Director Enterprise Hospital Coding

The Director of Enterprise Coding is an integral member of the Revenue Cycle division, working closely with the financial and clinical operations to provide strategic direction in support of operational performance and key financial metrics. Understands interrelationships among systems and processes across functional areas to evaluate processes, improve efficiency, and ensure optimal results. Facilitates the overall structure, process, oversight, and accountability of professional coding and health data collection activities to ensure accurate provider documentation and coding as it relates to appropriate, compliant, and optimal reporting and reimbursement for health care services. Oversees the daily operations of either hospital or professional coding for all UVA Health entities to effectively implement process improvements while ensuring team is high functioning and efficient.

• Oversees either the hospital or professional coding department to include daily operations management, budget, productivity, quality, education and training, auditing, report management, performance improvement initiatives and developing standardized practices, processes, policies and procedures.
• Develops, coordinates, and oversees department policies and procedures that support the revenue cycle business objectives, process and organizational goals and workflow standardization
• Serves as lead in fully integrating technical coding operations
• Serves as a key leader in future work flow design and management under Epic financials.
• Serves as a leader in coding functions impacting Health System Quality Goals and Standards such as CMI, LOS, Present on Admission, Mortality, USNWR and Compliant Revenue Cycle performance
• Manage the daily operations of either hospital or professional coding for UVA Health and community health to effectively implement process improvements while ensuring team is high functioning and efficient
• Develop and implement strategic goals and objectives to ensure regulatory compliance acting as the subject matter expert on Centers for Medicare and Medicaid Services (CMS) HCC documentation requirements and ICD-10-CM coding guidelines
• Ensures key processes have standards of performance that are measured, reported, and addressed. Directs key processes by monitoring and reporting performance statistics and explaining variances. Assist with analysis, trendspotting and presentation of findings, outcomes, and issue.
• Develop best-practice documentation guidelines, including condition-specific reference materials
• Ensure compliance with internal policies and external regulations and standards. Monitors work unit compliance with internal controls and develops remediation plans to address identified control weaknesses.
• Develop and recommend changes to policies and procedures that affect coding operations by establishing key performance indicators.
• Analyzes changes coding and billing rules and regulations by utilizing appropriate reference materials, internet sources, seminars and publications.
• Provides guidance, communication and education on correct charge capture, coding and billing processes to clinical departments.
• Serves as a key leader in future work flow design and management under Epic financials.

Position Compensation Range: $100,817.60 - $161,304.00 Annual

MINIMUM REQUIREMENTS

Education: Bachelor's degree required, Preferred fields of study include Health Information Management, Allied Healthcare, Public Health or Business Management. Master’s degree Business Administration or Healthcare Management preferred.

Experience: (5) years of healthcare management that includes revenue cycle or related experience working directly in Healthcare, Revenue Cycle, Revenue Integrity, Charge Capture and/or Coding required. Experience working in EPIC software preferred.
Licensure: Credentialing by AHIMA or AAPC. ICD-10 Approved Trainer preferred.

PHYSICAL DEMANDS
This is primarily a sedentary job involving extensive use of desktop computers. The job does occasionally require traveling some distance to attend meetings, and programs.

The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Click here to read more about UVA’s commitment to non-discrimination and equal opportunity employment.