Manager Enterprise Coding - WVU : Job Details

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Manager Enterprise Coding

Apply locations Remote time type Full time posted on Posted 3 Days Ago job requisition id JR25-06214

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This position is responsible for promoting financial viability by effectively managing all aspects of the enterprise organizations coding department. This position works in close partnership with various members of the organizations leadership staff and is central in creating a comprehensive and seamless coding process throughout WVU Medicine.

As a member of the coding leadership team this position requires participation in operations, strategic planning, physician relations, finance, resource allocation and/or contracting as appropriate. This position provides enterprise departmental direction relative to all aspects/activities that ensure the attainment of the goals of the coding department, which ultimately assist WVU Medicine in achieving favorable hospital/clinics operating results.

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

Bachelor's degree in Healthcare Management, Business, Finance or Accounting AND Five (5) years of in-depth experience within healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing either from a consulting perspective or as an employee/manager OR

Associate's Degree in Health Information Technology AND Seven (7) years of in-depth experience within healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing either from a consulting perspective or as an employee/manager OR

In Lieu of Bachelor or Associate's Degree, Nine (9) years of experience of in-depth experience within healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing either from a consulting perspective or as an employee/manager.

PREFERRED QUALIFICATIONS:

Master degree in Finance, Business Administration, Healthcare Administration or related field preferred.

Coding certification via AHIMA or AAPC or strongly preferred.

EXPERIENCE:

Seven (7) years of in-depth experience within healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing either from a consulting perspective or as an employee/manager.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

Directs the staff and operations of the coding department. Ensures optimal performance through effective employee selection, training and development and performance management.

Holds staff accountable for achieving plans and performance targets. Works with staff to identify and resolve the most complex issues and problems impacting the department.

Develops a high-performing team that provides superior project management skills and supports the overall coding department to drive and improved financial performance in accordance with state and federal guidelines and standards.

Maintains strong understanding of coding metrics, leadership skills, project management, and leads the team in building plans to support operational departments to achieve optimal practice performance through strong analytical capabilities, process improvement identification, and technology enhancements.

Leads the coding departments strategic plan objectives and operational goal setting and execution through departmental leadership.

Design, implement, and ongoing monitoring of all relevant key performance indicators to ensure that cash flow is maximized throughout the revenue cycle.

Continuously evaluates the effectiveness and efficiency of operations and implements or proposes optimization or transformation efforts.

Develops and maintains strong relationships with clients/providers. Effectively manages relationships and business processes at all clinics/physician offices and hospitals.

Develops, implements and effectively manages policies, processes and procedures for the coding department that result in maintaining coding charge lag, productivity, and coding quality at or above goal levels.

Provides regular revenue management reports to clients, providers, and management.

Manages operational expenses in accordance with the budget.

Works with IT to implement system-wide programs and information systems.

Address any operating issues that are hindering the maximization of cash flow.

Works collaboratively with coding department leadership to meet strategic goals.

Arranges for billing/coding audits as required and appropriate with contracted compliance company.

Continually ensures high ethical standards, and promotes and leads coding transparency, and a commitment to client service excellence.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Prolonged periods of sitting and standing.

Visual strain may be encountered in viewing of computer screens and written material.

Travel is required.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

Standard Office Environment.

SKILLS AND ABILITIES:

Has excellent analytic and problem-solving skills.

Ability to investigate and resolves complex problems and coordinates efforts.

Ability to identify key quarterly goals and execute against them.

Ability to communicate ideas and data both verbally and written.

Ability to take major strategic objectives and break them down into meaningful action steps.

Additional Job Description:

Scheduled Weekly Hours: 40

Shift:

Exempt/Non-Exempt: United States of America (Exempt)

Company: SYSTEM West Virginia University Health System

Cost Center: 539 SYSTEM HIM Provider Based Coding Analysis

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