
Senior Healthcare Executive
4 days ago
Job Summary
We are seeking a highly skilled and experienced Medical Coding Director to lead our team.
Key Responsibilities:
- Oversee daily operations of the coding unit, including workload and staffing, hiring, disciplining, performance appraisals, training, and monitoring quality of work.
- Develop long-range and short-term goals, objectives, plans, and programs, and ensure they are implemented.
- Evaluate the impact of innovations and changes in programs, policies, and procedures for the coding unit.
- Design and implement systems and methods to improve data accessibility. Identify, assess, and resolve problems. Prepare administrative reports.
- Oversee and monitor the coding compliance program. Develop and coordinate educational and training programs regarding elements of the coding compliance program, such as appropriate documentation and accurate coding.
- Ensure dissemination and communication of regulatory, policy, and guideline changes.
- Conduct and oversee coding audit efforts and coordinate monitoring of coding accuracy and documentation adequacy.
- Report non-compliance issues detected through auditing and monitoring, the nature of corrective action plans, and results of follow-up audits.
- Conduct trend analyses to identify patterns and variations in coding practices.
- Review claim denials and rejections pertaining to coding and medical necessity issues, and when necessary, implement corrective action plan to prevent similar denials and rejections from recurring.
Requirements:
- Bachelor's degree in any field (preferably life science background).
- 17+ years of experience in multispecialty coding and substantial team management experience.
- Excellent verbal and written communication skills.
- Strong managerial, leadership, analytical, interpersonal skills, and outstanding organizational skills.
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