Manager Coding, CVL/IR

Description

Providence St. Joseph Health is calling a Manager Coding, CVL/IR to work remotely within our footprint states: AK, CA, MT, OR, TX and/or WA.

The Manager Coding, CVL.IR is responsible for developing, operationalizing, and monitoring a centralized coding team and it's processes in support of the Providence Health System (including affiliates) CVL/IR coding team leading to the compliant, and timely coding of patient encounters for use in claim submission, and regulatory, quality, and population health reporting to support the delivery of safe and effective patient care.

This leader, in collaboration with the Director, Specialty Coding and Charge Capture, manages the planning and operational direction of coding support for the system. This leader, in collaboration with direct-report managers, is responsible for the coordination and administration of DNFC follow-up, KPI reporting and dashboards, application maintenance, and workflow optimization functions for the CVL/IR Coding team ensuring organizational performance is in alignment with the short term and long-term coding goals of the Providence health system.

Responsibilities:

• Provides management and oversight of coding staff.
• Provides management and oversight of the development of standardized policies, procedures, and practices related to the coding of CVL/IR services across all Regions.
• Designs and delivers methods to measure and communicate KPIs and other metrics for the CVL/IR coding function to include routine reporting, ad hoc reporting and dashboards
• Designs and delivers methods of follow-up, expedite, and escalate account level issues preventing coding from being completed
• Designs and delivers workflow optimizations to increase accuracy and/or productivity of the coding team.
• Communicates ideas or positions in a persuasive manner that builds support, agreement, or commitment
• Establishes strong relationships with external stakeholders such as CFOs, Providers, Compliance, Revenue Integrity, Payer-yield, Information Services, and other departments within the organization.

Required qualification:

• Bachelor's Degree in Health Information Management/Coding/Healthcare Administration
• 3 years Experience in medical coding and auditing with thorough knowledge of CPT,ICD-10, and HCC coding principles.
• 7 years Extensive background in all aspects of coding operations, data management and reporting, coding software applications.
• Required upon hire: National Certification from American Academy of Professional Coders Or
• Required upon hire: National Certified Coding Associate - American Health Information Management Association Or
• Required upon hire: National Certified Coding Specialist - American Health Information Management Association Or
• Required upon hire: National Certified Coding Specialist - Physician - American Health Information Management Association Or
• Required upon hire: National Certified Documentation Improvement Practitioner - American Health Information Management Association Or
• Required upon hire: National Certified Health Data Analyst - American Health Information Management Association Or
• Required upon hire: National Registered Health Information Administrator - American Health Information Management Association Or
• Required upon hire: National Registered Health Information Technician - American Health Information Management Association

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

About the Team

Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment.

We are committed to cultural diversity and equal employment for all individuals. It is our policy to recruit, hire, promote, compensate, transfer, train, retain, terminate, and make all other employment-related decisions without regard to race, color, religious creed (including religious dress and grooming practices), national origin (including certain language use restrictions), ancestry, disability (mental and physical including HIV and AIDS), medical condition (including cancer and genetic characteristics), genetic information, marital status, age, sex (which includes pregnancy, childbirth, breastfeeding and related medical conditions), gender, gender identity, gender expression, sexual orientation, genetic information, and military and veteran status or any other applicable legally protected status. We will also provide reasonable accommodation to known physical or mental limitations of an otherwise qualified caregiver or applicant for employment, unless the accommodation would impose undue hardship on the operation of our business.

We are a community where all people, regardless of differences, are welcome, secure, and valued. We value respect, appreciation, collaboration, diversity, and a shared commitment to serving our communities. We expect that all workforce members in our community will act in ways which reflect a commitment to and accountability for, racial and social justice and equality in the workplace. As such, we will maintain a workplace free of discrimination and harassment based on any applicable legally protected status. We also expect that all workforce members will maintain a positive workplace free from any unacceptable conduct which creates an intimidating, hostile, or offensive work environment.

Requsition ID: 139733

Company: Providence Jobs

Job Category: Coding

Job Function: Revenue Cycle

Job Schedule: Full time

Job Shift: Day

Career Track: Leadership

Department: 4001 SS RC REV INTEGRITY

Address: CA Irvine 3345 Michelson Dr

Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.