Director - Hospital Coding (Remote)

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This is a Stanford Health Care job.

A Brief Overview
The Director - Hospital Coding oversees, directs, and provides leadership of the facility coding function across the enterprise, acting within the Mid Revenue Cycle Department, Revenue Cycle Division.

Responsible for the management of hospital coding operations including ICD, DRG, and CPT code assignment, case abstracting, occasional 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.

The Director provides leadership in driving key outcomes for hospital/facility coding, including key partnerships with Compliance, CDI, Quality, & other clinical improvement groups. Through a combination of data analytics, and process improvement techniques, this leader will ensure the appropriate coding of encounters, and identify meaningful opportunities to improve quality and revenue.

Locations
Stanford Health Care

What you will do

• Stakeholder Engagement: Operates as a key partner to CDI, Quality Reporting, PFS, Compliance, Medical Staff leadership and other departments to assure common goals are met.

• Communication: Communicates clearly, proactively, and concisely with all key stakeholders. Directs the preparation of routine and custom reports and the execution of regular (monthly) business review meetings.

• Process Optimization: Collaborates with key stakeholders to identify opportunities for documentation improvement, to improve workflows for coding & documentation improvement and to operate as a key thought partner.

• Operational Effectiveness: Assure the accurate and timely completion of all coding related activities through active daily management and an overall accountability to assure Discharged Not Billed (DNB) targets are consistently met.

• Subject Matter Expert: Serve as a subject matter expert for the enterprise, in IP/OP facility coding, while participating on an array of business operations and clinical committees and demonstrating in-depth working knowledge of the appropriate coding frameworks (CPT, ICD, etc).

• Department Leadership: Participate in the formulation of objectives and strategies for advancing the work of the team, with a focus on supporting goals for patient care, teaching, research, and optimizing management of resources. Assure appropriate staffing levels and adherence to fiscal targets.

• Coding Quality: Develop and manage key facility coding performance indicators and metrics. Ensure the appropriate levels of coding quality through developing/maintaining a comprehensive quality assurance and productivity program for coding staff.

• Technology Management: Assure facility coding staff is provided with the technology and education to support optimal performance while appropriately collaborating with key stakeholders to optimize EHR technology and appropriately introduce new system functionality, tools, automation, and artificial intelligence (AI) capabilities.

• Leadership & Team Development: Manage and develop the facility coding leadership team. Ensure that staff are performing at top of license and drive the appropriate growth and retention of internal team members.

• Compliance & Documentation Integrity: Provide consultation and expertise to coding, charge capture, and medical record documentation guidelines to assure compatibility and compliance with all SHC policies, regulatory and third party and SHC policies.

Education Qualifications

• Bachelor's degree in health information management (HIM), nursing or similar field required

• Master's degree in a work-related field / discipline from an accredited college or university is preferred.

Experience Qualifications

• 10+ years progressive leadership experience and directly related work experience required.

• To include 5+ years EPIC system user/experience including financial (billing - HB/PB) and clinical documentation (EHR) functionalities.

Required Knowledge, Skills and Abilities

• Extensive practical/working knowledge in Inpatient and Emergency Department coding.

• Expertise Expert Ability to plan, organize, develop tactical plans and set priorities.

• Demonstrated ability to build and foster high performing teams

• Working knowledge of Vizient clinical quality measurement and benchmarking

• 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 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.

• Extensive Knowledge of federal and state laws, regulations and regulatory practices affecting the medical and business practices of healthcare providers.

• Knowledge of principles and practices of organization, administration, fiscal and personnel management.

• Extensive knowledge of coding principle and guidelines.

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.

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.