Sr Director, Coding (Remote)

Senior Director, Coding

Remote

AMSURG is a nationally recognized leader in the strategic and operational management of ambulatory surgery centers with medical specialties ranging from gastroenterology to ophthalmology and orthopedics. With more than 250 surgery centers across the U.S., we partner with physicians and health systems to deliver the highest standards of patient care and quality.  For more information, please access our website: https://www.amsurg.com/.

Through AMSURG, our clinician-led organization is changing the face of healthcare by delivering high-quality care that puts the patient first. 

Benefits:

At AMSURG, we offer benefits at the speed of your life. Our wide range of health and welfare benefits allow you to choose the right coverage for you and your family. Qualifying employees are eligible to enroll on the 1^st of the month, following 30 days of employment. AMSURG offers a variety of health and welfare benefit options to help protect your health and promote your wellbeing. Benefits offered include but are not limited to: Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs, and a matching 401(K) Plan. 

Paid Time Off:

AMSURG offers paid time off, 9 observed holidays, and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position and can earn a minimum of 20 days and up to 25 days per calendar year. 

POSITION SUMMARY:

The Senior Director, Coding is responsible for the oversight of the Medical Coding staff that performs the analysis of medical records and applies the appropriate CPT, ICD-10 and modifiers to patient medical records submitted to the Revenue Cycle Management Department for processing.

If you are an expert in strategy, transformation, and optimization of coding solutions you’re going to love this job!

Work Schedule: This is a remote position, allowing the Senior Director, Coding to be based anywhere in the country; must be willing to work an Eastern Time Zone schedule.

ESSENTIAL RESPONSIBILITIES:

• Management oversight and supervision of all coding personnel including work allocation, production expectations, and problem resolution and quality measures.
• Active offshore vendor optimization management. Includes development of vendor scorecards, ongoing monitoring, evaluation of competing vendors.
• Identify opportunities and vendors capable of providing computer assisted coding for applicable service lines and procedures.
• Optimize quality scores, oversight, and training of both onshore and offshore teams.
• Develop and establish policies and objectives consistent with those of the organization to ensure efficient departmental operations. Identify system-wide applicability and extend across CBO and non-CBO RCM models.
• Consult and seek guidance and direction from the Corporate Compliance Department and Revenue Integrity, as necessary.
• Oversight of quality control audits, coding function studies, and other aspects of the billing process. Identify and correct problems based on the coding department’s internal quality audit function, external regulatory impact, and other issues as identified by senior management or facility partners.
• Proactively obtain and maintain working knowledge of reimbursement guidelines in all states where services are provided and where reimbursement is submitted.
• Work collaboratively with all corporate departments to ensure operational functions are aligned with the organization’s strategic goals.
• Provide efficiency improvement recommendations generated by technology or workflow changes.
• Work with department management and other staff to ensure effective and appropriate goals, incentives, and supervision are in place.
• Coach management and staff to ensure effective performance is maintained based on departmental goals and objectives.
• Collaborate with managers to identify and prioritize learning needs of department staff, recommending training and development solutions.
• Establish communication mechanism for providers in order to deliver relevant continuous education, feedback on documentation performance, and alignment with guidelines and recommendations.
• Develop relevant training programs for the continuous development of staff and vendor partners.
• Conduct regular meetings with the team to ensure the implementation of Revenue Cycle Coding and Billing plans, and that programs and projects strictly adhere to prescribed deadlines and schedules.
• Actively participate in self-development activities offered internally and externally to continuously improve self and stay abreast of industry changes and best practices.

RCM Management Responsibilities

• Develop, evaluate, implement, and maintain coding compliance policies and procedures to ensure standard operating procedures are being followed.
• Participate in the development and implementation of objectives, short- and long-term planning and goals, and the projects and programs that will assist in their accomplishment.
• Maintain internal controls as set forth by regulatory requirements and audit to ensure consistent compliance.
• Oversee on-shore and off-shore staff training on proper processing practices, billing data systems, and payer regulations.
• Design and develop the appropriate organization structure for the Revenue Cycle Coding team, staff, and vendors.
• Interview, hire, on-board and perform evaluations of department staff, recommending merit increases, promotions, and/or corrective actions.
• Monitor timeliness and effectiveness of department activities ensuring that posted charges, suspended claims, and coding denial percentages are within target.
• Prepare reports and statistics relating to coding trends and department performance.
• Keep the Vice President abreast of any changes in reimbursement that may affect initial billing procedures, working closely with the Vice President to continuously monitor department performance.
• Utilize continuous quality improvement processes to improve and maintain quality results.
• Ensure that revenue cycle coding and billing processes are controlled through performance metrics and standards.
• Regularly review team performance, ensuring that metrics and standards are within pre-established goals and objectives.
• Motivate employees to achieve peak productivity and performance, ensuring that production requirements are met as they relate to monthly deadlines.
• Identify trends that allow for training, development, and continuous process improvement utilizing Lean tools and principles.
• Provide projections and reports as required for budget development and management review; produce and analyze monthly reports that assist in the forecast process.
• Ensure operating expenses are within prescribed budget plan limits and fiscal guidelines.
• Maintain confidentiality of all Protected Healthcare Information as defined by HIPAA.
• Adhere to all company policies and procedures, including Information Security Policies and ensure that AMSURG remains as secure as possible.
• Other duties as assigned.

KNOWLEDGE AND SKILLS:

To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily.  The requirements listed below are representative of the knowledge, skills and/or abilities required:

• Demonstrated leadership abilities with multiple teams in a healthcare billing capacity.
• Strong written, oral, and interpersonal communication skills.
• Proven analytical skills.
• Ability to effectively prioritize and execute tasks in a high-pressure environment.
• Experience working both independently and in a team-oriented, collaborative environment.
• Strong communication skills with team, corporate office, and senior management across the enterprise.

Education and Experience:

• Bachelor's Degree from an accredited four-year College or University; an equivalent combination of education and experience will be considered.
• 8-10 years of experience in revenue cycle management.
• 5-7 years in a Director or equivalent leadership position in medical coding and billing enterprises.
• Offshore coding vendor management experience.
• Experience working with senior level management to establish a vision, optimize processes, deliver quality billing and collection services, manage cash collections, deploy technology that enhances outcomes, and ensures support for revenue cycle management.
• Experience coordinating and collaborating with Finance, Quality, and others to ensure accurate coding and that charge volumes and general ledger system mapping are provided in an accurate and consistent manner.
• Microsoft Office Suite, especially advanced Excel, PowerPoint, and Smartsheet.
• Healthcare Billing System knowledge, NextGen preferred.
• Competency with coding applications.
• Coding Certification, i.e., CPC, CPC-H, CCS, CCS-P, CEMC, CPMA or RHIT.

OTHER QUALIFICATIONS:

Must be able to handle multiple, simultaneous tasks effectively and efficiently while maintaining a professional, courteous manner. Must be detail oriented and organized. Must be able to exercise good judgment and positively influence and lead others, including handling confrontations with poise and efficiency.  Based on business need, the ability to work a flexible schedule, including some evenings and weekends. Must pass a background check and drug screen.

We are an Equal Opportunity Employer.

We do not discriminate in practices or employment opportunities on the basis of an individual's race, color, national or ethnic origin, religion, age, sex, gender, sexual orientation, marital status, veteran status, disability, or any other prohibited category set forth in federal or state regulations.

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