Beth Israel Deaconess Medical Center Director of Coding and Validation in Boston, Massachusetts
Director of Coding and Validation
Job LocationBoston, Massachusetts
Req ID 15460BR
Department Description: Here are just some of the advantages of working for Health Information Management (HIM) department of Beth Israel Deaconess Medical Center. Our department offers flexible hours and the panache of working for a world class medical institution with an interesting and challenging case mix. Our department offers diverse professional opportunities by interacting and supporting clinical area operations, supporting ongoing training and development of our coding staff, and by our commitment to a work/life approach to business. Currently, we are seeking candidates with hospital experience. This role will consist of both onsite and remote responsibilities, with time likely split evenly between onsite and remote.Job Location: Boston, MAReq ID: 15460BRJob Summary: Responsible for providing overall leadership, management, and training of the Coding and Validation areas. The position requires ICD-10-CM/PCS subject matter expertise and education for Health Information Management and the Medical Center.
Provides oversight and direction to the Coders and Validators for the development/maintenance of coding Policy and procedure and coders' accuracy and productivity according to the Department's standards.
Audits validation reviews of inpatient and outpatient medical records pre-billing to ensure accuracy of coding, regulatory compliance, and consistent data quality.
Oversees and coordinates efforts with Quality Review Coordinator to identify and resolve billing and revenue cycle issues pertaining to HIM. Coordinates efforts with the CDI nurses to insure data quality and overall communication with the clinical staff.
Formulates, communicates, and implements short and long range goals for the Coding and Validation areas.
Participates in hospital projects and administrative processes in order to represent HIM and requirements relative to compliance, revenue cycle, quality, and clinical documentation improvement.
Has the authority to direct and support managers with functional area responsibilities. Has the direct responsibility to undertake the following employment actions: hiring, termination, corrective action and performance reviews. Direct Reports: More than 7 Indirect Reports: 21-50
Has full responsibility for planning, monitoring and managing department budget.
Bachelor's degree required. Master's degree preferred.
Certificate 1 Certified Coding Specialist required., or Certificate 2 Certified Professional Coder required.
8-10 years related work experience required and 1-3 years supervisory/management experience required
AHIMA certified ICD-10 CM/PCS trainer.
Advanced technical computer skills as required for technical support specific to functional area and related systems.
Decision Making: Ability to make decisions that are guided by precedents, policies and objectives. Regularly makes decisions and recommendations on issues affecting a department or functional area.
Problem Solving: Ability to address problems that are broad, complex and abstract, often involving Medical Center-wide issues and requiring substantial creativity, resourcefulness, staff engagement, Lean diagnostic techniques, negotiation and diplomacy to develop solutions.
Independence of Action: Ability to set goals and priorities for functional area. May make recommendations for department policies, practices and programs. Manager or Director provides broad guidance and overall direction.
Written Communications: Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers.
Oral Communications: Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families and external customers.
Knowledge: Ability to demonstrate in-depth knowledge of concepts, practices and policies with the ability to use them in complex varied situations.
Team Work: Ability to act as a team leader for small projects or work groups, creating a collaborative and respectful team environment and improving workflows. Results may impact the operations of one or more departments.
Customer Service: Ability to provide a high level of customer service and staff training to meet customer service standards and expectations for the assigned unit(s). Resolves service issues in the assigned unit(s) in a timely and respectful manner.
Physical Nature of the Job:
Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, pulling objects. Sitting most of the time, with walking and standing required only occasionally