Director of Professional Services Coding - Hartford Healthcare : Job Details

Location Detail: 9 Farm Springs Rd Farmington (10566)Work where every moment matters.Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network.Hartford HealthCare's unified culture enhances access, affordability, equity and excellence. Its care-delivery system- with more than 500 locations serving 185 towns and cities- includes two tertiary-level teaching hospitals, an acute-care community teaching hospital, an acute-care hospital and trauma center, three community hospitals, a behavioral health network, a multispecialty physician group, a clinical care organization, a regional home care system, an array of senior care services, a mobile neighborhood health program and a comprehensive physical therapy and rehabilitation network. On average, Hartford HealthCare touches more than 27,000 lives every single day. The unique, system-wide Institute Model offers a unified high standard of care in crucial specialties at hospital and ambulatory sites across Connecticut offering unparalleled expertise at the most affordable cost. The institutes include: Ayer Neuroscience, Behavioral Health, Cancer, Digestive Health, Heart and Vascular, Orthopedics and Tallwood Urology & Kidney.Position Summary:The Director of Professional Services Coding will provide system wide leadership and strategic direction for all aspects of Professional Billing (PB) coding, audit/education, and revenue integrity procedures that directly impact the organizations' revenue cycle. The Director serves as a key resource for best practices in diagnostic and procedural documentation and coding for Hartford HealthCare's Medical Group, Behavioral Health Network and Emergency Physicians. The Director ensures accurate and efficient documentation, coding and charge capture processes, with a focus on improving physician onboarding education, coding accuracy, and compliance.Key Accountabilities:Plans and organizes department operations, sets priorities, and establishes functional standards to ensure high-quality service delivery and exceptional customer/patient satisfactionDrives department service standards and activities to positively impact patient/customer-based satisfaction scores through role modeling and fostering accountability. Serves and actively participates on various entity committees as a departmental representativePrepares, reviews and manages department operational budgets in accordance with organizational targets. Develop staffing plans and schedules to meet department/patient needs that reflect understanding of the importance of cost-effectivenessImplement department strategies to achieve financial target and staffing needs, developing others to do the same, through optimizing productivity, supply/resource efficiency, minimizing incidental and overtime percentage, and other areas according to department specificationsIdentifies and pursues opportunities to build strategic relationships across teams, departments, and units to align and achieve business goalsResearch, enhances, and maintains educational content related to ICD-10-CM and procedural coding, including system awareness, documentation requirements, coding, billing practices, and other improvement strategiesOversees vendor relationships to ensure timely and accurate service provisionCollaborates with Information Technology departments (ITS) to facilitate updates to existing coding technologies and continually evaluates additional solutions to improve coding accuracy and clinical documentation management.Provides mentorship and development opportunities for staff while achieving or exceeding department turnover threshold goalsProvides fair, consistent leadership and clear communication to maintain a competent, engaged, and high performing team. Facilitates and promotes effective team dynamics and team building strategies within and across departments. Leads and participates in process improvements as neededCoordinates an audit workplan that compliments the Business Practices audit workplan, reducing duplication of efforts and facilitating ongoing education and collaboration with other departments to achieve successful reviewsQualificationsBachelor's degree in health information management or a related healthcare field is requiredFive plus years of experience in progressive coding leadership in a large multi-specialty physician practice or health system medical practice is requiredAmerican Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) certification requiredKnowledge of ICD 10 Diagnostic and CPT coding regulations and guidelines and risk adjustment codingExtensive knowledge of state, federal and Medicare regulations related to codingKnowledge of the revenue cycle for the purpose of identifying issues, proposing and communicating corrective action/recommendationsKnowledge of third-party and insurance company operating procedures, regulations and billing requirements, and government reimbursement programsValues that foster teamwork, empower people, and exemplify the sharing of knowledge and informationUnderstanding, appreciation and embodiment of leadership through organizational ambiguity to achieve agreed upon objectivesOutstanding written and verbal communication skillsDemonstrated strategic leadership and teamwork, change managementAbility to influence others for positive and productive outcomesDemonstrated professionalism in interacting with colleagues, business partners, and individuals outside the organizationWe take great care of careers.With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment.