Provider Contracting Director jobs in New Britain, CT

Job Detail

Job Title:University Director - Provider Documentation & Education Assurance

Department:UMG-Administration

Location:Farmington

FTE%:1

Shift1st

Search #:2023-1217

Closing Date:05/31/2023

Recruiter:Perry, Sarah

Additional Links:

This position is Benefit eligible; click here for an overview of available benefits.

This position is covered by the Managerial Handbook; click here to review the current handbook.

Excellence, Teamwork, Leadership and Innovation. These values define UConn Health. We are looking for team members that share these same values. Our top-rated organization is looking to hire a Director of Provider Documentation and Education Assurance within the UConn Medical Group (“UMG”) Administration. This is a full-time position located in Farmington, CT.  

PURPOSE OF CLASS:

At UConn Health, this position is responsible for providing operational oversight and leadership for the Provider Documentation and Education Assurance Program and serving as an advisor to leadership on matters related to professional services coding, charge capture and impact on revenue cycle.

 

SUPERVISION RECEIVED:

Receives general direction from the Assistant Vice President of Revenue Integrity - UMG Administration.

 

SUPERVISION EXERCISED:

Directs the staff of Provider Documentation and Education Assurance Program.

 

EXAMPLES OF DUTIES: 

Oversees all functions of the Provider Documentation and Education Assurance program;

Oversees and reviews the work of staff; provides staff training and assistance; conducts performance evaluations; responsible for hiring, discipline and termination of staff;

Provides leadership and direction to staff in managing their respective areas of oversight associated with documentation, coding and billing of services performed by providers;

Responsible for regulatory reporting in compliance with State and Federal Regulations for professional services;

Works closely with providers and others, providing guidance and training to ensure documentation and coding practices meet national coding and compliance guidelines; develops and implements coding policies and procedures;

Acts as program liaison, representing UMG and JDH Administration by providing expertise in health information documentation, data integrity and quality;

Collaborates with department chairs, finance and UMG and JDH Leadership to ensure appropriate clinical documentation for effective billing processes;

Performs benchmark tracking of provider documentation and coding accuracy;

Analyzes clinical and financial data for trends and opportunities for improvement of documentation integrity for professional services;

Responsible for integrity and management of Epic as it relates to documentation, coding and revenue cycle for UMG and JDH;

Leads special projects;

Performs other duties as assigned.

 

MINIMUM QUALIFICATIONS REQUIRED

KNOWLEDGE, SKILL AND ABILITY:

Considerable knowledge of and ability to apply management principles and techniques

Considerable knowledge of relevant State and Federal laws, statues and regulations as it relates to documentation, coding and billing

Considerable knowledge of professional coding and compliance

Considerable skills in developing and implementing educational programs to meet the needs of a variety of staff categories

Effective presentation skills

Considerable interpersonal skills

Considerable oral and written communication skills

Strong project management, organizational and analytical skills

Strong investigational and research skills

Teaching ability

Administrative and people management abilities

Computer expertise

 EXPERIENCE AND TRAINING:

General Experience:

Bachelor's Degree in Health Information Management or related discipline; or, a combination of extensive relevant work experience, education and training in the management of professional billing, coding, charge capture and documentation which provides the skills and experience necessary to competently perform the duties; and

Ten (10) years of experience CPT and ICD coding; and

At least (three) 3 years of experience working in a supervisory / management capacity

 SPECIAL REQUIREMENT:

Must possess and maintain certification as a Certified Professional Coder (CPC) or a Certified Coding Specialist – Physician-based (CCS-P)

 PREFERRED QUALIFICATIONS:

Epic (EHR) experience and knowledge

 SCHEDULE: 40-hour work week. Monday through Friday, 8:00 a.m. to 5:00 p.m.; 60-minute unpaid meal break.  

Why UConn Health

UConn Health is a vibrant, integrated academic medical center that is entering an era of unprecedented growth in all three areas of its mission: academics, research, and clinical care. A commitment to human health and well-being has been of utmost importance to UConn Health since the founding of the University of Connecticut schools of Medicine and Dental Medicine in 1961. Based on a strong foundation of groundbreaking research, first-rate education, and quality clinical care, we have expanded our medical missions over the decades. In just over 50 years, UConn Health has evolved to encompass more research endeavors, to provide more ways to access our superior care, and to innovate both practical medicine and our methods of educating the practitioners of tomorrow. 

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