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Director HIM Coding

Company: Georgia Orthopaedic Society.
Location: Tyler
Posted on: February 22, 2021

Job Description:

The Professional Coding Director is responsible for oversight of the professional coding department, developing, implementing, and maintaining a system-wide quality management plan and facilitating improvement in overall quality, completeness, appropriateness and accuracy of documentation and coding for professional services. The Director will review coding and documentation by CHRISTUS Trinity Clinic (CTC) providers and coders and provide education in all divisions of the Clinics. This individual also develops and maintains policies and procedures that will improve and support the provider documentation and coding practices within CTC--as well as promote timely, accurate and complete documentation and coding. This includes oversight of Coding associates day to day operations, audits, hiring, termination, evaluations, etc. The Director utilizes project management skills, clinical knowledge, and understanding of documentation and coding requirements to improve day to day operations, processes and compliance. Provide system-wide direction for professional documentation and coding related activities, audits, education, and monitoring Initiate workflow improvements and standardization to increase efficiency and accuracy of documentation and coding for all services and providers Serve as a liaison between clinical providers and coders to resolve documentation and coding issues Establish, implement, and maintain a formalized review process for coding and documentation compliance, including a formal audit process and quality control system Assess current compliance activities and evaluate risk factors in coding and documentation practices and implement strategies to mitigate risk, educate providers and coders Set performance standards and conduct evaluations; drive educational programming, if necessary, to improve data quality Monitor reports related to coding, documentation trends and results and provide feedback and education to providers and coders Produce and analyze system-wide reports on providers coding DNFB, edits, audits, etc Effectively communicates with providers, must be able to speak to the level of how to E&M level based on documentation with both providers and coders. Provides timely feedback to providers/coders and take corrective action to ensure education is effective Proficient with ICD-10 and HCC coding as well as E&M and all professional coding guidelines for large multi-specialty provider groups Requirements:

  • Bachelor's degree in a health information management or other healthcare-related field required
  • Master's degree in related field preferred
  • Completion and mastery of coursework in human anatomy and physiology; ICD and CPT coding; and medical terminology preferred
  • Applicable HIM and coding credentials and certifications (RHIA, RHIT, CCS, CCS-P, CPC)
  • 5 years of healthcare experience required; at least 3 years of progressive responsibility preferred
  • 3-5 years of hands on professional coding experience large multi-specialty group
  • 3+ years of experience as a trainer / educator to physicians and coders
  • Strong working knowledge of ICD coding classification systems, CPT and E&M guidelines
  • Working knowledge of coding for third party payers including CMS guidelines and reimbursement compliance
  • Knowledge of HIPAA, JCAHO, and other compliance requirements
  • Knowledge of health information systems and database technology
  • Proven organizational and project management skills Demonstrated team development and interpersonal skills
  • Strong analytical and problem-solving skills
  • Strong communication and presentation skills
  • Basic computer skills (i.e., word-processing, spreadsheets, and menu-driven software) CHRISTUS HEALTH is an international Catholic, faith-based, not-for-profit health system comprised of almost more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. CHRISTUS operates in 6 U.S. states, Colombia, Chile and 6 states in Mexico. To support our health care ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on medical staffs who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.

Keywords: Georgia Orthopaedic Society., Sioux Falls , Director HIM Coding, Executive , Tyler, South Dakota

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