Program Manager, Clinical Diagnosis Accuracy

Park Nicollet is looking to hire a Diagnosis Accuracy Clinical Program Manager to join our team!  Come join us as a Partner for Good and help us make an impact on the care and experience that our patients and their families receive every day. 

Position Summary:

Highly skilled clinician to support the ongoing work of the Diagnosis Accuracy Program. Individual will support program through reviewing patient records to identify diagnosis code specificity, missed diagnosis codes, outreach opportunities, and potential suspect conditions. Individual will also provide education and guidance to clinicians in diagnosis accuracy. 

Required Qualifications:

Education, Experience or Equivalent Combination:

• Advanced Practice Clinicians either Master of Science in Nursing degree (Nurse Practitioner), Physician Assistant (PA), or Registered Nurse (RN) with clinical coding experience
• Minimum of 2 years clinical experience
• Experience with leading efforts to support clinicians in documentation and coding.
• Experience with EPIC electronic medical record and billing modules 

Licensure/ Registration/ Certification:

• Maintain a current state certified registered nurse’s licensure.

Knowledge, Skills, and Abilities:

• Knowledge of medical coding (physiology, medical terminology, disease process and clinical content of health record), ICD-10, procedures, clinical documentation and regulatory (coding and billing) requirements
• Operate computer and utilize software applications including word processing, spreadsheets, presentation, and EMR.

Preferred Qualifications:

Licensure/ Registration/ Certification:

• Recommend Certified Professional Coder (CPC) or Certified Coding Specialist (CCS-P) Certification, AHIMA accredited Registered Health Information (RHIT), or Registered Health Information Administer (RHIA), 
• Recommend Certified Risk Coder (CRC) certification.

Knowledge, Skills, and Abilities:

• Knowledge of auditing concepts and principles
• Knowledge of multiple payment and risk adjustment methodologies used by government and commercial payers.
• Ability to provide guidance and training to professional and technical staff in diagnosis accuracy.
• Ability to demonstrate critical thinking skills and judgment.
• Ability to manage and impart confidential information.
• Ability to self-direct work, detail orientated and organized.
• Ability to communicate effectively in writing and verbally.
• Ability to work collaboratively with others.
• Ability to work in an ever-changing environment with differing perspectives and ability to resolve situations effectively.

Benefits:

Park Nicollet offers a competitive benefits package (for eligible positions) that includes medical insurance, dental insurance, a retirement program, time away from work, insurance options, tuition reimbursement, an employee assistance program, onsite clinic and much more!

At HealthPartners we believe in the power of good – good deeds and good people working together. As part of our team, you’ll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work.
We’re a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world.
At HealthPartners, everyone is welcome, included and valued. We’re working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change.
Join us and become a partner for good, helping to improve the health and well-being of our patients, members and the communities we serve.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identify, status as a veteran and basis of disability or any other federal, state or local protected class.