Director of Coding - MedReview

• Visual and auditory comprehension & function for written & verbal communication.
• Manual dexterity with ability to use computers and other office equipment necessary to perform assigned tasks.
• Ability to access various settings, negotiate architectural barriers (e.g. stairs) in office and community settings.

• This is a remote position. 
• Access to high-speed internet with secure Wi-Fi.
• A dedicated workspace with minimal interruptions to protect PHI and HIPAA information.
• Must be able to sit and use a computer keyboard for extended periods of time.

• Coding Certification required (at least one of the following is required and must be maintained as a condition of employment).
  • Registered Health Information Administrator (RHIA)
  • Registered Heath Information Technician (RHIT)
  • Certified Coding Specialist (CCS)
  • Certified Inpatient Coder (CIC)
  • Registered Nurse (RN) with at least one of the above coding certifications
• College level courses in medical terminology, anatomy, pathophysiology, pharmacology, and medical coding courses.
• 10 years of experience in MS-DRG and APR-DRG coding through acute care inpatient coding, auditing, and/or Payment Integrity DRG Validation.
• Management and leadership experience required.
• Adherence to the Official Coding and Reporting guidelines, AHA Coding Clinic determinations, and CMS and other regulatory compliance guidelines and mandates.
• Requires working knowledge of applicable industry-based standards.
• Proficiency in Outlook, Word, Excel, and other applications.
• Excellent written and verbal communication skills.
• Maintain professional credentialed status with approved continuing education programs.
• Ability to work independently and in a team setting.

• Monitor day-to-day volume of work and ensure turnaround time expectations are met.
• Assists in the development, implementation, and management of organizational strategy, initiatives, KPIs, and/or budget and performance standards; communicates organizational objectives and goals.
• Trend and analyze productivity on a regular basis and provide direction as appropriate.
• Coach and develop team members (in-house and/or outsourced) for optimal performance and develop performance improvement action plans when appropriate.
• Ensure all production and quality standards including caseload, accuracy, review time, scheduling and capacity.
• Identify and implement process improvements, quality enhancements and cost control initiatives.
• Develop and implement policy and procedure recommendations to meet the needs of MedReview. 
• Monitor and approves scheduling of staff including vacation and sick time, etc.
• Liaise with internal leaders including physicians, nurses, technical and client partners.
• Assist in developing new clinical and coding review concepts.
• Manage vendor relationships.
• Act as an internal subject matter expert.
• Other duties as assigned.

• Healthcare that fits your needs - We offer excellent medical, dental, and vision plan options that provide coverage to employees and dependents.
• 401(k) with Employer Match - Join the team and we will invest in your future
• Generous Paid Time Off - Accrued PTO starting day one, plus additional days off when you’re not feeling well, and 11 observed holidays.
• Wellness - We care about your well-being. From Commuter Benefits to FSAs we’ve got you covered.
• Learning & Development - Through continued education/mentorship on the job and our investment in LinkedIn Learning, we’re focused on your growth as a working professional.

Powered by JazzHR