Associate Vice President Hospital and Professional Coding

Job Title : Associate Vice President Hospital and Professional Coding

Location : Harrisburg, Pennsylvania

Job Category : Revenue Management

Schedule : Days

Work Type : Full time

Department : Office of the Chief Revenue Officer

Date Posted : 10 / 09 / 2024

Job ID : R-66558

Job Summary

Are you passionate about driving excellence in healthcare coding services? We are seeking a dynamic leader to provide centralized management for all hospital and professional coding services initiatives within our revenue cycle system.

This pivotal role involves directing, managing, and implementing programs to ensure the efficient operation of our revenue cycle’s hospital and professional coding programs.

Your efforts will be crucial in generating sufficient revenue and cash flow to support our system’s operations and strategic initiatives.

Key responsibilities include leading and managing the hospital and professional coding services to optimize revenue cycle performance, developing and implementing innovative programs to enhance operational efficiency, identifying and capitalizing on opportunities for program improvement, analyzing current workflows and benchmarking against industry best practices, streamlining processes to reduce duplication of effort and increase efficiency, and resolving any hospital and professional coding-related issues, including policy coordination and coding guidance.

We prefer candidates with RHIA (Registered Health Information Administrator) credentials and certified coder credentials.

Join us in making a significant impact on our healthcare system’s success and efficiency. Apply today to be a part of our dedicated team!

Job Duties

• Manages all of the administrative aspects of all medical record coding functions in regards to the revenue cycle functions.
• Responsible for unbilled revenue management, best practice coding and consulting services, hospital and professional coding, DNFB management and reporting and chart analysis with regards to coding and regulatory requirements.
• Responsible for maintaining system-wide coding ethics including promoting compliance in code reporting for all areas in the organization Manages all aspects of Charge Description Master including fee analysis, data support and recommendations for best-practice solutions.
• Manages the above-mentioned activities of the Revenue Cycle to insure cost effectiveness and organizational efficiency.
• Furthermore, this position provides strategic direction to these functions and how the functions in question inter-relate to the other revenue cycle functions including Patient Access, Hospital Billing and Collections, Professional Billing and Collections, Denial Management, Information Systems, Revenue Cycle Reporting and Corporate Finance.
• Communicates the departmental activities to revenue cycle senior management and to the management staff of the system as it relates to cash flow, organizational profitability, customer service and accounts receivable results.
• Works in conjunction with other areas within the revenue cycle and the system to insure coordinated activities with respect to all revenue cycle needs.
• Develops, implements and directs various quality initiatives to ensure continuous monitoring and improvements within the revenue cycle process.
• This includes managing an overall departmental operating and capital budget(s) within pre-determined limits and within Freedom-To-Act guidelines to insure operational efficiencies and obtaining pre-determined performance targets.
• Facilitates of various technological initiatives in support of business process, coding and chart analysis improvements.
• Assists with the establishment of a training program and various educational forums for all revenue cycle associates.
• This will also include the communication of ongoing enhancements relative to process improvement and employee development.
• Involved, when required, in the development of various revenue cycle and system strategic plans.

Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures.

The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.

Education

Bachelor's Degree- (Required)

Experience

Minimum of 7 years-Healthcare (Required), Minimum of 7 years-Finance (Required)

Certification(s) and License(s)

Registered Health Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC);

Certified Professional Coder - American Academy of Professional Coders (AAPC)

Our Purpose & Values

OUR PURPOSE & VALUES : Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities.

KINDNESS : We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE : We treasure colleagues who humbly strive for excellence.

LEARNING : We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION : We constantly seek new and better ways to care for our patients, our members, our community, and the nation.

SAFETY : We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.

Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality.

We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all.

We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.