Director of Professional and Outpatient Facility Coding

Company: Vanderbilt University Medical Center
Location: Salem
Posted on: September 23, 2022

Job Description:

Director of Professional and Outpatient Facility Coding - 2211052Job : Professional and ManagerialPrimary Location : Work from HomeOrganization : Coding & Charge Integrity 108497Shift: : First ShiftDescriptionJob Summary:Vanderbilt Health - Executive Search Team is conducting a national search for a Director of Professional and Outpatient Facility Coding in our Department of Finance - Revenue Cycle Services. The Director of Professional and Outpatient Facility Coding will provide overall leadership for a unit or department by developing goals, objectives, policies, and procedures; supervising, coordinating, and evaluating the activities. Primary functional areas that report to the role include Professional Services Coding and Outpatient Facility Coding. Accountable for enhancing existing practices within this area. Reports to the AVP of the department.Department Summary:The Department of Finance - Revenue Cycle Services is responsible for the management of the revenue cycle for the Vanderbilt Medical Group. This consists of credentialing and enrolling providers, coding and charge capture of professional revenue, claims processing, collections, and customer service. The group has four primary divisions: Provider Support Services, VMG Business Office, Coding Services, and Physician Billing Services.Position Shift : Remote PositionDiscover Vanderbilt University Medical Center:Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded and your abilities challenged. It is a place where your diversity of culture, thinking, learning and leading is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilts mission is to advance health and wellness through preeminent programs in patient care, education, and research.VUMC Recent AccomplishmentsBecause we are committed to providing the best in patient care, education and research, we are proud of our recent accomplishments:

• US News & World Report: #1 Adult Hospital in Tennessee and metropolitan Nashville, named to the Best Hospitals Honor Roll of the top 20 adult hospitals, 10 nationally ranked adult specialty programs, with 3 specialties rated in the top 10 nationally, Monroe Carell Jr. Childrens Hospital at Vanderbilt named as one of the Best Childrens Hospital in the nation, with 10 out of 10 pediatric specialties nationally ranked.
• Healthcares Most Wired: Among the nations 100 most-wired hospitals and health systems for its efforts in innovative medical technology.
• Beckers Hospital Review: named as one of the 100 Great Hospitals in America, in the roster of 100 Hospitals and Health Systems with Great Oncology Programs and to its list of the 100 Hospitals with Great Heart Programs.
• The Leapfrog Group: One of only 10 childrens hospitals in the to be named at Leapfrog Top Hospital.
• American Association for the Advancement of Science: The School of Medicine has 112 elected fellows
• Magnet Recognition Program: Received our third consecutive Magnet designations.
• National Academy of Medicine: 22 members, elected by their peers in recognition of outstanding achievement
• Human Rights Campaign Healthcare Equality Index: 6 th year in a row that Vanderbilt University Medical Center was a Leader in LGBTQ Healthcare Equality.Key Responsibilities:
  • Define the vision, goals, and objectives for VUMC within a fully integrated outpatient facility and professional coding department.
  • Lead standardization, development, and implementation of innovative coding solutions to improve coding quality, productivity, enhance compliance, and end-user experience
  • Lead strategic planning and annual business planning for Coding Quality Assurance, Training & Education, and Business Support to align with the overall coding operations and Revenue Management strategic goals and objectives
  • Provide overall strategic, financial, and operational leadership for coding operations and develop and monitor the budget and operational plan to achieve organizational goals and objectives
  • Develop key performance indicators (KPIs) to monitor coding quality, accuracy, and completeness performance.
  • Provide information and reports to Revenue Cycle leadership to facilitate strategic decision-making and planning
  • Lead development and implementation of policies and procedures, workflow standards, and baselines to ensure a consistent framework for a multi-region, multi-faceted health system
  • Oversee all aspects of the development and implementation of compliance, training and education, quality assurance programs, policies and procedures, and leading practices across coding operations
  • Ensure all areas of daily coding operations are updated and compliant with all applicable regulatory changes and requirements, as well as with all applicable VUMC policies and procedures in a timely and effective manner
  • Establish and actively maintain relationships with customers (internal and external) to ensure a service-oriented, high-quality operational and support environment for all coding systems and departments
  • Oversee the planning, implementation, and execution of service level agreements, budgets, and workflow processes that achieve strategic objections/business goals while meeting quality and compliance requirements
  • Responsible for gathering input to inform Coding Operations, supporting alignment and consensus across stakeholder groups.
  • Communicates and partners with Compliance, Risk Adjustment, and Revenue Management leadership to disseminate decisions and status through appropriate channels.
  • Establish and develop working relationships with internal VUMC stakeholders requiring strong/effective collaboration to achieve Coding Operations strategic and business goals
  • Foster a positive, supportive, and inclusive work environment with clear strategies, plans, and objectives for: business goal attainment, ongoing coding improvement, excellence in performance, and quality aligned with national standardsShort and Long Term Accountabilities:
    • Act as a change agent through the establishment and implementation of 3M 360 Professional Coding system
    • Work collaboratively with VUMC Revenue Cycle to ensure the organization maintains compliance with all relevant regulatory requirements impacting Outpatient facility and Professional Coding operations
    • Ability to engage, influence, and obtain buy-in from key internal/external stakeholders to drive organizational change through enterprise-wide standardization and adoption of new processes, tools, and technology
    • Ensure the organization maintains a high level of integrity through in-depth understanding and adoption of regulatory standards applicable to Facility and Professional Services coding operations
    • Ensure appropriate internal controls are in place and adhered to in all areas of responsibility
    • Direct ongoing programs for staff development, including hiring and training for leadership positions and directing the training and development of all staff in the department.
    • Ensure strict patient and organizational confidentiality
    • Develop and manage departmental budgets for staffing, operations, and capital resourcesCore Accountabilities:
      • Organizational Impact: Implements strategies for a sub-function directly impacting the function results.
      • Problem Solving/ Complexity of work: Resolves highly complex business issues that are often unprecedented that have an immediate impact on own sub-function or entity and broader implications to the organization.
      • The breadth of Knowledge: Applies expertise within professional/technical areas and uses advanced business knowledge to develop objectives.
      • Team Interaction: Leads a sub-function serving the organization at large or across one or more entity(s).Basic QualificationsBachelor's Degree (or equivalent experience) and 8 years experiencePreferred Qualifications:
        • Epic CAC (3M / Optum) Implementation
        • AAPC (CPC), and/or AHIMA (CCS, CCS-P, RHIT, or RHIA) certification requiredReq ID: 2211052Vanderbilt University Medical Center is committed to principles of equal opportunity and affirmative action.

Keywords: Vanderbilt University Medical Center, Salem , Director of Professional and Outpatient Facility Coding, Executive , Salem, Oregon