Associate Director Outpatient Coding

About This Role

Lead and direct medical coding teams across multiple locations, ensuring compliance with regulatory requirements, data integrity, and achieving financial and revenue cycle goals.

Responsibilities

• Select, train, coach, motivate, conduct performance evaluations, and direct the workflow for staff assigned to coding function
• Develop goals and performance expectations for staff in targeted areas, such as unbilled accounts receivable, quality and timeliness of clinical coding assignments, data integrity and reimbursement with third party payors
• Participate in the development of the department budget and ensure budgetary goals are met on an annual basis
• Drive organization performance improvements by refining and monitoring the coding scorecard, including unbilled A/R, Medicare second reviews, RAC denials, first time submission acceptance, coding accuracy, % clean claims, and staff stats
• Work collaboratively with other leaders to establish coding quality, productivity and best practices, and monitor goals and benchmarks productivity and quality standards
• Participate in developing standard coding policies/procedures/guidelines to ensure compliance with federal, state and local regulatory guidelines
• Monitor data integrity on a regular basis to ensure abstracted data elements meet requirements, perform staff training and education, and communicate with associated departments
• Keep abreast of new medical technologies, procedures and pending regulatory changes which impact the organization, and proactively analyze potential impact to minimize adverse effects
• Oversee coding for a designated coding team and ensure compliance with regulatory requirements, coding accuracy, data integrity and/or complete and appropriate reimbursement from third party payors

Requirements

• Strong knowledge of business and/or healthcare
• 3+ years of progressive coding leadership experience
• Highly developed interpersonal skills and ability to work collaboratively
• Ability to work effectively with all common office software and coding software applications
• Thorough knowledge of computer applications and their applicability to coding

Qualifications

• Bachelor’s degree in business, health care administration or related field
• 3+ years of progressive coding leadership experience preferably within a major health care organization or health system setting

Benefits

Certifications