Job Summary:
The Medical Coding Director will plan, organize, and manage the coding unit to meet the hospitals mission. The Director will ensure that
accurate, coded data exists for optimal reimbursement by the organization, and coordinate all quality and compliance monitoring of
assignments for hospital and professional technical services.
Supervisory Responsibilities:
Oversees the daily operations of the coding unit including workload and staffing; hiring, disciplining, and performance appraisals; training; and mo
nitoring quality of work.Develops long-range and short-term goals, objectives, plans, and programs and ensures they are implemented.Assists in planning, developing, and co
ntrolling the budget, including staffing costs, capital equipment, and operations of the coding unit.
Duties/Responsibilities:
e
valuates the impact of innovations and changes in programs, policies, and procedures for the coding unit. Designs and implements systems and methods to improve data accessibility. Identifies, assesses, and resolves problems. Prepares administrative reports.Mo
nitors and maintains acceptable accounts receivables associated with un-coded charts.Oversees and mo
nitors the coding compliance program. Develops and coordinates educatio
nal and training programs regarding elements of the coding compliance program such as appropriate docu
mentation and accurate coding to all appropriate staff including coding staff, physicians, billing staff, and ancillary departments. Ensures the appropriate dissemination and communication of regulatory, policy, and guideline changes.Co
nducts and oversees coding audit efforts and coordinates mo
nitoring of coding accuracy and docu
mentation adequacy.Reports no
ncompliance issues detected through auditing and monitoring, the nature of corrective action plans, and the results of follow-up audits to the directors of hospital and the compliance officer.Co
nducts trend analyses to identify patterns and variations in coding practices and case-mix-index. Compares coding and reimbursement profile with natio
nal and regio
nal 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 educatio
nal programs) to prevent similar denials and rejections from recurring.Interacts with a variety of people who impact the success of coding compliance program, and functions as a facilitator, liaison, and/or motivator.
Required Skills/Abilities:
Extensive knowledge of coding principles and guidelines.Extensive knowledge of hospital/technical and professio
nal services reimbursement systems.Extensive knowledge a
bout Hospital Billing and Professio
nal BillingStrong managerial, leadership, and interperso
nal skills.Excellent written and oral communication skills.Excellent analytical skills.