Director Coding & CDI Hospital Coding

About WakeMed :

Remember to check your CV before applying Also, ensure you read through all the requirements related to this role.

Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care.

For more information, visit www.wakemed.org.

Position Information :

Responsible for providing overall direction and leadership to the remote team members on the WakeMed Health & Hospitals Coding & CDI team.

The Coding & CDI team provides Coding & CDI services across all services within WakeMed Health & Hospitals. Works closely with physicians and other care providers to ensure the services provided are recorded accurately;

and the Information Services department to troubleshoot any impacts to coding and CDI processes or delays in submission.

Works closely with Compliance to ensure adherence to coding CDI and billing policies and procedures. Responsibilities include :

• Developing and executing the overall strategy goals, objectives, and performance standards for WakeMed Health & Hospitals Coding and CDI division.
• Actively managing and monitoring Coding and CDI operations process performance and quality.
• Ensuring complete, accurate, timely, and consistent coding and documentation that adheres to coding and regulatory guidelines.
• Influencing process change to support modifications in documentation within the clinical record to assure optimal quality compliance and accurate reimbursement.
• Creating, managing, and reporting facility and department specific key performance indicators.
• Monitoring performance and analyzing trends as demonstrated through CMI, CC / MCC capture rate, physician response rate, RAC reviews, and other financial and quality metrics.
• Determining root cause and addressing as appropriate.
• Leading individuals and groups towards identified outcomes, setting high performance standards, and delivering quality services.
• Identifying and implementing process improvements to decrease costs and improve service for applicable stakeholders.
• Establishing and maintaining trusted relationships with hospital executive and clinical leadership.
• Building collaborative working relationships with physicians, clinical staff, coding, finance, and revenue cycle to address issues related to accurate / timely coding documentation, unbilled management, and denials.
• Leading or participating in various organizational committees and initiatives which involve or impact Coding & CDI.
• Coordinating and participating in communication with the IT department to ensure appropriate systems enhancements and tools are utilized to effectively manage day to day operations.
• Coordinating management of external vendor relationships and monitoring compliance with contracted service level agreements.
• Seeking out and acquiring relationships with vendors when needed, negotiating contract terms when appropriate.
• Must have a clear and direct communication style, the ability to think strategically, manage competing priorities, and proactively address significant issues or barriers.
• Responsibilities include revenue generation, operational analysis, financial analysis, problem resolution, department HR management, and performance improvement.

Experience Requirements :

8 Years Coding Or Diagnosis-Related Group Analysis With 3 Years Management Required

Education Required :

Bachelor's Degree Health Information Management Or Nursing Required

Licensure / Certification Requirements :

Registered Health Information Administrator Or Registered Nurse Or Registered Health Information Technician Required - With Certified Coding Specialist Required - And Certified Documentation Improvement Practitioner Or Certified Clinical Documentation Specialist Required

Hours of Work :

Monday-Friday 8 : 00am-5 : 00pm

Weekend Requirements :

As Needed

Call Requirements : As Needed

As Needed

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