Mgr Ent Coding

WVU Medicine

82d

About The Position

This position is responsible for promoting financial viability by effectively managing all aspects of the enterprise organizations coding department. This position works in close partnership with various members of the organizations leadership staff and is central in creating a comprehensive and seamless coding process throughout WVU Medicine. As a member of the coding leadership team this position requires participation in operations, strategic planning, physician relations, finance, resource allocation and/or contracting as appropriate. This position provides enterprise departmental direction relative to all aspects/activities that ensure the attainment of the goals of the coding department, which ultimately assist WVU Medicine in achieving favorable hospital/clinics operating results.

Requirements

• Bachelor’s degree in Healthcare Management, Business, Finance or Accounting AND Five (5) years of in-depth experience within healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing.
• Associate’s Degree in Health Information Technology AND Seven (7) years of in-depth experience within healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing.
• In Lieu of Bachelor or Associate’s Degree, Nine (9) years of experience of in-depth experience within healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing.

Nice To Haves

• Master degree in Finance, Business Administration, Healthcare Administration or related field preferred.
• Coding certification via AHIMA or AAPC or strongly preferred.
• Seven (7) years of in-depth experience within healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing.

Responsibilities

• Directs the staff and operations of the coding department.
• Ensures optimal performance through effective employee selection, training and development and performance management.
• Holds staff accountable for achieving plans and performance targets.
• Works with staff to identify and resolve the most complex issues and problems impacting the department.
• Supports development and continued professional growth to meet company and individual goals for long-term success.
• Demonstrates an expectation for continuous quality improvement utilizing processes that include consideration of all stakeholders.
• Develops a high-performing team that provides superior project management skills and supports the overall coding department to drive and improved financial performance.
• Maintains strong understanding of coding metrics, leadership skills, project management, and leads the team in building plans to support operational departments.
• Ensures compliance with government and commercial coding regulations and standards while maximizing reimbursement for patient claims.
• Leads the coding departments strategic plan objectives and operational goal setting and execution through departmental leadership.
• Design, implement, and ongoing monitoring of all relevant key performance indicators to ensure that cash flow is maximized throughout the revenue cycle.
• Continuously evaluates the effectiveness and efficiency of operations and implements or proposes optimization or transformation efforts.
• Develops and maintains strong relationships with clients / providers.
• Effectively manages relationships and business processes at all clinics / physician offices and hospitals.
• Develops, implements and effectively manages policies, processes and procedures for the coding department.
• Provides regular revenue management reports to clients, providers, and management.
• Manages operational expenses in accordance with the budget.
• Works with IT to implement system-wide programs and information systems.
• Address any operating issues that are hindering the maximization of cash flow.
• Works collaboratively with coding department leadership to meet strategic goals.
• Arranges for billing/coding audits as required and appropriate.
• Continually ensures high ethical standards, and promotes and leads coding transparency.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees