources.

Locations

Stanford Health Care

What You Will Do

• Partners with CDI, Quality Reporting, PFS, Compliance, Medical Staff leadership and other departments to assure common goals are met.
• Serves as a coding subject matter expert for the enterprise, serving on an array of business operations and clinical committees.
• Accountable for active daily management of Discharged Not Billed (DNB) work queues to assure targets are consistently met.
• Assures appropriate staffing levels and adherence to fiscal targets.
• Participates in the formulation of objectives and strategies for integrating coded clinical information to support goals for patient care, teaching, research, and optimizing management of resources.
• Develops and manages key coding performance indicators and metrics.
• Develops and oversees a comprehensive quality assurance and productivity program for coding staff.
• Assures coding staff is provided with the technology and education to support optimal performance.
• Collaborates with leadership to optimize workflows and EHR technology.
• Manages Single Path Coding and Coding managers, and collaborates with Coding Education and Quality Manager.
• Directs the preparation of routine and custom reports to management and clinical leadership.
• Demonstrates in-depth working knowledge of ICD, CPT, MS-DRGs and APR-DRGs code classifications/groupers with ability to analyze and trend key metrics including CMI.
• Directs and oversees the coding/abstracting activities in accordance with SHC policies and procedures, external agency requirements, AHA s Coding Clinic and other relevant industry standard guidelines.
• Assures the accurate and timely completion of all coding related activities.
• Provides input to coding and medical record documentation guidelines to assure compatibility and compliance with all regulatory, third party and SHC policies.
• Provides input to the direction for the establishment and maintenance of documentation standards and policies and procedures related to coding activities.
• Collaborates with other key stakeholders in the creation of effective programs and initiatives as related to physician quality profiles and financial performance.
• Oversees and manages the coding denial management activities.
• Communicates clearly, proactively and concisely with all key stakeholders.
  

Education Qualifications

• Bachelor's degree in a work-related discipline/field from an accredited college or university required
  

Experience Qualifications

• Seven (7) years progressively responsible and directly related work experience required.
  

Required Knowledge, Skills And Abilities

• Ability to conduct analyses and formulate conclusions based on them.
• Ability to contribute to long-range business plans and strategies.
• Ability to foster effective working relationships and build consensus.
• Ability to mediate and resolve complex problems and issues.
• Ability to plan, organize, develop tactical plans and set priorities.
• Ability to provide leadership and influence others.
• Ability to facilitate small to large groups of people at various organizational levels for purposes of planning, problem solving, or strategy development.
• Possesses excellent interpersonal skills in building, negotiating and maintaining crucial relationships.
• Knowledge of electronic Health Information Management trends, operations, and best practices.
• Knowledge of federal and state laws, regulations and regulatory practices affecting the medical and business practices of healthcare providers.
• Knowledge of local, state and federal regulatory requirements related to areas of functional responsibility.
• Knowledge of principles and practices of organization, administration, fiscal and personnel management.
  

Licenses and Certifications

• CCS - Certified Coding Specialist or
• RHIA - Registered Health Information Administrator or
• RHIT - Registered Health Information Technician
  

Physical Demands and Work Conditions

Blood Borne Pathogens

• Category III - Tasks that involve NO exposure to blood, body fluids or tissues, and Category I tasks that are not a condition of employment
  

These Principles Apply To ALL Employees

SHC Commitment to Providing an Exceptional Patient & Family Experience

Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.

You will do this by executing against our three experience pillars, from the patient and family s perspective:

• Know Me: Anticipate my needs and status to deliver effective care
• Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
• Coordinate for Me: Own the complexity of my care through coordination
  

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Base Pay Scale: Generally starting at $76.84 - $101.82 per hour

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.