Director of Coding

Remote: applicants must reside within the Unity Point Health footprint of Iowa, Illinois, or Wisconsin. Some travel required.

Hours: Monday-Friday, standard business hours Why Unity Point Health? At Unity Point Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members. Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in. Here are just a few: Expect paid time off, parental leave, 401K matching and an employee recognition program. Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members. Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family. With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together. And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience. Find a fulfilling career and make a difference with Unity Point Health.

Responsibilities: Operational Leadership: Direct all coding activities for hospital inpatient, outpatient, and professional fee services Monitor and manage Discharged Not Final Billed (DNFB) and Candidate for Bill (CFB) targets to ensure optimized cash flow Standardize coding workflows across the health system to ensure consistency between facility and professional service reporting Work with various leaders and providers to ensure optimal revenue attainment and complete compliance with governmental and private payer requirements Responsible for working with Compliance Officers and UPH Internal Audit to ensure all aspects of Coding Compliance and Coding Audits meet the overall Unity Point Health Compliance Plan Monitors the activities of all operational components to ensure the department successfully meets its objectives Keep up to date on new statutes/regulations/policies and distribute updates Provide guidance in the coding/abstraction, production and quality assurance, auditing and training activities Trouble shoot and collaborate with other managers to problem-solve and advance the processes of the department and Unity Point Health Establishes, evaluates, and revises operating policies and procedures to ensure compliance and effectiveness of the Coding Department utilizing best practices Establishes effective mechanisms of communication with staff, providers, payers, and Unity Point Health leadership Demonstrate fiscal management of the Coding Department through comprehensive budgetary planning, variance analysis and justification while regularly monitoring financial performance and productivity Monitor and implement compliant and consistent coding practices Maintain compliance with Medicare, Medicaid, and other payer coding guidelines Lead, mentor and evaluate internal team of coding managers and staff Vendor & Relationship Management: Develop and maintain strong, collaborative relationships with outsource vendors to ensure alignment with Unity Point Health’s values, standards and operational goals Act as an extension of Unity Point Health by representing the organization’s interests an ensuring vendor partners are integrated into key processes and initiatives Establish and hardwire clear communication channels between internal teams and external vendors to facilitate timely information sharing and issue resolution Oversee the management of service level agreements (SLAs), ensuring performance metrics are clearly defined, tracked and consistently met or exceeded Compliance & Quality Assurance: Collaborate with the Coding Quality department to ensure internal and vendor compliance with CMS, OIG, and HIPAA regulations Ensure accurate assignment of ICD-10-CM/PCS, CPT, and HCPCS codes, as well as MS-DRG and APR-DRG validation Collaborate with the Clinical Documentation Improvement (CDI) team to bridge gaps between documentation and coding Qualifications

Required: Bachelor's Degree in Health Information Management

Preferred: Master's Degree in Health Information Management, Healthcare Administration, or Business Administration

Required: 3-5 years direct experience with hospital coding, reimbursement methodologies and leadership experience

Required: 7-10 years of experience in managing effective coding operations

Required: RHIA, RHIT, CCS, CCS-P, CPC or equivalent coding credentialed Knowledge, Skills, & Abilities: Thorough knowledge regarding MS-DRG’s, APC’s, ICD-10, CPT, HCPCS coding principals, coding all patient types and official coding guidelines Comprehensive knowledge of billing coding requirements Strong analytical, communication, and executive reporting skill Knowledge of compliance rules and regulations Knowledge of quality metrics and commitment to enforcement of standards Ability to work independently in a fast-paced environment#System 123