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Sr. Manager Coding Job
Date: May 21, 2012
Location: CLEVELAND, OH, US
SR MANAGER REVENUE CYCLE MANAGEMENT
Reference Title
HR Use Only: Sr. Manager Coding
Hospital: Cleveland Clinic Main Campus & Family Health Centers
Facility: CLEVELAND CLINIC FOUNDATION (MAIN CAMPUS)
Department: HDS HIM SERVICES
Job Code: T34065
Pay Grade: 17
Schedule: Full Time
Shift: Days
Hours: 8-430
Job Details: - Masters Degree Preferred
Sr Manager Coding
Reporting to the Director, this key role will provide decision support, organizational planning and operational leadership toward revenue support.
Incumbent will participate in the application of relevant systems and software applications. Incumbent will provide operational support/assistance to the Director, toward accurate and timely resolution of RCM processes and/or patient revenue generated as a result of effective and efficient HIM/CDI/Coding processes. Provides management supervision and operational direction to the efforts of assigned Revenue Cycle Management department(s). Oversees other professionals and other subordinate supervisors. Specific leadership responsibilities in the relevant software applications. Leadership and Direction will provide World Class levels of service for revenue cycle management processes, leading toward superior levels of patient satisfaction. In participation with the Director; accountable for operation of the department to include: budget preparation, salary administration, equipment purchases and establishment of annual goals and objectives. Communicates Cleveland Clinic performance expectations of Patients First while assisting department operations supporting corporate goals for revenue cycle management. Ensures consistent implementation of Cleveland Clinic corporate financial and Revenue Cycle Management policies and procedures. Participates in oversight of operations and system upgrades, integrity, and/or conversion. Ensures compliance with all federal, state, and local regulations governing rendered patient services and reimbursement Ensures required communication to various CCHS and hospital leadership, clinical practices, Administrators and Divisional chairmen. Ability to stay abreast of regulatory changes that impact coding, reimbursement, documentation and the revenue cycle, and perform gap analysis and other process improvements as indicated. Implements departmental policies to ensure compliance with CMS, HIPAA, Office of Inspector General and other governmental and regulatory agencies. Serves as a consultant to various departments and providers regarding issues of coding, reimbursement and documentation improvement.Other duties as assigned.
Bachelor's Degree in Business Administration, Accounting, Finance, HIM, RN or other applicable field of study required; a Master's degree is preferred. (A total of eleven years of successful Revenue Cycle Management experience, with four or more years in a management role of coding, compliance and education and reimbursement/revenue cycle management experience may offset the degree requirement.) Advanced knowledge, and experience in the field of ICD-9-CM or CPT-4 coding guidelines and regulatory compliance, reimbursement methodologies, coding quality evaluation and monitoring, teaching methods and ability to training coding staff, and supervisory technique. Ability to read electronic and paper medical records, interpret clinical data and abstract required information. Demonstrated strong organization, facilitation, communication, and presentation skills. Along with a demonstrated understanding of automated processes, electronic data interchange and associated operational processes is considered a highly desired advantage.
RHIA or RHIT or RN with CCS preferred for Coding area.
Minimum seven years of experience in a hospital or multi-hospital system in a RCM area that includes management experience.
Category: Managerial/Professional/Physician
Reference Title
HR Use Only: Sr. Manager Coding
Hospital: Cleveland Clinic Main Campus & Family Health Centers
Facility: CLEVELAND CLINIC FOUNDATION (MAIN CAMPUS)
Department: HDS HIM SERVICES
Job Code: T34065
Pay Grade: 17
Schedule: Full Time
Shift: Days
Hours: 8-430
Job Details: - Masters Degree Preferred
Sr Manager Coding
Reporting to the Director, this key role will provide decision support, organizational planning and operational leadership toward revenue support.
Incumbent will participate in the application of relevant systems and software applications. Incumbent will provide operational support/assistance to the Director, toward accurate and timely resolution of RCM processes and/or patient revenue generated as a result of effective and efficient HIM/CDI/Coding processes. Provides management supervision and operational direction to the efforts of assigned Revenue Cycle Management department(s). Oversees other professionals and other subordinate supervisors. Specific leadership responsibilities in the relevant software applications. Leadership and Direction will provide World Class levels of service for revenue cycle management processes, leading toward superior levels of patient satisfaction. In participation with the Director; accountable for operation of the department to include: budget preparation, salary administration, equipment purchases and establishment of annual goals and objectives. Communicates Cleveland Clinic performance expectations of Patients First while assisting department operations supporting corporate goals for revenue cycle management. Ensures consistent implementation of Cleveland Clinic corporate financial and Revenue Cycle Management policies and procedures. Participates in oversight of operations and system upgrades, integrity, and/or conversion. Ensures compliance with all federal, state, and local regulations governing rendered patient services and reimbursement Ensures required communication to various CCHS and hospital leadership, clinical practices, Administrators and Divisional chairmen. Ability to stay abreast of regulatory changes that impact coding, reimbursement, documentation and the revenue cycle, and perform gap analysis and other process improvements as indicated. Implements departmental policies to ensure compliance with CMS, HIPAA, Office of Inspector General and other governmental and regulatory agencies. Serves as a consultant to various departments and providers regarding issues of coding, reimbursement and documentation improvement.Other duties as assigned.
Bachelor's Degree in Business Administration, Accounting, Finance, HIM, RN or other applicable field of study required; a Master's degree is preferred. (A total of eleven years of successful Revenue Cycle Management experience, with four or more years in a management role of coding, compliance and education and reimbursement/revenue cycle management experience may offset the degree requirement.) Advanced knowledge, and experience in the field of ICD-9-CM or CPT-4 coding guidelines and regulatory compliance, reimbursement methodologies, coding quality evaluation and monitoring, teaching methods and ability to training coding staff, and supervisory technique. Ability to read electronic and paper medical records, interpret clinical data and abstract required information. Demonstrated strong organization, facilitation, communication, and presentation skills. Along with a demonstrated understanding of automated processes, electronic data interchange and associated operational processes is considered a highly desired advantage.
RHIA or RHIT or RN with CCS preferred for Coding area.
Minimum seven years of experience in a hospital or multi-hospital system in a RCM area that includes management experience.
Category: Managerial/Professional/Physician
Nearest Major Market: Cleveland
Job Segments: Compliance, Corporate Finance, Finance, Healthcare, Inspector, Law, Legal, Management, Manager, Medical Coding, Quality
