Vendor Resource Management Manager

HCA Healthcare • Myrtle Beach, SC

110d

About The Position

This position requires experience in Hospital Inpatient Coding. The Vendor Resource Management Coding Manager is responsible for assisting in the development and evolution of the overall strategy for the Company's Vendor Resource Management coding quality and operations. The VRM Manager manages, directs and coordinates VRM activities. Responsibilities include management of process, personnel and vendors. The VRM Manager plans, assigns and directs the VRM staff; actively monitors employee performance and rewards or disciplines accordingly; addresses complaints and resolves problems; and actively oversees and manages vendors.

Requirements

• Undergraduate degree required. Bachelor's degree strongly preferred.
• Equivalent work experience may substitute education requirement.
• Minimum 3 years health care management/leadership experience required.
• Minimum 3-5 years inpatient/outpatient hospital coding experience strongly preferred.
• Experience managing a large coding pool or coding review pool strongly preferred.
• RHIA, RHIT and/or CCS required.

Responsibilities

• Provides direct managerial oversight to vendors, Coding Leads, Coordinators, and Data Analysts in management of inpatient and outpatient coding functions, quality, workflow, and overall work responsibilities.
• Ensures complete, accurate, timely and consistent coding, while adhering to published coding guidelines and Company policies.
• Coaches and helps develop team members; helps resolve dysfunctional behavior and promotes teamwork within functional area(s); disciplines and counsel staff as necessary.
• Proactively manages significant issues in coding, status of projects, barriers and successes.
• Selects, evaluates, trains, and provides leadership and direction to reporting staff.
• Responsible for continuous review and improvement of processes and services.
• Responsible for ensuring employee schedules sufficiently meet business and customer needs.
• Facilitates problem solving and collaboration within functional area(s).
• Responsible for ensuring staff/vendor coding personnel compliance with documented and established workflow guidelines.
• Assists in identifying and implementing process improvements to decrease costs and improve service.
• Performs productivity monitoring and provides timely and consistent feedback to vendor and VRM staff.
• Trends quality data to identify education opportunities; develops and provides education to vendor coders.
• Monitors vendor coders pended accounts in production as well as in HIM CPART review tool.
• Provides timely follow-up to customer escalations related to coding quality and coding process issues.
• Monitors monthly quality scores by vendor and individual coder; recommends vendor coding personnel to be placed under Quality Improvement Plan (QIP).
• Responds to customer requests for action plans to improve coding quality and operational process concerns.
• Monitors and trends computer assisted coding (CAC) reporting and metrics.
• Prepares coding accuracy and productivity reports for the VRM Directors as needed.
• Participates in weekly rotation of on call coverage of IT&S issues.
• Manages and assists in the Mailbox to ensure timely and accurate feedback to customers and vendor(s).
• Maintains up-to-date knowledge of regulatory changes impacting coding requirements.
• Reviews all official data quality standards, coding guidelines, company policies and procedures.
• Ensures coder and VRM staff is in compliance with HCA/Parallon HIM educational requirements.
• Coordinates work assignments to achieve operational goals.
• Ensures safe, ergonomic, and confidentiality compliant practices are being followed within the work environment.
• Prepares and hosts weekly and/or ad hoc vendor conference calls.
• Manages the onboarding process for new vendor and VRM support staff.
• Establishes and maintains good working relationships with the vendors.

Benefits

• Comprehensive medical coverage that covers many common services at no cost or for a low copay.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans.
• Free counseling services and resources for emotional, physical and financial wellbeing.
• 401(k) Plan with a 100% match on 3% to 9% of pay.
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock.
• Family support through fertility and family building benefits with Progyny and adoption assistance.
• Referral services for child, elder and pet care, home and auto repair, event planning and more.
• Consumer discounts through Abenity and Consumer Discounts.
• Education assistance (tuition, student loan, certification support, dependent scholarships).
• Colleague recognition program.
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence).
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Industry: Hospitals
• Education Level: Bachelor's degree