What are the responsibilities and job description for the Manager Coding Quality and Support position at Fairview Health Services?
Responsibilities Job Description
The Manager of Quality & Education is responsible for the leadership, direction, guidance and management of one or more coding and documentation team functions to ensure that operational goals and objectives are met. This includes Coding/CDI Quality, Provider Support, and Professional Revenue Integrity across M Health Fairview. Documentation is crucial to patient safety, optimal patient outcomes and success in research studies. Physician documentation, related diagnosis, and procedure documentation is integral to accurate coding which is then used to determine hospital reimbursement, risk-adjust quality outcomes, patient severity of illness, and cost of care metrics. This manager maintains a comprehensive knowledge of the EHR, assists IT with maintaining system applications, is knowledgeable with CDI as well as IP, OP and PB coding practices, assists with coordinating meetings with other departments, and completes metrics reporting as required.
Directs Operations
- Manages and acts as a resource to the personnel assigned as direct reports and assures appropriate selection, hiring, and training of qualified employees to perform job responsibilities
- Monitors and prioritizes work based on provider needs, coding needs and trends identified
- Designs workflows to assure efficient and effective processes
- Monitors and prioritizes assignments to assure timely, productive, and efficient use of resources
- Develops and implements key productivity and quality standards for department processes
- Provides technical expertise, answering team questions, troubleshooting issues, and providing input on improvement projects and product selection
- Identifies, evaluates, coordinates and implements tactics to achieve organizational objectives, improve operational efficiencies, and increase positive cash flow
- Provides oversight to assure compliance with established laws, regulations, practices, and procedures.
- Fosters a culture of improvement, efficiency and innovative thinking
- Maintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures and standards.
- Fosters a culture of improvement, efficiency and innovative thinking
- Performs other duties as assigned
Develops Strong Work Relationships
- Leads or participates in in work with peers and other departments to create an excellent understanding of workflows and interdependencies, and to identify and implement strategies to improve revenue cycle performance
- Works collaboratively with vendors to assure performance expectations are being met
- Represent Revenue Cycle and Fairview Health Services at industry forums to network and identify process improvement opportunities
- Serves as a resource on revenue cycle issues and regulatory expectations
- Creates strong collaborative partnerships and influence others across teams, groups and business boundaries to achieve real world problem solving
Required Qualifications
Bachelor’s Degree in Business Administration, Health Care Administration or related area PLUS 2 years of experience in health care reimbursement, financial management or coding OR an approved equivalent combination of education and experience
3 years of applicable business-related experience
3 years of leadership experience
- One of the following: RHIA, RHIT, CCS, CCDS, CCDS-O CPC, CCS-P, RN, , CDIP
Preferred Qualifications
Bachelor’s Degree in Business Administration, Health Care Administration, Nursing, Education or related area
5 years’ experience in coding, clinical documentation improvement (CDI) professional revenue integrity, quality, or a directly related functional area of work
Previous leadership experience in a healthcare related field
- One or more of the following: RHIA, RHIT, CCS, CPC, CCS-P, RN, CDIP, CCDS, CCDS-O
- Epic Resolute Certification(s) in one or more of the following Epic applications: Resolute Professional Billing, Resolute Hospital Billing, Claims
EEO Statement
EEO/AA Employer/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
Benefit Overview
Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: https://www.fairview.org/careers/benefits/noncontract
Compensation Disclaimer
The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical.