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Medical Coder Lead - Remote

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Location
Irving, TX

Profile

Director of Coding Operations

- Irving, TX

**MEMBERS ONLY**SIGN UP NOW***. has an immediate need for a Director of HIM Coding in Irving, TX, and we will be hosting a Hiring Event in Irving, TX on Friday, October 4

th

. This is a fulltime, direct hire position. Upon successful completion of a phone interview, you may be invited to meet with the hiring managers at this event. Hiring managers will be prepared to extend offers at the event to those candidates that meet their requirements.

This is an excellent opportunity to join our Health Information Management team. The HIM Director is responsible for supporting adherence to CHRISTUS standards and directives and other regulatory requirements including Centers for Medicare and Medicaid Services (CMS), the Joint Commission, and HIPAA standards related to HIM

Responsibilities

Oversees and monitors implementation of the HIM compliance program

Provides advice, information and data to the HIM Education Director for development of educational and training programs regarding elements of the HIM compliance program, such as appropriate documentation and accurate coding, to all appropriate personnel, including HIM coding staff, physicians, billing personnel, and ancillary departments

Ensures that coding consultants and other contracted entities (for example, outsourced coding personnel) understand and agree to adhere to the organization’s HIM compliance program

Ensures that regular audits and coordinates ongoing monitoring of coding accuracy and documentation adequacy

Provides feedback to the HIM Education Director regarding the Coding educational programs on the results of auditing and monitoring activities to affected staff and physicians

Designs and conducts trend analyses to identify patterns and variations in coding practices and case-mix index

Compares coding and reimbursement profile with national and regional norms to identify variations requiring further investigation

Reviews claim denials and rejections pertaining to coding and medical necessity issues and, when necessary, implements corrective action plan, such as educational programs, to prevent similar denials and rejections from recurring

Conducts internal investigations of changes in coding practices or reports of other potential problems pertaining to coding

Initiates corrective action to ensure resolution of problem areas identified during an internal investigation or auditing and monitoring activity

Reports noncompliance issues detected through auditing and monitoring, the nature of corrective action plans implemented in response to identified problems, and the results of follow-up audits to the corporate compliance officer

Receives and investigates reports of HIM compliance violations and communicates this information to the corporate compliance officer

Recommends disciplinary action for violation of the compliance program, the organization’s standards of conduct, or coding policies and procedures to the corporate compliance officer

Ensures the appropriate dissemination and communication of all regulation, policy, and guideline changes to affected personnel

Serves as a resource for department managers, staff, physicians, and administration to obtain information or clarification on accurate and ethical coding and documentation standards, guidelines, and regulatory requirements

Monitors adherence to the HIM compliance program

Revises the HIM compliance program in response to changing organizational needs or new or revised regulations, policies, and guidelines

Serves on the compliance committee, as required.

Acts as a resource to the corporate compliance program to improve its effectiveness.

Job Requirements

Required

5 years of HIM Coding experience

Management/Director-level experience

RHIA or RHIT Certification required

Strong managerial, leadership, interpersonal skills; excellent written and oral communication and analytical skills are also required.

Must have extensive knowledge of health information management and revenue cycle functions including Coding Compliance and Billing Compliance

Preferred

Experience with Six Sigma Lean Principals helpful

Experience with remote work force preferred

AHIMA approved ICD-10-CM/PCS Trainer designation preferred

Company info

Christus Health

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