Clinician Services Support Enterprise Director

Major Responsibilities:

• Evaluates the impact of innovations and changes in programs, policies, and procedures for the Production Coding team. Partner in the design and implementation of systems and methods to improve data accessibility – such as single path coding.
• Conducts trend analysis to identify patterns and variations in coding practices and case-mix-index. Compares coding profile with national and regional norms to identify variations requiring further investigation.
• Identifies, assesses, and resolves problems. Prepares administrative reports.
• Role model, embodying the best of AAH Health's culture by demonstrating personal accountability and understanding the value of diversity in teams and seeks to get the best out of all people. Gets the right people in the right roles, then aligns and energizes them to achieve excellence. Establishing trust and create a culture of psychological safety to enable candid debate.
• Engages actively with colleagues in assessing and developing talent, focusing both on competencies and character. Identifies future skillset needs, then recruits and develops people to meet those needs. Invests time in coaching and mentoring high-potential team members for success.
• Coordinates with Medical Group and Facility Compliance, Documentation Improvement, Physician Leadership, Internal Audit, Hospital Coding, Physician Compensation, Population Health and Health Information Management to ensure that clinicians and coders have the most accurate understanding of key coding/charging concepts and medical record documentation requirements.
• Partners with system leaders and peers in the design and implementation of process improvement opportunities. Collaborates on departmental strategic plans and goals ensuring accurate and consistent communication.
• Develops functional requirements, requests for proposals, product evaluation, contract negotiation and selection for key software tools that will provide high-quality, cost-effective tools to support the coding functions.
• Develops a cohesive team of coding leaders and revenue cycle support within and outside the health information management department to ensure that all locations are meeting expectations, to achieve established long-range strategies, and to accomplish goals of health information management and the AAH system.
• Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale.
• Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives.
• Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations, and laws applicable to the organization's business.

Licensure, Registration, and/or Certification Required:

• A Coding Certification from American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA).

Education Required:

• Bachelor's Degree in Health Care Administration, or
• Bachelor's Degree in Health Information Management.

Experience Required:

• Typically requires 10 years of experience in coding and health information management for a large complex health care system. Includes 5 years of management experience in leading coding, health information management and/or auditing functions.

Knowledge, Skills & Abilities Required:

• Demonstrated knowledge of physician coding guidelines.
• Demonstrated skills in financial and statistical analysis necessary to examine revenue cycle/reimbursement activities and detect/resolve any related issues.
• Demonstrates extensive knowledge of third-party reimbursement programs, state and federal regulatory issues, national and local coverage decisions, research related restrictions, and ICD-9/ ICD-10, CPT/HCPCS coding classification systems.
• Demonstrated proficiency in the Microsoft Office Suite (Word, Excel, PowerPoint) or similar products and in patient accounting and billing systems.
• Ability to deal and work effectively with multiple departments and in matrix organizational structures.
• Strong written and verbal communication skills.
• Proven leadership ability to guide individuals and groups toward desired outcomes.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.