HCA, Hospital Corporation of America Central Coding Resource Management Manager - Work From Home in Nashville, Tennessee
Parallon believes that organizations that continuously learn and improve will thrive. That's why, after more than a decade, Parallon remains dedicated to helping hospitals and hospital systems operate knowledgeably, intelligently, effectively and efficiently in the rapidly evolving healthcare marketplace, today and in the future.
As one of the healthcare industry's leading providers of business and operational services, Parallon is uniquely equipped to provide a broad spectrum of customized services in the areas of revenue cycle, purchasing, supply chain, technology, workforce management and consulting.
Parallon's purpose is simple. We serve and enable those who care for and improve human life in their communities.
TheCentral Coding Resource Management Manager is responsible for assisting in the development and evolution of the overall strategy for the Company’s Central Coding Resource Management operations. The CCRM Manager manages, directs and coordinates CCRM activities. Responsibilities include management of process, personnel and vendors. The CCRM Manager plans, assigns and directs the CCRM staff; actively monitors employee performance and rewards or disciplines accordingly; addresses complaints and resolves problems; and actively oversees and manages International vendors.
Supervisor – CCRM Assistant Director Supervises – Coding Lead, Coordinator, Data Analyst, International vendors
Duties (included but not limited to): * Provides direct managerial oversight to International vendors, Coding Leads, Coordinator, and Data Analyst in management of inpatient and outpatient coding functions, work queues, work processes, and overall work responsibilities * Works closely with HSCs to determine resource needs from CCRM * Ensures complete, accurate, timely and consistent coding, while adhering to published coding guidelines and Company/HSC policy * Coaches and helps develop team members; helps resolve dysfunctional behavior and promotes teamwork within functional area(s); disciplines and counsel staff as necessary * Proactively manages (including corresponding communications and escalation paths) significant issues in coding, status of projects, barriers and successes * Selects, evaluates, trains, and provides leadership and direction to reporting staff * Responsible for continuous review and improvement of process and services * Responsible for ensuring employee and vendor work schedules sufficiently meet coding needs of HSC’s open positions, employee absence, and backlog needs * Facilitates problem solving and collaboration within functional area(s) * Responsible for ensuring staff compliance with documented and established workflow guidelines as it relates to adding and re‐assigning accounts to work queues * Assists in identifying and implementing process improvements to decrease costs and improve service for applicable stakeholders * Performs productivity monitoring and provides timely and consistent feedback to International vendor * Trends monthly and quarterly quality data to identify education opportunities * Monitors monthly quality scores by vendor and individual coder and implements actions plans with the international vendors accordingly * Prepares coding accuracy and productivity reports for the CCRM Assistant Director and Director * Promptly reports issues or trends to the appropriate member of the Corporate HIM Leadership team, or other appropriate party * Maintains up‐to‐date knowledge of regulatory changes impacting coding requirements and ensures CCRM staff and International vendors are appropriately educated * Reviews all official data quality standards, coding guidelines, company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current * Ensures coder compliance with HCA/Parallon HIM educational requirements * Coordinates work assignments to achieve operational goals * Ensures safe, ergonomic, and confidentiality compliant practices are being followed within the work environment * Coordinates training and education for CCRM staff and International vendors * Prepares and hosts weekly International vendor conference calls * Manages the onboarding process for new international vendor staff and maintains accurate international vendor staff list * Establishes and maintains good working relationships with the international vendors * Practices and adheres to the “Code of Conduct” philosophy and “Mission and Value Statement” * Other duties as assigned
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
KNOWLEDGE, SKILLS, & ABILITIES - This position requires the following minimum requirements: * Coding Technical Skills‐ extensive regulatory coding (ICD‐9‐CM/ICD‐10‐CM, CPT‐4, MS‐DRGs, POA Assignment and where applicable APR‐DRGs and PPCs) and associated reimbursement knowledge * Leadership ‐ leads individuals and groups toward identified outcomes, setting high performance standards and delivering quality services * Critical thinking ‐ actively and skillfully conceptualizing, applying, analyzing, synthesizing or evaluating information gathered from, or generated by, observation, experience, reflection, reasoning or communication as a guide to belief and action * Building and Maintaining Strategic Working Relationships – develops collaborative relationships to facilitate the accomplishment of work goals. Possesses excellent interpersonal skills in building, negotiating and maintaining crucial relationships * Building Trust – interacts with others in a way that gives them confidence in one’s intentions and those of the organization * Effective Operational Decision Making ‐ relating and comparing; securing relevant information and identifying key issues; committing to an action after developing alternative courses of action that take into consideration resources, constraints, and organizational values * Adaptability – maintaining effectiveness when experiencing major changes in work tasks or the work environment; able to adapt to change in environment and/or circumstances with a positive outlook; and adjusting effectively to work within new work structures, processes, requirements, or cultures * Initiative – independently takes prompt proactive steps towards problem resolution * Managing conflict – dealing effectively with others in an antagonistic situation; using appropriate interpersonal styles and methods to reduce tension or conflict between two or more people * Energy – consistently maintaining high levels of activity or productivity; sustaining long working hours when necessary; operates with vigor, effectiveness, and determination over extended periods of time * Stress tolerance – maintaining stable performance under pressure or opposition; handling stress in a manner that is acceptable to others and the organization * Planning and Organization ‐ proactively prioritizes initiatives, effectively manages resources and keen ability to multi‐task * Communication ‐ communicates clearly, proactively and concisely with all key stakeholders. * Customer orientation ‐ establishes and maintains long‐term customer relationships, building trust and respect by consistently meeting and exceeding expectations * Work Independently – is self‐supporting; not needing to rely on others to complete a job * Facilitation – ability to facilitate small to large groups of people at various organizational levels for purposes of planning, problem solving, or strategy development * Quality Orientation – accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time * PC skills ‐ demonstrates proficiency in Microsoft Office applications and others as required * Policies & Procedures ‐ articulates knowledge and understanding of organizational policies, procedures and systems * Project Management ‐ assesses work activities and allocates resources appropriately * Coach, Mentor and Educate – provides timely guidance and feedback to help strengthen the knowledge/skill set of others to accomplish a task or solve a problem EDUCATION and/or EXPERIENCE * Undergraduate degree required. Bachelor’s degree strongly preferred. * Minimum 3 years' health care management/leadership experience required * Minimum 3‐5 years' inpatient/outpatient hospital coding experience strongly preferred * Experience managing a large coding pool or coding review pool strongly preferred
*CERTIFICATE/LICENSE * * RHIA, RHIT and/or CCS required
Title: Central Coding Resource Management Manager - Work From Home
Location: Tennessee-Nashville-HSC - Overhead
Requisition ID: 03416-124791