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Director, Inpatient Coding and Compliance

Job not on LinkedIn

🕒 August 4

🏈 Ohio – Remote

infoinfo

⏰ Full Time

🔴 Lead

🚔 Compliance

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Logo of The Ohio State University, Main Campus

The Ohio State University, Main Campus

1 - 10 employees

Founded 1870

📚 Education

Education

The Ohio State University, Main Campus is a public research university located in Columbus, Ohio. It offers a comprehensive education with a wide array of undergraduate, graduate, and professional programs. The university is engaged in numerous research initiatives and partnerships, providing opportunities for students, faculty, and industry partners to collaborate. Ohio State promotes a vibrant student life with various academic, recreational, and wellness services to support student needs. It also emphasizes community involvement and leadership development, fostering an inclusive environment on its multiple campuses across Ohio.

📋 Description

• Assure high-quality information collection and reporting systems for medical information management services, including coding, data quality management, and compliance • Manage department staff, programs, policies, and activities related to coding services, data quality management, clinical documentation enhancement, and Medical Information Management compliance • Plan, organize, and control medical record coding services, coding quality, billing accuracy, and compliance • Analyze coding and medical record documentation performance and prepare recommendations for action • Monitor the effectiveness of the data quality program and recommend improvements • Monitor Case Mix Index and identify opportunities for coding improvement • Respond to potential coding errors or inconsistencies • Oversee the department's compliance plan, including assessment, training, policies and procedures, monitoring, and corrective action • Provide direction, supervision, and support to Medical Information Management areas and staff in the absence of the Administrative Director • Manage high-quality, timely coding of diagnoses and procedures for inpatient and outpatient accounts using ICD-9-CM, ICD-10-CM/PCS, and CPT-4 • Manage abstraction of billing data elements, including admission type and source, discharge disposition, and attending physician • Monitor coding quality, accuracy, and timeliness • Manage the Medical Information Management compliance program with emphasis on patient confidentiality and accurate coding and data abstraction • Ensure compliance with CMS regulations • Benchmark program results against peer organizations • Provide education on coding, compliance, and documentation requirements • Direct continuing education for coding, documentation enhancement, and data quality management staff • Maintain the department compliance plan and monitor performance against it • Retrieve authorized patient- or physician-specific information from abstracting systems, data marts, and the information warehouse • Advise Case Management, Access and Revenue Management, Business Planning, and Information Warehouse stakeholders on coding and documentation issues • Assume departmental responsibility in the absence of the Administrative Director

🎯 Requirements

• Bachelor's Degree in Health Information Administration or equivalent • Credentialed as a Registered Health Information Administrator by the American Health Information Management Association • 10 years of relevant experience required • Final candidates are subject to successful completion of a background check • A drug screen or physical may be required during the post offer process

🏖️ Benefits

• Regular position • 40 scheduled hours per week • First shift • Remote work arrangement • Equal opportunity employment, including veterans and disability

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