Description

This position is incentive eligible.

Introduction

Do you want to join an organization that invests in you as Coding Quality Manager? At Parallon you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Benefits

Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.

• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.

• Free counseling services and resources for emotional, physical and financial wellbeing

• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)

• Employee Stock Purchase Plan with 10% off HCA Healthcare stock

• Family support through fertility and family building benefits with Progyny and adoption assistance.

• Referral services for child, elder and pet care, home and auto repair, event planning and more

• Consumer discounts through Abenity and Consumer Discounts

• Retirement readiness, rollover assistance services and preferred banking partnerships

• Education assistance (tuition, student loan, certification support, dependent scholarships)

• Colleague recognition program

• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

Note: Eligibility for benefits may vary by location.

You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Coding Quality Manager like you to be a part of our team.

Job Summary and Qualifications

• Provides direct managerial oversight to

• Coding Integrity Specialists (CISs) I, II, and III, CARS-I, CARS-II, CARS-III, CDI Liaisons, and Coding Leads in management of all work processes and overall work responsibilities.

• Coding Prebill Account Review Tool (CPART) in management of the coding validation process

• Coding Mentors in management of data quality and education work processes, to include quality reviews and educational classes

• Ensures complete, accurate, timely and consistent coding and DRG/code validation, while adhering to published coding guidelines and Company/HSC policy

• Actively reviews and manages data outcomes to identify root causes of coding quality issues for overall coding quality improvement

• Works in partnership across various teams to communicate production coding related issues such as workflow processes, forecasting, scheduling, quality activities, etc.

• Coaches and helps develop team members; helps resolve dysfunctional behavior within functional area(s); disciplines and counsel staff as necessary

• Proactively manages (including corresponding communications and escalation paths) significant issues in coding operations (e.g., productivity, TAT, quality), status of projects, barriers and successes

• Actively manages and monitors coding and clinical documentation improvement reconciliation operations

• Selects, evaluates, trains, and provides leadership and direction to reporting staff

• Responsible for review and improvement of process and services

• Responsible for ensuring employee work schedules sufficiently meet those requirements as established by the HSC Leadership team and through executed SLAs

• Facilitates problem solving and collaboration within functional area(s)

• Works closely with other members of the HSC Leadership Team in addressing issues related to accurate/timely coding, DRG/code validation, documentation, and unbilled management

• Works closely with Shared Services Center team members to address issues related to unbilled management, denials, medical necessity, payment compliance

• Responsible for ensuring staff compliance with documented and established workflow guidelines as it relates to adding and re-assigning accounts to work queues • Coordinates and/or performs quality reviews of all direct reports’ work

• Assists in the development of strategy, specific goals, objectives, budgets and performance standards for the coding, DRG/code validation and clinical documentation improvement operations

• Assists in identifying and implementing process improvements to decrease costs, increase accuracy and improve service for applicable stakeholders

• Coordinates and/or performs productivity monitoring and provides timely and consistent feedback to employees and Coding Director

• Coordinates and/or prepares coding and DRG/code validation benchmarking, productivity, quality, and reports for the Coding Director, the SSC Leadership, Facility Leadership, Market/Division leadership and Group leadership

• Promptly reports issues or trends to the appropriate member of the HSC Leadership team, or other appropriate party

• Maintains up-to-date knowledge of regulatory changes impacting coding requirements and ensures staff are appropriately educated

• Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current

• Ensures employee compliance with Company and HSC HIM educational requirements

• Coordinates work assignments

• Ensures safe work practices are being followed

• Coordinates training and education for all direct reports.

• Facilitates and/or participates in multi-disciplinary teams in addressing issues related to coding and clinical documentation improvement opportunities (as applicable)

• Practices and adheres to the “Code of Conduct” philosophy and “Mission and Value Statement”

• Other duties as assigned

EDUCATION :

• Associates degree in HIM/HIT required.

• Bachelor’s degree strongly preferred

EXPERIENCE

• Minimum 3 years health care management/leadership experience required.

• Minimum 7 years recent inpatient/outpatient hospital coding experience (production, auditing and or managing) required.

• Experience managing a large coding pool or coding review pool strongly preferred.

Certificate/License :

• RHIA, RHIT or CCS preferred.

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Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

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"Good people beget good people."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Coding Quality Manager opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.