Manager, Enterprise Coding

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full.  Below, you’ll find other important information about this position. 

This position is responsible for promoting financial viability by effectively managing all aspects of the enterprise organizations coding department. This position works in close partnership with various members of the organizations leadership staff and is central in creating a comprehensive and seamless coding process throughout WVU Medicine.

As a member of the coding leadership team this position requires participation in operations, strategic planning, physician relations, finance, resource allocation and/or contracting as appropriate. This position provides enterprise departmental direction relative to all aspects/activities that ensure the attainment of the goals of the coding department, which ultimately assist WVU Medicine in achieving favorable hospital/clinics operating results.

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Bachelor’s degree in Healthcare Management, Business, Finance or Accounting AND Five (5) years of in-depth experience within healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing either from a consulting perspective or as an employee/manager OR;

Associate’s Degree in Health Information Technology AND Seven (7) years of in-depth experience within healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing either from a consulting perspective or as an employee/manager OR;

In Lieu of Bachelor or Associate’s Degree, Nine (9) years of experience of in-depth experience within healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing either from a consulting perspective or as an employee/manager.

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Master degree in Finance, Business Administration, Healthcare Administration or related field preferred.

2. Coding certification via AHIMA or AAPC or strongly preferred.

EXPERIENCE:

1. Seven (7) years of in-depth experience within healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing either from a consulting perspective or as an employee/manager.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position.  They are not intended to be constructed as an all-inclusive list of all responsibilities and duties.  Other duties may be assigned.

1. Directs the staff and operations of the coding department. Ensures optimal performance through effective employee selection, training and development and performance management. This position is directly responsible for leading the coding supervisors and the coding teams at multiple locations and indirectly responsible for all employees within the department.

2. Holds staff accountable for achieving plans and performance targets. Works with staff to identify and resolve the most complex issues and problems impacting the department. Supports development and continued professional growth to meet company and individual goals for long-term success. Demonstrates an expectation for continuous quality improvement utilizing processes that include consideration of all stakeholders.

3. Develops a high-performing team that provides superior project management skills and supports the overall coding department to drive and improved financial performance in accordance with state and federal guidelines and standards.

4. Maintains strong understanding of coding metrics, leadership skills, project management, and leads the team in building plans to support operational departments to achieve optimal practice performance through strong analytical capabilities, process improvement identification, and technology enhancements.  Ensures compliance with government and commercial coding regulations and standards while maximizing reimbursement for patient claims. Works with company compliance and legal staff to maintain appropriate procedures and to represent the company in litigated matters. Advises management of actions and potential risks.

5. Leads the coding departments strategic plan objectives and operational goal setting and execution through departmental leadership.

6. Design, implement, and ongoing monit