Director, Hospital Coding

🕒 Outubro 30

🇺🇸 Estados Unidos – Remoto (EUA)

⏰ Tempo Integral

🔴 Especialista

👔 Diretor

🦅 Patrocina Visto H1B

Esta empresa já patrocinou vistos H1B no passado.

👻 Score fantasma 10%

O que significa: a chance de ninguém estar realmente contratando para esta vaga.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Por que essa pontuação:

• Aberta há 13 dias.
• As vagas desta empresa costumam ser preenchidas em 27 dias.
• Sem salário divulgado.

Candidatar-se

Encontrar Vagas Remotas Similares

Healthrise

SiteLinkedInTodas as Vagas

51 - 200 funcionários

🏥 Saúde

⚖️ Jurídico

📦 Logística

Healthcare • Legal • Logistics

A Healthrise é uma empresa dedicada a fornecer soluções completas de saúde, com foco em gestão de ciclo de receita, serviços de prontuário eletrônico (EHR) e consultoria estratégica. Com mais de uma década de experiência, a Healthrise auxilia sistemas de saúde em todo o país a alcançar sucesso operacional e financeiro através de estratégias personalizadas. Sua equipe de especialistas faz parceria com organizações de saúde para enfrentar desafios operacionais complexos e aumentar a eficiência, garantindo que os resultados financeiros e de atendimento ao paciente sejam otimizados.

Descrição

• Provide domestic day-to-day management of hospital and facility coding operations across assigned clients, facilities, patient types, and service areas • Oversee account inventory, work-queue prioritization and distribution, backlog prevention and recovery, hold/suspense management, and timely-filing protection • Monitor throughput, productivity, work-queue aging, coding turnaround time, Pre-AR, edits, rework, and SLA performance; investigate variance and drive corrective action • Direct coding execution for inpatient, outpatient surgery, emergency, observation, ancillary, and series accounts • Lead daily production huddles and weekly backlog, aging, productivity, staffing, coverage, and escalation reviews • Forecast demand and coordinate capacity, patient-type coverage, surge support, and phased ramp plans • Lead, develop, and manage onshore Hospital Billing Coding Leads • Partner with global delivery leadership to coordinate assignments, staffing, coverage, issue resolution, and corrective-action evidence • Serve as primary liaison to client stakeholders for operational performance, queue health, service delivery, implementation readiness, and escalations • Coordinate onboarding, offboarding, access requests, assignments, production readiness, and go-live support • Ensure adherence to coding, payer, HIPAA, regulatory, and compliance requirements • Partner with Coding Quality on audits, calibration, denial and DRG-validation trends, error validation, and corrective actions • Own operational responses to hospital coding edits and denials, including rebills and defensible coding rationale • Produce and present daily, weekly, and monthly performance dashboards and improvement plans • Partner cross-functionally with Revenue Integrity, Compliance, CDI, IT, charging, billing, and payer-facing teams • Provide subject-matter expertise for work-queue design, routing, prioritization, reporting, automation, grouper, and billing-edit changes • Identify, pilot, and quantify process improvements using CAC, NLP, automation, analytics, and other tools • Support expansion to new clients, facilities, patient types, and service lines • Maintain project documentation, issue and escalation logs, decisions, mitigation plans, and closure evidence • Travel to client or organizational sites as required and perform other duties as assigned

🎯 Requisitos

• Active hospital/facility coding credential required, such as CCS, RHIA, RHIT, CIC, or COC (AHIMA or AAPC), or equivalent • Minimum 7 years of progressive hospital or facility coding experience, including at least 3 years in coding operations leadership • Expertise in ICD-10-CM/PCS, CPT, HCPCS, POA, MS-DRG/APR-DRG, APC, NCCI edits, medical necessity, clinical validation, revenue codes, modifiers, and facility coding workflows • Experience leading multi-facility hospital coding operations across inpatient, outpatient surgery, emergency, observation, ancillary, or related patient types, including work-queue management, capacity planning, backlog recovery, and SLA/TAT delivery • Experience directly leading onshore teams and collaborating with global delivery or third-party partners on performance, remediation, escalation, and SLA accountability • Experience with hospital coding edits, denials, provider queries, CDI collaboration, charge review/correction, rebill workflows, root-cause analysis, and corrective action • Ability to analyze operational data and translate findings into actionable staffing, workflow, training, quality, and performance recommendations • Strong project management, client relationship, written communication, and executive presentation skills • Completion of regulatory and mandatory certifications as required • Willingness and ability to travel to client or organizational sites as needed, including minimum quarterly travel • Preferred: Bachelor’s or master’s degree in health information management, healthcare administration, business, or a related field • Preferred: Additional audit, CDI, compliance, or revenue-cycle credential such as CDIP, CCDS, CPMA, CPCO, CRCR, or FHFMA • Preferred: Experience with Epic Hospital Billing/Resolute work queues, reporting, charge review, coding and billing edits, and related workflow tools • Preferred: Experience supporting complex facility coding services • Preferred: Lean Six Sigma certification or structured process-improvement and root-cause workshop experience • Preferred: Experience with CAC, NLP, AI-assisted coding, analytics, automation, or related technology

🏖️ Benefícios

• Travel to client or organizational sites as required, including minimum quarterly travel • Healthrise Core Values-oriented work environment

📊 Verifique sua pontuação de currículo para esta vaga

Melhore suas chances de conseguir uma entrevista verificando sua pontuação de currículo antes de se candidatar.

Enviar Currículo