Director – Professional Coding

🕒 Outubro 30

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $91 - $121 / hora

⏰ Tempo Integral

🔴 Especialista

👔 Diretor

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Stanford Health Care

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 1991

🏥 Saúde

⚕️ Seguro de Saúde

💊 Farmacêutico

Healthcare • Healthcare Insurance • Pharmaceuticals

Stanford Health Care é um provedor líder de serviços de saúde afiliado à Universidade de Stanford, oferecendo uma ampla gama de serviços médicos, incluindo cuidados primários, especializados e de emergência. Conhecido por sua pesquisa de ponta e inovação na medicina, a instituição também faz parcerias com a Stanford Medicine e a Stanford School of Medicine para fornecer educação médica de alto nível e oportunidades de pesquisa. O cuidado ao paciente é aprimorado por meio das plataformas online e móveis MyHealth, que permitem fácil acesso a registros médicos, agendamento de consultas e pagamentos de contas. Stanford Health Care é dedicado a melhorar os resultados de saúde por meio de tecnologia avançada, cuidado personalizado e serviços abrangentes de saúde.

Descrição

• Oversee and provide leadership for professional billing coding, Quality, Audit, and Education functions across the enterprise • Lead professional coding strategy, governance, operational standards, KPIs, productivity standards, and quality metrics • Establish and maintain coding, documentation, and medical record policies, procedures, and standards • Lead initiatives enhancing coding performance, physician quality profiles, revenue capture, and financial outcomes • Provide executive oversight of coding quality, education, audit strategy, coder development, vendor oversight, and continuous quality monitoring • Direct the enterprise-wide professional coding audit program, including planning, methodology, sampling, execution, reporting, corrective actions, and monitoring • Provide audit education, feedback, and performance coaching to coding staff and providers • Oversee record reviews, coding validation, and quality improvement efforts • Develop dashboards and reporting tools monitoring coding accuracy, productivity, audit outcomes, error trends, provider performance, and compliance risks • Lead the Professional Coding Compliance Program and serve as liaison for payer, regulatory, and compliance audits • Advise on documentation requirements, coding regulations, reimbursement methodologies, and compliance standards • Ensure timely professional coding operations through workload management and performance monitoring • Present reports, dashboards, and business reviews to executives, physicians, and operational stakeholders • Implement process improvements optimizing coding workflows, documentation, operational efficiency, and financial performance • Collaborate with technology, EHR, and revenue cycle partners to optimize coding and audit systems • Partner with physicians, clinical leaders, compliance, revenue cycle, and operational stakeholders • Lead multidisciplinary committees and governance groups • Recruit, develop, and mentor coding leaders, auditors, and staff • Oversee staffing, organizational structure, budget planning, and resource allocation

🎯 Requisitos

• Bachelor's degree in a work-related discipline/field from an accredited college or university • 10+ years progressive leadership experience and directly related work experience required • 5+ years EPIC system user/experience including financial (billing - HB/PB) and clinical documentation (EHR) • Ability to conduct analysis and formulate conclusions • Ability to develop long-range business plans and strategies • Ability to foster effective working relationships and build consensus • Ability to mediate and resolve complex problems and issues • Ability to plan, organize, develop tactical plans and set priorities • Ability to provide leadership and influence others • Ability to solve problems and identify solutions • Knowledge of electronic Health Information Management trends, operations, and best practices • Knowledge of federal and state laws, regulations and regulatory practices affecting the medical and business practices of healthcare providers • Knowledge of local, state and federal regulatory requirements related to areas of functional responsibility • Knowledge of principles and practices of organization, administration, fiscal and personnel management • RHIA, RHIT, CCS, Non Clinical CPC and/or CCSP, or CPC certification required upon hire

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