[Remote] Director of Professional Coding Operations - Remote

Note: The job is a remote job and is open to candidates in USA. Albany Medical Center is seeking a Director of Professional Coding Operations to provide strategic leadership and management for professional coding activities. The role involves overseeing coding teams, developing operational policies, and ensuring compliance with coding standards to achieve financial and operational sustainability.

Responsibilities

• Create and manage a strong coding culture; ensures the recruitment, training, and retention of motivated coding specialists, establishes goals and standards for performance appraisals
• Designs, establishes and maintains an organizational structure and staffing model to accomplish AMHS goals and objectives in an effective manner; recruits, trains, coaches and evaluates all staff members
• Develops, implements and manages efficient and effective operational policies, processes and best practices with coding functions of the revenue cycle across AMHS, which include denials management, coding productivity and quality standards, and open encounter management
• Provides vision, leadership, and operational oversight for standardization across AMHS professional coding operations
• Safeguards all department activities across AMHS professional coding operations are performed in a consistent manner, following standardized policies and procedures pursuant with all regulatory standards, including CMS, JCAHO, coding guidelines
• Monitor data to assure AMHS professional coding departmental KPIs are being met. Operates with a mindset of continual process improvement, adjusting KPIs as needed
• Ensures the highest quality of departmental operations, using a philosophy of quality management that supports continuous improvement and a team approach to problem-solving
• Development of an AMHS integrated LEAN Organizational Structure that supports the collective Coding needs of all constituents
• Promotes and coordinates a continuous learning environment, employee engagement and motivation, employee retention and recruitment, skill development, and productivity among staff and management
• Manages direct reports and has responsibility for hiring, firing, disciplinary action and performance management
• Builds effective relationships and communicates clearly
• Continued development and mentoring of new managers by providing development tools, activities and practical suggestions
• Analyzes and establishes plans to ensure that AMHS professional coding services are progressive and effective; work with other hospital and system service departments to promote consistency in processes
• Maintains a supportive and positive working relationship with AMHS medical staff and management; serves as an internal consultant throughout all organizations on coding related issues
• Continual collaboration with Patient Billing Services, Patient Access, Corporate Compliance and other departments across AMHS as it relates to coding, coding edits and denials

Skills

• Bachelor's Degree in health information management or related field - required
• 10+ years' experience in medical coding using ICD, CPT and evaluation and management coding - required
• Five+ years' experience in a progressive management capacity - required
• Excellent oral and written communication skills, excellent presentation, planning and organizational skills, a problem solver with an understanding of systems design, procedure development and team building skills
• Demonstrated ability to establish and maintain effective relationships with the staff and customers
• Ability to communicate with professional healthcare providers
• Demonstrates expertise in coding quality
• Demonstrates a clear understanding of the revenue cycle in its entirety
• Ability to effectively prioritize and execute tasks in a high-growth, fast paced environment
• RHIT - Registered Health Information Technician Upon Hire, or RHIA - Registered Health Information Administrator with CCS-Certified Coding Specialist Upon Hire or Certified Coder-AHIMA or AAPC CPC- Certified Professional Coder Upon Hire - required
• Master's Degree in health information management or related field - preferred

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