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Date: Oct 24, 2017

Location: Atlanta, GA, US, 30329

Company: Children's Healthcare of Atlanta

Requisition #:  17196     
Name of Location:   Office Park (1455)
Work Schedule:  Day
Employment Type:  Full-Time
Work Days:  Monday - Friday 

JOB SUMMARY

Develops and implements system-wide strategies related to both hospital and physician clinical documentation and coding.  Oversees the integrity and availability of patient information for treatment, payment and operational purposes.  Provides operational leadership to manage and maintain efficient coding processes, as well as HIS operations throughout the organization.   Implements policies and procedures to ensure all information is accurately coded and abstracted, and in full compliance with applicable rules.  Provides an educational and advisory role to the clinical staff and physicians related to clinical documentation, coding and the electronic medical record.  Proactively supports the efforts that ensure delivery of safe patient care and services and promotes a safe environment at Children's Healthcare of Atlanta.

EDUCATION

  • Bachelor’s Degree in Medical Record Administration, Health Information Management, or related health care field

CERTIFICATION SUMMARY

  • Active CCS (Certified Coding Specialist) CCS-P and/or CPC certification
  • Active RHIA or RHIT

EXPERIENCE*

  • 7 years of leadership experience in hospital Health Information Management

PREFERRED QUALIFICATIONS*

  • MBA or MHA degree
  • Active CDIP certification
  • Knowledge of coding and/or auditing Physician Practices
  • Experience with a hospital clinical documentation improvement program

KNOWLEDGE SKILLS & ABILITIES*

  • Working knowledge of federal, state and local regulatory requirements related to Medical Records, Coding and Clinical Documentation
  • Demonstrated knowledge of complete and accurate clinical documentation as well as coding and billing practices in all healthcare settings and for all healthcare disciplines
  • Knowledge of the conventions, rules and guidelines for multiple classification systems
  • Ability to partner constructively with hospital service line and physician leaders, as well as other healthcare practitioners
  • Demonstrated experience in developing processes, procedures and policies that positively impact efficiencies
  • Strong management, organizational, interpersonal, communication, teaching and presentation skills
  • Strong problem solving, listening, staff development and time management skills

JOB RESPONSIBILITIES*

  1. Oversees consistency in operational processes, compliance with policies and regulations and outcomes across Health Information Systems, Hospital and Physician Coding, and Clinical Documentation Improvement.
  2. Oversees Health Information Systems, Hospital and Physician Coding, and Clinical Documentation Improvement Managers and personnel to promote steady work flow, data integrity, coding compliance, coding accuracy and consistency
  3. Ensures compliance for consistent quality coding at Children's Healthcare of Atlanta.  Monitors coding accuracy and documentation adequacy; Provides feedback and focused educational programs on the results of auditing and monitoring activities as appropriate.
  4. Coordinates with the IS&T Department regarding system updates, new applications and as required.
  5. Monitors outstanding accounts receivable levels to ensure that accounts are coded in a timely manner and that performance is within established benchmarks
  6. Prepares and updates strategic and operational plans related to coding and clinical documentation with the VP of Revenue Cycle, with input from appropriate operational and support areas.
  7. Develops and administers coding educational programs to ensure all providers, coding staff and other personnel maintain compliance with coding requirements and governmental regulations.
  8. Provides indirect leadership to all coding areas which presently do not have direct reporting or accountability-by being the coding and billing compliance resource for the hospital system.
  9. Coordinates operations issues and opportunities with Health Information Management and other areas as necessary.
  10. Conducts trend analysis to identify patterns and variations in clinical documentation, coding practices and case mix index.
  11. Assesses claim denial and rejection trends related to coding, medical necessity issues and clinical documentation, implementing corrective action plans and training as warranted.
  12. Ensures the appropriate dissemination and communication of regulation, policy and guideline changes related to coding and clinical documentation.
  13. Develops staff performance expectations, metrics, and goals and holds self and staff accountable for achieving;  establishes and communicates performance and behavioral standards and follows the appropriate disciplinary courses of action when counseling staff.
  14. Develops operating and capital budgets for area of responsibility and monitors performance against budget, developing action plans as needed to address variances.
  15. Responsible for all aspects of managing and leading a team including: interviewing, hiring, training, developing, directing work and processes, managing performance, recognizing, and rewarding employees.
  16. Mentor team members to encourage personal and professional growth.
  17. Encourage ongoing skill development by providing opportunities for continued education.

SYSTEM RESPONSIBILITIES*

Safety: Practices proper safety techniques in accordance with hospital and departmental policies and procedures. Responsible for the reporting of employee/patient/visitor injuries or accidents, or other safety issues to the supervisor and in the occurrence notification system.

 

Compliance: Monitors and ensures compliance with all regulatory requirements, organizational standards, and policies and procedures related to area of responsibility. Identifies potential risk areas within area of responsibility and supports problem resolution process. Maintains records of compliance activities and reports compliance activities to the Compliance Office.

 

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification.  They are not intended to be an exhaustive list of all job duties performed by the personnel so classified.

PHYSICAL DEMANDS*

Ability to lift up to 15 lbs independently not to exceed 50 lbs without assistance

Hearing/Speaking - Effective communication with employees, supervisors/managers and staff. Effective communications with patients and visitors, as required.

Bending/Stooping - Occasionally (activity or condition exists up to 1/3 of time)

Climbing - Occasionally (activity or condition exists up to 1/3 of time)

Lifting - Occasionally (activity or condition exists up to 1/3 of time)

Pushing/Pulling - Occasionally (activity or condition exists up to 1/3 of time)

Sitting - Constantly (activity or condition exists 2/3 or more of time)

Standing - Occasionally (activity or condition exists up to 1/3 of time)

Walking - Occasionally (activity or condition exists up to 1/3 of time)

WORKING CONDITIONS*

No potential for exposure to blood and body fluids

 

 

Location Address:  1455 Tullie Circle NE, Atlanta, GA  30329
Function:  Leadership/Management - Director/Senior Director

 

Overview:

Children’s Healthcare of Atlanta has been 100 percent dedicated to kids for more than 100 years. A not-for-profit organization, Children’s is dedicated to making kids better today and healthier tomorrow.

With 3 hospitals, 27 neighborhood locations and a total of 622 beds, Children’s is the largest healthcare provider for children in Georgia and one of the largest pediatric clinical care providers in the country. Children’s offers access to more than 60 pediatric specialties and programs and is ranked among the top children’s hospitals in the country by U.S. News & World Report.

Children’s has been ranked on Fortune magazine’s list of “100 Best Companies to Work For” for twelve consecutive years and named one of the “100 Best Companies” by Working Mother magazine. We offer a comprehensive compensation and benefit package that supports our mission, vision and values. We are proud to offer an array of programs and services to our employees that have distinguished us as a best place to work in the country.  Connect to our mission of being Dedicated to All Better and impact the lives of hundreds of thousands of patients and their families each year.


Nearest Major Market: Atlanta

Job Segment: Manager, Medical Coding, Medical, Information Systems, Patient Care, Management, Healthcare, Technology