Associate Director Outpatient Coding

About This Role

This Associate Director position plans, leads, and directs designated medical coding teams across multiple locations within Banner Health. The role is responsible for achieving business unit goals related to unbilled accounts receivable, regulatory compliance, data integrity, and reimbursement, working collaboratively with HIMS leadership.

Responsibilities

• Selects, trains, coaches, motivates, conducts performance evaluations, and directs the workflow for staff assigned to coding function
• Develops 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
• Participates in the development of the department budget and plays a key role in ensuring budgetary goals are met
• Drives organization performance improvements by refining and monitoring the coding scorecard which includes unbilled A/R, Medicare second reviews, RAC denials, first time submission acceptance, coding accuracy, clean claims percentage, and staff statistics
• Works collaboratively with other leaders to establish coding quality, productivity and best practices, monitoring goals and benchmarking against industry trends
• Participates in developing standard coding policies/procedures/guidelines to ensure compliance with federal, state, and local regulatory guidelines
• Monitors data integrity on a regular basis to ensure abstracted data elements meet requirements, performs staff training and education, and communicates with associated departments
• Keeps abreast of new medical technologies, procedures, and pending regulatory changes, proactively analyzing potential impact to the organization
• Oversees coding for a designated coding team, ensuring compliance with regulatory requirements, coding accuracy, data integrity, and appropriate reimbursement

Requirements

• Strong knowledge of business and/or healthcare
• Strong knowledge and background in coding demonstrated through progressive coding leadership experience
• Highly developed interpersonal skills and the 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

Nice to Have

• Additional related education and/or experience

Benefits

Certifications