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ChristianaCare · 1 week ago

Director, Coding and Compliance

Wilmington, DE

Full-time

Onsite

Lead/Staff, Director/Executive

$110K/yr - $176K/yr

4+ years exp

ChristianaCare is one of the largest health care providers in the Mid-Atlantic Region, recognized as one of 'America’s Best Hospitals' by U.S. News & World Report. The Director of Coding and Compliance will oversee compliance, accuracy, and timely execution of all hospital coding and abstracting activities within the Health Information Management Services department across all campuses.

Health CareHospitalNon Profit

Responsibilities

Direct daily operations of hospital coding (inpatient, outpatient, ED), abstracting, administrative, hospital coding bill edits, regulatory coding audit reviews, and denial management operations

Collaborate with Clinical Documentation Improvement (CDI) team and Physician Advisors to educate staff, improve documentation, support quality and safety initiatives, and reduce denials

Collaborate with the Medical-Dental Staff and cross-functional teams, including but not limited to Billing and Revenue Integrity, to provide education and resolve issues related to coding, documentation, and reimbursement

Prepare, update, and train coding staff on policies and procedures for Coding/Abstracting section, including internal coding guidelines

Oversee and validate the accuracy of Maryland Health Services Cost Review Commission (HSCRC) case mix reporting

Establish, track, and report on departmental KPIs aligned to productivity, quality, timeliness, and compliance benchmarks, including but not limited to: DNFC (Discharge Not Final Coded) and DNFB (Discharged Not Final Billed), coding accuracy, and productivity

Review and respond to data and report requests made by administration, physicians, and others

Utilize database queries and reports to perform various auditing functions

Represent hospital coding initiatives across departments to improve data quality, revenue integrity, and reimbursement

Oversee the usage of agencies/vendors responsible for coding support including reviewing and managing all related contracts and invoice approvals

Complete performance reviews, recommend and/or initiate employee selection, promotion, disciplinary and/or discharge actions

Perform system analysis, implementation, testing, database management, maintenance, accuracy, regulatory compliance, troubleshooting, and security of computer assisted coding (CAC) system, interfaces, databases, and reporting tools for systems using coding/abstracting data

Drive process improvements through automation and workflow redesign

Work closely with vendors and information system analysts to develop products to improve performance, efficiency and data integrity

Assist in the preparation of the capital and operating budget. Comply with approved budget. Provide variance explanations and justifications for capital budget purchases

Develop departmental goals and objectives

Develop and mentor leaders within the coding management structure to promote engagement, retention, and succession planning

Qualification

Coding certification (CCS)Health Information ManagementProject managementDatabase managementCoding/DRG experienceLeadershipCollaborationCommunication

Required

Bachelor's or associate degree in HIM or related field (RHIA or RHIT)

Coding certification as a CCS required

Three years' experience in a HIM Department on a management level, preferably in an acute care teaching hospital

Four years' Coding/DRG experience required, preferably in an acute care, teaching hospital

Experience with project management, implementing and maintaining computer systems

Benefits

Full Medical, Dental, Vision, Life Insurance, etc.

403(b) with company match

Generous paid time off

Incredible Work/Life benefits including annual membership to care.com, access to backup care services for dependents through Care@Work, retirement planning services, financial coaching, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets and much more!

Company

ChristianaCare

Glassdoor3.5

Headquartered in Wilmington, Delaware, ChristianaCare is one of the country’s most dynamic health care organizations, centered on improving health outcomes, making high-quality care more accessible and lowering health care costs.

Founded in 1888

Wilmington, Delaware, USA

10001+ employees