Transforming the future of healthcare isnt something we take lightly. It takes teams of the best and the brightest, working together to make an impact.
As one of the largest healthcare technology companies in the U.S., we are a catalyst to accelerate the journey toward improved lives and healthier communities.
Here at Change Healthcare, were using our influence to drive positive changes across the industry, and we want motivated and passionate people like you to help us continue to bring new and innovative ideas to life.
If youre ready to embrace your passion and do what you love with a company thats committed to supporting your future, then you belong at Change Healthcare.
Pursue purpose. Champion innovation. Earn trust. Be agile. Include all.
What will I be responsible for in this job? (brief summary of the role)
Responsible for high quality and efficient management of inpatient, outpatient surgery, and outpatient coding and reimbursement for all of our clients facilities. Managing coders, managing DNFB, assuring SLAs are met, creating action plans when/if we fall outside of SLA, hosting team meetings, leading client calls, managing the client relationship, working claim edits, responding to coding questions, DRG reviews Bachelor HIM Admin RHIT Certified Coding Specialist (CCS) 5+ years of relevant work experience Excellent leadership, verbal and written communication, problem-solving and personnel management skills. Excellent computer proficiency (MS Office Word, Excel and Outlook)
What are the requirements?
Ensures timely and accurate collection of patient information for appropriate reimbursement, case mix index, DRG assignment, research, and education meeting health system goals. Assesses current HIM coding compliance activities (POA, PACT, etc.) identifying areas of high risk and evaluating risk factors in coding, documentation practices and patient safety and assists with Fiscal Intermediary, RAC activities and other Perspective Payment retrospective reviews. Reports and maintains formalized review process for outcome monitoring, coding compliance, and appropriate reimbursement and enforces policies and procedures pertaining to remote coders. Monitors coding staff assignment and scheduling to provide efficient workflow and coverage of A/R functions as well as optimal utilization of available human resources and ensures accurate and timely completion of inpatient, outpatient surgery, and outpatient coding to meet accounts receivable goals to facilitate timely billing. Ensures compliance with Medical Necessity of NCD and LCD guidelines for appropriate reimbursement monitoring failed accounts and reporting outcome of opportunities for improvement as well as compliance with APC and ASC grouping guidelines and modifier requirements for appropriate reimbursement. Assists in selection and testing of software application upgrades, equipment, services, and supplies necessary for efficient and cost-effective operation of the department. Selects, develops, counsels, evaluates, and rewards personnel to assure high level of quality, productivity, efficiency and job satisfactions in accordance to our clients policies, procedures, and service standards. Communicates timely and effectively with Director, Department Management staff, employees, Medical staff, and Ancillary departments. Assists with development and implementation of standardized coding guidelines and documentation requirements in accordance with CMS and OIG guidelines and educates and prepares in-services providing decision support overview, demonstrations, and/or presentations for consistency and proper application of coding rules and regulations. Reviews claim denials and rejections pertaining to coding identifying opportunities and developing action plan for prevention of similar denials and rejections from recurring.
What critical skills are needed for you to consider someone for this position?
Facility coding expertise, at least five years of coding management experience, vendor leadership experience, proven track record working from home. Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices Knowledgeable in DRG, MSDRGs, APC and ASC reimbursement methodologies, ICD9 CM/PCS, ICD10 CM/PCS and CPT4 coding conventions, health information systems, database management, spreadsheet design, and computer technology. RHIT or RHIA (Preferred) Physical & Mental Requirements Constantly operates a computer and other office equipment to coordinate work. Usually remains stationary for the majority of the day. Frequently communicates with clients and coworkers and must be able to share information effectively. Occasional stooping, reaching or kneeling may be necessary to reach into overhead or low cabinets. Regularly uses close visual acuity and operates computer equipment to prepare and analyze and transmit data. Works in an office environment Epic, Meditech, 3M and Optum experience is preferred.
What other skills/experience would be helpful to have?
Occasional travel to client site could occur.
How much should I expect to travel?
Employees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for reimbursement.
Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!
Associated topics: coordinator, director, lead, luxury, management, manager ii, office manager, representative, resident, supervisor