Work From Home Manager- Coding Quality Review

July 19th, 2013

HSC is looking for work from home manager for coding quality review.

The Coding Quality Manager is responsible for assisting in the development, evolution and implementation of the overall strategy for the Company’s centralized coding quality operations in the Shared Services Division (SSD).
Responsibilities:
  • Provides direct managerial oversight to Coding Quality Reviewers in the management of coding data quality and education work processes, to include quality pre and post billing coding reviews and education for each of the eight HSCs
  • Selects, evaluates, trains, and provides leadership and direction to reporting staff
  • Coaches and helps develop team members; helps resolve dysfunctional behavior and promotes teamwork within functional area(s); disciplines and counsel staff as necessary
  • Performs productivity monitoring and provides timely and consistent feedback to employees and SSD HIM Director
  • Responsible for ensuring employee work schedules sufficiently meet the HSCs coding quality monitoring  requirements including reviews for HSC new hires
  • Prepares coding benchmarking and coding quality monitoring reports for the SSD HIM Leadership, HSC Leadership, Market/Division leadership and Group leadership
  • Coordinates work assignments to achieve operational goals
  • Manages HSC customer (HSC COO, Coding Director, Coding Managers) expectations and ensures service is delivered accordingly
  • Proactively manages (including corresponding communications and escalation paths) significant issues in coding, status of projects, barriers and successes
Qualifications
  • Coding Technical Skills- extensive regulatory coding (ICD-9-CM, CPT-4, MS-DRGs, POA Assignment and where applicable APR-DRGs and PPCs) and associated reimbursement knowledge
  • Leadership – leads individuals and groups toward identified outcomes, setting high performance standards and delivering quality services
  • Critical thinking – actively and skillfully conceptualizing, applying, analyzing, synthesizing or evaluating information gathered from, or generated by, observation, experience, reflection, reasoning or communication as a guide to belief and action
  • Building and Maintaining Strategic Working Relationships – develops collaborative relationships to facilitate the accomplishment of work goals.  Possesses excellent interpersonal skills in building, negotiating and maintaining crucial relationships
  • Building Trust – interacts with others in a way that gives them confidence in one’s intentions and those of the organization
  • Effective Operational Decision Making – relating and comparing; securing relevant information and identifying key issues; committing to an action after developing alternative courses of action that take into consideration resources, constraints, and organizational values
  • Adaptability – maintaining effectiveness when experiencing major changes in work tasks or the work environment; able to adapt to change in environment and/or circumstances with a positive outlook; and adjusting effectively to work within new work structures, processes, requirements, or cultures
  • Initiative – independently takes prompt proactive steps towards problem resolution
  • Managing conflict – dealing effectively with others in an antagonistic situation; using appropriate interpersonal styles and methods to reduce tension or conflict between two or more people
  • Energy – consistently maintaining high levels of activity or productivity; sustaining long working hours when necessary; operates with vigor, effectiveness, and determination over extended periods of time
  • Stress tolerance – maintaining stable performance under pressure or opposition; handling stress in a manner that is acceptable to others and the organization
  • Planning and Organization – proactively prioritizes initiatives, effectively manages resources and keen ability to multi-task

Experience/Education:

  • Undergraduate degree required.  Bachelor’s degree strongly preferred.
  • RHIA, RHIT and/or CCS required
  • Minimum 3 years health care management/leadership experience required
  • Minimum 7 years recent inpatient/outpatient hospital coding experience required
  • Experience managing a large coding pool or coding review pool strongly preferred
APPLY HERE: https://hca.taleo.net/careersection/0hca/jobdetail.ftl?job=1442859&src=JB-11444

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