AVP of Coding Abstraction and Quality

Salary : $125,798.40 - $188,697.60

Full-time Days (No Weekends)

Description

This position is incentive eligible.

Introduction

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a AVP of Coding Abstraction and Quality with Parallon you can be a part of an organization that is devoted to giving back!

Benefits

Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include :

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
• Family support through fertility and family building benefits with Progyny and adoption assistance.
• Referral services for child, elder and pet care, home and auto repair, event planning and more
• Consumer discounts through Abenity and Consumer Discounts
• Retirement readiness, rollover assistance services and preferred banking partnerships
• Education assistance (tuition, student loan, certification support, dependent scholarships)
• Colleague recognition program
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note : Eligibility for benefits may vary by location.

Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues?

Join the Parallon family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic AVP of Coding Abstraction and Quality to help us reach our goals. Unlock your potential!

Job Summary and Qualifications

The Assistant Vice President (AVP) Coding & Abstraction Quality has a lead role in the strategic support of hospital and professional coding, and clinical data abstraction quality.

The AVP provides executive leadership to the Coding Quality Review and Coding Analysis and Technology teams, recommending and creating process improvements as well as supporting the development of technology solutions to improve error detection, overall quality and quality reporting.

The AVP also initiates, executes, and manages projects and company-wide initiatives. This position requires the ability to quickly synthesize multiple issues and adapt to constantly shifting,

What you will do in the role :

• Responsible for and provides strategic and management leadership for initiatives that promote complete, accurate, timely and consistent coding and abstraction while adhering to published industry regulatory and company (HCA and Parallon) guidelines and policies.
• Coordinates the planning, implementation and monitoring of coding and abstraction quality improvement initiatives.
• Provides strategic and tactical guidance that promotes buy-in and increases awareness on facility, professional and clinical data registry abstraction topics to the HIM, Coding & Abstraction COOs, ACOOs and Directors.
• Leads the creation, completion and presentation for applicable business cases. Accountable for overall project implementation, profitability, quality, and performance of the approved business cases.
• Provides strategic guidance on various quality related activities (e.g., tools and resources, workflow, education, data collection and reporting, clinical documentation improvement).
• Collaborates with AVP, Technology and Informatics to identify, prioritize and promote key technological advances that support the strategic direction for facility, professional and clinical data registry abstraction quality efforts.
• Leads continuity and collaboration on enterprise wide coding quality trending and initiatives with the AVP of Vendor Resource Management, AVP of Clinical Data Registry Abstraction and the HIM, Coding & Abstraction COOs.
• Coordinates the research and response to patterns or escalations related to the quality of coding and / or abstraction across the various Coding and Abstraction departments / teams.
• Maintains strategic and tactical working relationships with various corporate departments (e.g., IT&S, COG, Risk Management, Dispute Resolution, Legal, Regs, Internal Audit, etc.).
• Liaisons coding guidance interpretation and standardization with the HCA Regulatory Compliance Support executive leaders, and ensures understanding and consistent application across all coding teams and personnel
• Supports the creation, deployment and maintenance of industry and internal benchmarking data (e.g., code ratios, DRG ratios, CC / MCC%s, volumes), where available, and oversees coordination of research for outliers and quality improvement action plans as appropriate.
• Organizes and directs the creation and implementation of proactive case mix index (CMI) shift detection for hospitals and divisions.
• Initiates deep analysis of coding and abstraction error root causes and recommends action plans to remediate.
• Proactively communicates coding and abstraction quality rates and improvement initiatives to Parallon leadership.
• Supporting contributor to the design of effective quality audits / reviews, controls assessments and selection the most appropriate and effective sampling methodology.
• Oversight and coordination of the selection and development of coding and abstraction education, driven by internal and external audit findings.

What qualifications you will need :

• Bachelor’s degree required (or significant related work experience), in areas like HIM, Nursing or Informatics. Master’s degree preferred
• Minimum 7 years acute care hospital and / or professional coding operations experience required, coding quality experience preferred.
• Minimum 5 years executive management / leadership experience required, preferably in a hospital related healthcare setting.
• Exposure to or management of clinical data abstraction (e.g., cancer registry, trauma registry, core measures) preferred.
• Consulting or proven work experience in areas of process reengineering, shared services, and project management strongly preferred.
• Multi-hospital experience required
• RHIA, RHIT and / or CCS preferred.

Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.

We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country.

Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times.

In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

Be a part of an organization that invests in you! We are reviewing applications for our AVP of Coding Abstraction and Quality opening.

Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.