Director, Coding

ORGANIZATIONAL COMMITMENT

A strong commitment to service excellence, positive clinical outcomes, cost efficiency, performance enhancement and high business ethics is required. Comprehensive knowledge in the area of specialty with a results oriented and patient-centered focus. Supports the strategic vision of the organization. A personal commitment to treat all Health System customers with courtesy, dignity, respect and professionalism and adherence to the University Health System Commitment to Service Excellence behaviors and standards.

POSITION SUMMARY / RESPONSIBILITIES

Supervises the Medical records department to include, Coding Managers, Coding Specialists, Educators, Medical Record Reps, Inpatient / Outpatient Coding Technicians I and II, Coding Telecommuters, Unbilled Clerk, Dismissal Clerk, Data Quality analysts and agency staffing as needed. Maintains expert knowledge of all coding and classification systems used in health care to include but not limited to : (ICD-9, CPT, HCPCS, MS-DRG, APR-DRG, APC, and PPS). Also supports key information and operational systems that impact coding and reimbursement. Supervises audits to assess the quality of coding and documentation to ensure compliance with federal and state laws and regulations. Ensures that all HIM coding and compliance policies and procedures are consistent with established billing protocols, third party regulations and regulatory agency standards. Supervises ongoing education for staff and physicians to communicate findings from coding and documentation audits. Works closely with Information Technology, Quality, Integrity and other departmental leaders as needed to reach departmental goals. Performs work in accordance with Federal and State regulations and accrediting bodies including but not limited to HIPAA, The Joint Commission, American Health Information Management Association, the Texas Health information Management Association and the Center for Medicare and Medicaid Services.

EDUCATION / EXPERIENCE

Baccalaureate of Science degree from an approved program for Health Information Management or related field with at least 3 years of experience performing MS-DRG validation reviews in a multi-specialty setting required. An equivalent combination of education and experience may be considered. Current credentials as a Registered Health Information Administrator (RHIA), or a Registered Health Information Technician (RHIT) required. Expert knowledge of ICD, and CPT, HCPCS, MS-DRG, APR-DRG , PPS and APC payment methodology. Expert knowledge of The Joint Commission standards and applicable licensure regulations are required. Experience with and knowledge of PC database systems is preferred. Must possess excellent verbal communication skills including the ability to efficiently perform statistical data and educational presentations to medical staffs and senior management. A minimum of 3 years management experience is preferred.