Director Acute Hospital Coding
Description
Summary:
This position is essential for realizing the vision and strategic goals of the Nuvance Health under the direction of Vice President of Revenue Integrity. Provides strategic planning and leadership for systemwide Acute Hospital and Ancillary Coding. Ensures that coding practices meet quality and regulatory requirements and promotes adherence to all governmental and commercial payer regulations.
Responsibilities:
1. Ensure accuracy and timeliness of Acute Hospital (Inpatient, outpatient, Ed) and Ancillary Coding supporting revenue cycle initiatives in compliance with CMS and third-party payers.
2. Provide strategic direction to maintain coding programs aligned with Nuvance Health's documentation and coding accuracy objectives working in collaboration with Clinical Documentation Improvement colleagues.
4. Develop and maintain productivity and quality standards and implement policies to ensure efficient and consistent operations with regulatory compliance.
5. Aid in denial prevention through root cause analyses, and stakeholder collaboration.
6. Regularly review case mix index to identify coding improvement opportunities.
7. participate in hospital committees for quality improvement and collaborate with physician champions to improve timely and accurate documentation.
8. Mentor and motivate staff to build a competent team while enhancing their knowledge providing internal and external education resources.
9. Demonstrate leadership in problem-solving and decision-making.
10. Oversee yearly external audits and implement improvement plans.
11. Manage the annual budget for staffing, operations, IT, and equipment needs.
12. Responsible for vendor contracts and Vendor management
13. Perform additional duties as needed.
Working Conditions:
Manual: Some manual skills/motor coord & finger dexterity
Occupational: Little or no potential for occupational risk
Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force
Physical Environment: Generally pleasant working conditions
Company: Nuvance Health
Org Unit: 1821
Department: Revenue Integrity Admin
Exempt: Yes
Salary Range: $59.01 - $109.58 Hourly