Director, Inpatient Coding – Compliance

This is a fully remote position, open to applicants in United States.

📋 Description

• Ensure the collection of high-quality information and reporting systems for medical information management services, which includes coding, data quality management, and compliance.

• Oversee departmental staff, programs, policies, and activities related to coding services, data quality management, clinical documentation enhancement, and compliance in Medical Information Management.

• Strategically plan, organize, and manage medical record coding services, ensuring coding quality, billing accuracy, and adherence to compliance standards.

• Analyze performance in coding and medical record documentation and provide actionable recommendations.

• Evaluate the effectiveness of the data quality program and suggest enhancements.

• Track the Case Mix Index of the business unit and pinpoint opportunities for coding improvements.

• Address reports that highlight potential coding errors or discrepancies.

• Supervise the departmental compliance plan, which includes assessment, training, policies, procedures, monitoring, and corrective measures.

• Offer guidance, supervision, and support to Medical Information Management areas and their staff in the absence of the Administrative Director.

• Counsel administration, medical, and managerial personnel on coding, documentation, and compliance matters.

• Resolve issues arising within and between departments.

• Provide administrative leadership for coding services and clinical documentation enhancement.

• Oversee timely and precise inpatient and outpatient diagnosis and procedure coding using ICD-9-CM, ICD-10-CM/PCS, and CPT-4.

• Manage the abstraction of billing data elements, such as admission type and source, discharge disposition, and attending physician.

• Ensure coding quality, accuracy, and timeliness as part of quality improvement efforts.

• Administer the Medical Information Management compliance program and ensure compliance with CMS regulations.

• Benchmark program outcomes against peer organizations.

• Provide training on coding, compliance, and documentation requirements.

• Direct ongoing education for staff involved in coding, documentation enhancement, and data quality management.

• Maintain the department's compliance plan and track performance against it.

• Retrieve authorized patient- or physician-specific information from abstracting systems, data marts, and the information warehouse.

• Advise stakeholders in Case Management, Access and Revenue Management, Business Planning, and Information Warehouse.

• Assume departmental responsibilities in the absence of the Administrative Director.

⛳️ Requirements

• Bachelor's Degree in Health Information Administration or an equivalent field.

• Credentialed as a Registered Health Information Administrator by the American Health Information Management Association.

• A minimum of 10 years of relevant experience is required.

• Preferably, 15 or more years of relevant experience.

• Proficient in ICD-9-CM, ICD-10-CM/PCS, and CPT-4 coding classification systems.

• Familiar with CMS regulations related to coding and data abstraction.

• Capable of managing coding services, clinical documentation enhancement, data quality management, and compliance programs.

• Skilled in managing and training coding, documentation enhancement, and data quality management staff.

• Final candidates must successfully pass a background check.

• A drug screening or physical examination may be required during the post-offer process.

🏝️ Benefits

• Medical, dental, and vision coverage, with significant contributions from Ohio State.

• Paid time off, including sick and vacation days as well as 11 holidays.

• State retirement plan or an alternative retirement plan, both offering generous employer contributions.

• Comprehensive benefits package.

• Opportunities for professional growth and development.

• Access to extensive resources that support your success.