JOB SUMMARY

This position is responsible for the performance of coding operations and services of assigned market. Ensure adequate resources and staffing for consistent coverage of engagements. Manages service line performance, as well as engagement, quality, and productivity standards. Interfaces directly with clients at a corporate level. Serves as the critical link in managing relationships with national vendor partners. Identifies and develops additional business development opportunities.

KNOWLEDGE, SKILLS, ABILITIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Strong leadership and communication skills, problem solving abilities; good knowledge of medical records systems (paper, hybrid, and electronic)
• Ability to build and maintain team dynamics
• Strong computer applications knowledge including Microsoft Word, Excel, and PowerPoint
• Must be fluent in general information technologies; significant level of autonomy; must be self-directed.
• Implement policies and procedures that guide and support the provision of the services
• High Level knowledge of Coding processes and nomenclatures.
• Excellent organizational skills for initiation and maintenance of efficient work flow
• Capacity to work independently in a virtual office setting or at facility setting if required to travel for assignment.
• Able to operate computer keyboard, mouse and other peripherals as appropriate to accomplish coding & abstracting duties.
• Abides by the Standards of Ethical coding set forth by AHIMA and monitors coding team for violations and reports as areas of concern are identified.
• Maintains knowledge of current professional coding certification requirements and promotes recruitment and retention of certified staff in coding positions.
• Support the collaboration between coding, CDI, Quality, compliance and medical staff.
• Works collaboratively with CDI, quality and other facility leaders

EDUCATION / EXPERIENCE

Include minimum education, technical training, and/or experience required to perform the job.

• Seven (7) years of recent experience in HIM and/or coding leadership work in the field.
• Bachelor degree in Health Information Management and or relevant Bachelor’s degree with 10 years in a comparable position preferred.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following. Others may be assigned.

• Operations:
• Oversight of operations specific to Conifer requirements and client satisfaction. Ensures the coding team is provided the resources and education needed for performance in their role.
• Interacts with both Conifer and client leadership.
• Ensure adequate staffing for consistent coding team coverage.
• Ensure corporate standards for new hires are aligned with predetermined qualifications, competence and performance expectations; ensure consistent application of Conifer policies/procedures . Oversight of coding inventory management to ensure DNFB/C, DNSP, and FBNE goals are consistently met.
• Continually assess and improve the financial and operational performance through data analysis and support the implementation of sustainable performance improvement initiatives.
• Accountable for Coding Operations productivity.
• Assesses operational processes to identify and implement performance improvement measures.
• Monitoring:
• Monitors coding quality in accordance with applicable Conifer monitoring policies. Coordinates feedback with Coding leadership, Client Performance Leaders, Conifer Compliance, Clients, and other appropriate parties.
• Works with coding audit team to prepare action plans in response to audit findings. Ensure compliance with eTenet -required educational updates and in-services.
• Average coding quality standard of =/>95.5% accuracy per monitoring period both individually and as a service line.
• Business Development:
• Participate as directed in business expansion and targeted growth activities.
• Directs the development of tactical plans and operating budgets to achieve strategic goals; monitor progress toward goals throughout the year.
• Professional Development:
• Researches and monitors healthcare regulatory standards. Attends and participates in meetings and is responsible for coding related information communicated at meetings and between Conifer and client personnel.
• Attends relevant coding workshops to stay abreast of new and changing technologies. Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM, ICD-PCS and CPT coding.
• Attends any mandatory coding seminars. Participates as needed in Quarterly Coding Updates and coding conference calls.

SUPERVISORY RESPONSIBILITIES

This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

• No. Direct Reports (incl. titles) Varies Coding Director, Coding Manager
• No. Indirect Reports (incl. titles) Coding Analyst, IP Coders, OP Coders, Edit Coders

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Strong leadership and communication skills, problem solving abilities; good knowledge of medical records systems (paper, hybrid, and electronic)
• Ability to build and maintain team dynamics
• Strong computer applications knowledge including Microsoft Word, Excel, and PowerPoint
• Must be fluent in general information technologies; significant level of autonomy; must be self-directed.
• Implement policies and procedures that guide and support the provision of the services
• High Level knowledge of Coding processes and nomenclatures.
• Excellent organizational skills for initiation and maintenance of efficient work flow
• Capacity to work independently in a virtual office setting or at facility setting if required to travel for assignment.
• Able to operate computer keyboard, mouse and other peripherals as appropriate to accomplish coding & abstracting duties.
• Abides by the Standards of Ethical coding set forth by AHIMA and monitors coding team for violations and reports as areas of concern are identified.
• Maintains knowledge of current professional coding certification requirements and promotes recruitment and retention of certified staff in coding positions.
• Support the collaboration between coding, CDI, Quality, compliance and medical staff.
• Works collaboratively with CDI, quality and other facility leader

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Ability to sit for extended periods of time
• Must be able to efficiently use computer keyboard and mouse
• Occasional standing/walking, reaching, stooping, bending
• Manual dexterity and mobilit

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Works in virtual office space per the Conifer PFS Telecommuter Policy as defined in the Telecommuting Program Guid