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Director, Clinical Coding Operations

Company: MD Anderson Cancer Center
Location: Houston
Posted on: August 21, 2019

Job Description:

MISSION STATEMENT

The mission of The University of Texas M. D. Anderson Cancer Center is to eliminate cancer in Texas, the nation, and the world through outstanding programs that integrate patient care, research and prevention, and through education for undergraduate and graduate students, trainees, professionals, employees and the public.

SUMMARY

The primary role of the Director, Clinical Coding Operations is to direct, administer and lead our Hospital,

Clinics---- and Professional coding operations whose primary mission is implementation, execution and management of the Hospital----s (inpatient) and Clinics---- (outpatient) coding, quality assurance, and integrity to provide the institution and Physician Referral Services (practice plan) with accurate, reliable and timely revenue coding and feedback of its clinical and research services provided to its patients. The Director will be responsible for working collaboratively and in coordination with the other areas within Revenue Operations and Clinical Coding department to implement activities to provide compliant, consistent and leading-edge practices that are critical to the financial success of the Institution----s patient Revenue Cycle, through its staffs---- talents and ensuring compliance with Federal and States---- requirements. The position will have visibility to many clinical divisions and must demonstrate strong interpersonal communication skills, excellent management skills and professional presence to function under pressure due to time and importance constraints.

KEY FUNCTIONS

1. Direct, administer and lead the Coding team responsible for patient, clinical and research coding and quality assurance of its inpatient and outpatient functions and 2,000+ users of Physicians and Mid- Levels. The Director will work closely with the others throughout Revenue Coding and Enablement,Clinical Operations and the Division of Finance that includes resources from Clinical Divisions (such as Surgery, Nursing, Pathology, Lab Medicine, Diagnostic Imaging, Radiation Oncology, Rehabilitation Services, etc.), HIMS, Case Management, Performance Improvement, central IS, Research Finance,Patient Business Services, Clinical Revenue and Reimbursement, Accounting, Sourcing and Contracting, Legal, Managed Care Contracting and Treasury, among others. The Director will serve as the primary contact point for all Clinical Coding functions.

2. The Director will oversee team roles and responsibilities needed to execute continuous implement of the Coding team processes by utilizing people, processes and technologies to improve efficiency, effectiveness, service quality and reduce cases backlogs and cycle times measured by discharges that are not final billed so that overall performance metrics are optimized.

3. The Director will participate as needed in all Revenue Cycle project related decisions including staffing, deliverable acceptance, change management and communications.

4. The position must consider processes and implement functions that comply with UT System Policies, Federal and State Statutes and the institution----s policies and procedures regarding revenue coding and capture compliance, financial controls and audit inquiries.

5. Provide support to strategic projects that interact / overlap / or has dependencies with the Epic project including ICD-10 Coding Standards project, eResearch and the Moonshot platforms.

6. Maintain personal professional growth and development through seminars, workshops and professional affiliations. Establishes goals and objective for employees to measure performance and cross training to mutually agreed-upon expectations and provides employees access to resources needed in progressing in their development plans.

7. Perform special projects as assigned by the Executive Director, Revenue Operations and Clinical

8. Requires knowledge of large scale clinical and or professional revenue coding operations and clinical implications, information systems, analytical and planning skills. Must demonstrate professional judgment, independent decision making abilities, extremely strong interpersonal and communication skills, excellent supervisory skills, and the ability to function under pressure due to time constraints.

REQUIREMENTS

Experience

Required: Ten years of professional progressive experience in coding, finance, accounting, information services or related field.

Education

Required: Bachelor's degree in Finance, Health Information Management, Healthcare Administration, Business Administration or related field. Ten years of professional progressive experience in coding, finance, accounting, information services or related field.

Preferred: Master's degree in finance, business administration, or a health information management related field. Currently licensed as a RHIA, CPHIMS, CCS, CCDS, CDIP or CPC.

It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html

Additional Information

* Requisition ID: 128637
* Employment Status: Full-Time
* Employee Status: Regular
* FLSA: exempt and not eligible for overtime pay
* Work Week: Days
* Fund Type: Hard
* Pivotal Position: Yes
* Minimum Salary: US Dollar (USD) 111,600
* Midpoint Salary: US Dollar (USD) 139,500
* Maximum Salary : US Dollar (USD) 167,400

Keywords: MD Anderson Cancer Center, Houston , Director, Clinical Coding Operations, Accounting, Auditing , Houston, Texas

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