University of Rochester Associate Director Coding & Charge Capture - 220600 in Rochester, New York
Associate Director Coding & Charge Capture
Medical Faculty Group
Full Time 40 hours Grade 056 URMFG United Business Office
8 AM-4:30 PM
The Associate Director for Charge Capture and Coding is responsible for working across the professional fee organization, directing all manual charge capture and coding activities and implementing recommendations for process improvement within coding operations and all impacted revenue cycle processes. This position is also responsible for the development and implementation of policies, procedures, and standards by initiating and developing systems that ensure quality as well as timeliness of submission of charges for facility-provider based billing and professional services rendered.
Functions include, but are not limited to: manual charge capture, provider documentation abstraction, coding edit resolution, coding denials, provider documentation and coding auditing and coding education. The Associate Director prepares reports, analyzes data, and presents charge capture and coding improvement opportunities to the Director of Revenue Cycle and other United Business Office leaders. The Associate Director is required to have demonstrated advanced knowledge of coding operations, including compliance requirements as well as auditing and education office operations.
The Associate Director for Charge Capture and Coding reports directly to the UBO Director of Revenue Cycle.
With general direction of the Director of Revenue Cycle and considerable latitude for initiative and judgment:
Drives revenue cycle results by effectively managing all manual charge capture and coding activities for all URMFG physician services within established guidelines and production standards.
Ensures all teams adhere to established policies and procedures. Implement and administer reporting structure of coders, and coding information feedback for MFG. Lead the efforts of the coding and charge capture teams to develop, implement, and administer a strategic plan for the coding unit.
Provide leadership including but not limited to working with the clinical departments and URMFG providers surrounding coding and charge capture. Provides leadership and operational expertise to support all coding-based initiatives across multiple functions across the CBO. Recommends improvement ideas to Director and implements approved changes and ensures that staff receive the training to ensure their understanding of quality/performance improvement initiatives.
Work with UBO management and UR Compliance leadership to ensure that the coding unit has adequate quality assurance programs and documentation standards in place. Act as a SME to support other projects related to Professional Coding as required. These include, but are not restricted to, documentation improvements, provider workflow optimization, and conversion to clinical charge capture.
Reports regularly to Director of Revenue Cycle regarding financial and operational performance. Identifies issues and uses consultative ability to develop resolution strategies. Directs implementation of operations improvement measures. Participates in annual budget preparation and exercises cost control to stay within budget; approves expenditures within defined scope of responsibility; develops action plan to address identified variances; keeps Director apprised of budgetary impact issues.
Leverage technology to improve processes. Be forward thinking with regard to the use of technology and its application to current processes. Utilize existing technologies to the fullest to ensure revenue optimization and operations are efficient (examples include code editing systems, computer-assisted coding, online coding tools, etc.)
Cultivates and maintains professional relationships with primary customers within area of responsibility including medical directors, physicians, physician groups, patients, clinic leadership, supply vendors and external entities to foster opportunities for revenue enhancement, enhanced customer service and to positively impact core clinic measures.
May perform other duties as assigned.
Bachelor's degree in Computer Sciences, Systems Analysis, Industrial Engineering, Business Administration or other quantitative field and 5 years of related experience in Industrial Engineering or Systems Analysis with at least 2 years experience in a hospital environment; or an equivalent combination of education and/or experience. Master's preferred.
Strong Knowledge of CPT, ICD-10-CM, HCPCS, CMS E/M guidelines, a thorough knowledge of the Medicare/Medicaid regulations
Professional and effective presentation, written and oral communication skills
Self-motivated and directed, with keen attention to detail
Strong interpersonal skills with a natural ability to influence and direct and facilitate diverse groups, very comfortable presenting to all levels, senior leadership, providers, and staff
2 years of experience building reports, interpreting data and developing recommendations for process improvement
Coding certificates of: CCS-P, CPC or equivalent RHIA, RHIT preferred
Flexible and adaptable, ability to work with ambiguity and in a changing/evolving environment
Continuous learner, self-guided
How To Apply
All applicants must apply online.
EOE Minorities/Females/Protected Veterans/Disabled