Director, Inpatient Coding – Compliance

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The Ohio State University, Main Campus

WebsiteLinkedInAll Job Openings

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 business-unit Case Mix Index and identify coding improvement opportunities • Respond to reports identifying potential coding errors or inconsistencies • Oversee the department compliance plan, including assessment, training, policies, procedures, monitoring, and corrective action • Provide direction, supervision, and support to Medical Information Management areas and staff in the absence of the Administrative Director • Advise administration, medical, and managerial staff on coding, documentation, and compliance issues • Resolve intra-departmental and inter-departmental problems • Provide administrative direction to coding services and clinical documentation enhancement • Manage timely and accurate inpatient and outpatient diagnosis and procedure coding 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 for quality improvement • Manage the Medical Information Management compliance program and CMS regulatory compliance • 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 • 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 • 15 or more years of relevant experience preferred • Knowledge of ICD-9-CM, ICD-10-CM/PCS, and CPT-4 coding classification systems • Knowledge of CMS regulations regarding coding and data abstraction • Ability to manage coding services, clinical documentation enhancement, data quality management, and compliance programs • Ability to manage and educate coding, documentation enhancement, and data quality management staff • Final candidates must successfully complete a background check • A drug screen or physical may be required during the post-offer process

🏖️ Benefits

• Medical, dental and vision coverage, with Ohio State paying a significant portion of the cost • Paid time off, including sick and vacation time and 11 holidays • State retirement plan or an alternative retirement plan, both with generous employer contributions • Comprehensive benefits • Work and growth opportunities • Access to boundless resources that support you