Senior Manager, Coding Quality Education & Training

Mass General Brigham•Somerville, MA

1d•$99,466 - $141,804•Remote

About The Position

Responsible for the efficient, effective oversight of Coding Quality, Education, & Training activities and teams. In partnership with key stakeholders, the Senior Manager supports the implementation of Coding & Quality strategy, and continuously works to improve people, process, and technology across the function. Responsible for driving adherence to enterprise coding policies and education functions, including oversight of both Hospital and Professional Quality Assurance, Education, & Training Specialists. Through leading-edge Quality, Education, & Training Services, this Senior Manager elevates the quality of coding used to drive revenue, and for research, teaching, legal, planning and health care management purposes across the Enterprise.

Requirements

Bachelor's Degree in Health Information Management, Healthcare Administration or a related field of study required
Equivalent experience may be accepted in lieu of degree
3+ years of experience in medical coding or clinical documentation required
1+ years of experience in a supervisory or leadership role required
Demonstrates competency and leadership experience in a large, complex organization with multiple locations.
Drives DE&I (Diversity, Equity, & Inclusion) and recognizes the value that different perspectives and cultures bring to an organization.
Clear understanding of the impact coding training and education has on Revenue Cycle operations and financial performance.
Clear understanding of the impact the coding quality assurance program has on Revenue Cycle operations and financial performance.
Excellent personnel management and organizational leadership skills – including written and oral communication, relationship management, customer service, and organization.
Communicate and operate effectively within and between system functions.
Craft, communicate, and align teams to the established departmental and enterprise vision, by using the capacity to simultaneously balance both the big picture strategic perspective and attention to detail.
Act as an enthusiastic coach and leader with demonstrated ability to recruit, mentor, train and develop employees, and monitor performance.
Manage upwards, elevating key risks and opportunity areas to Coding & Quality Leadership.
Create and foster an atmosphere of continuous improvement.
Manage and interpret data and analytics.
Maintain an up-to-date knowledge of regulatory and compliance changes impacting Coding Quality and Quality Assurance.
Guide and influence others either internally or externally to adopt a different point of view.

Nice To Haves

1+ years of experience in an educational or training preferred
American Health Information Management Association (AHIMA) credentials such as Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), and/or American Academy of Professional Coders (AAPC) credentials, such as CPC or other equivalent AAPC credential

Responsibilities

Implements the strategic direction for Quality, Education, & Training and collaborates with direct reports and functional leaders to drive alignment
Establishes and oversees formal, comprehensive Revenue Cycle Training and Quality Assurance programs and policies designed to drive Revenue Cycle operational consistency, efficiency, and data-driven performance
Stewards the continued development of training methodology and tools
Reviews and coordinates all Quality Assurance and continuous value enhancement activities throughout the Revenue Cycle.
Communicates and supervises relevant changes in performance, market trends, health care delivery systems, and legislative initiatives impacting execution of team goals to team(s).
Partners with other organizational training and quality assurance teams, including Performance Excellence, to ensure an aligned and optimized learning experience for all Revenue Cycle teams and team members
Implements and oversees strategies to measure, monitor, improve and validate coding and related data quality.
Leads plans and priorities to address needs as identified by Coding teams to meet Enterprise Revenue Cycle goals.
Identifies and solves technical and operational problems; understands and recognizes the broader impact of Coding Training and Quality Assurance activities in the Revenue Cycle.
Identifies coding quality/education opportunities for clinical providers, departmental leaders and other stakeholders across the organization
Drives and is responsible for consistent operational policies, processes, tools, educational and assessment materials.
Monitors and drives financial planning provided by leadership to support a cost-effective Coding Quality, Education, & Training Program.
Designs and supervises financial and operational performance of a system-wide Coding Quality and Education program dedicated to ensuring proper documentation, accurate billing, compliant code assignment practices, and adherence to payor guidelines.
Manages day-to-day practice of multiple teams, including identification and monitoring of team success metrics and activities related to Coding Quality, Education, & Training.
Establishes and supervises formal, comprehensive QA (Quality Assurance) / Training programs and operational policies designed to improve Coding operational consistency, efficiency, and data accuracy.
Facilitates projects and conversations with outside health care organizations to share and develop standard processes.
Supervises coding credentialing and certifications.
Leads Coding Quality team to advise on coding guidance within the department (providing review, education, and feedback to coders) and also external to the department (inclusive of compiling and delivering physician education).
Oversees and maintains a training curriculum to ensure coding professionals are educated on latest standards, regulations, and techniques in compliance with industry regulations and to accurately reflect revenue captured from clinical services provided.
Collaborates with departmental leaders, Quality Management, clinical teams and providers to ensure coding accuracy.
Measures and monitors coding quality and outcomes based on various reports.