Dir Coding-PHYS

Description:
JOB PURPOSE:

Provides the Entity and corporate Revenue Cycle leadership with interpretation of standard operational, financial, billing and budget statistics. Establishes and ensures leading practices and operations consistent with Piedmonts corporate Revenue Cycle policies and procedures are followed in the local Entity environment. Ensures all CBO coding activities comply with clinical billing standards and government regulation with concentration on hospital inpatient procedures and physician services. Conducts coding and data quality reviews and prepares complex reports as required. Responsible for assigning, directing, monitoring and evaluating the work of subordinate staff on a regular basis. Addresses the most technically difficult coding and abstracting duties in the department. Ensures all CBO coding activities comply with clinical billing standards and government regulation with concentration on hospital inpatient procedures and physician services. Leads the coding physician education and training team for the Physician enterprises to ensure documentation and coding complies with billing standards and government regulations.
Qualifications:
MINIMUM EDUCATION REQUIRED:

Bachelors degree required.

MINIMUM EXPERIENCE REQUIRED:

Seven (7) years of coding experience in Physician billing healthcare Revenue Cycle required.

Five (5) years of experience in a healthcare leadership role.

MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:

None.

ADDITIONAL QUALIFICATIONS:

CPC (Certified Professional Coder) through AAPC (American Academy of Professional Coders), PCS

(Professional Coding Specialist) or CCS (Certified Coding Specialist) through AHIMA (American Health

Information Management Association), RHIT (Registered Health Information Technician), and/or RHIA

(Registered Health Information Administrator) current certification required.

Coding certification through a nationally recognized and accredited health information association

required.

Leader or member of a revenue cycle transformation effort where key functions were reviewed for

standardization and centralization.

Previous experience using or implementing Epic.

Masters degree preferred.

Revenue cycle leadership in a multi-hospital and/or employed physician environment in a Central

Business Office or academic healthcare setting preferred.

Progressive Revenue Cycle operations, consulting and/or project management experience.

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