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QH

Senior Director, Coding

QHR
United StatesRemotefull_timeVerifiedPosted 8 Jan 2025

About the role

Welcome to Ovation Healthcare!

At Ovation Healthcare, we’ve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions.

 

The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior.

 

We’re looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork.

 

Ovation Healthcare's corporate headquarters is located in Brentwood, TN. For more information, visit https://ovationhc.com.

Summary:

This position will assist with the on-going and continuous development and implementation of all coding services.  The Director of Coding Services provides long term strategic and daily operational management of the coding organization.

Essential Functions

  • Assist in the development and growth of coding services, including assisting with recruiting and hiring of coding staff and proper capacity planning

  • Directly perform or oversee chart review and coding for both current and retroactive claims

  • Work with coding staff to coordinate the filing/re-filing of appropriate claims

  • Directly perform, oversee and participate in process improvement and any operational changes that are found during the work on a client project.  This includes training client managers, coders, registration personnel and others as assigned

  • Prepare and provide weekly reports to appropriate stakeholders, including external client leadership and internal leadership

  • Prepare monthly status reports and present to client

  • Ensure proper alignment of coding staff based on project scope and goals

  • Mentor and train internal coding staff

  • Complete chart audits and charge capture review for all coding product lines ​Direct employee supervision of all acute-care coding staff, primarily remote

  • Coordinating with the VP and/or SVP of Operations the start-up and management of all projects

  • Work to ensure complete coding an analysis of charts and claim files, coordinating and performing chart reviews, and interfacing with clients.

  • Other duties as assigned by the VP and/or SVP of Operations

  • Work under minimal supervision

Required Skills and Experience

  • Excellent working knowledge of all aspects of coding including ICD-10-CM coding conventions and official coding guidelines, MS-DRG’s HCPCS/CPT with Level I and II modifiers, OPPS, APCs and NCCI edits

  • Excellent working knowledge of Evaluation and Management coding guidelines, teaching facility guidelines, mid-level provider guidelines LCD’s and NCD’s

  • Excellent knowledge of and adherence to HIPAA guidelines

  • Extensive knowledge and experience with the complete revenue cycle

  • Excellent knowledge of hospital and clinic coding

  • Ability to evaluate, analyze, produce solution development and implement

  • Impeccable attention to detail

  • Ability to prioritize efforts while multi-tasking

Preferred Skills and Experience

  • Minimum of 5 years of experience in coding field or related field, with a minimum of 3 years of management experience

  • Strong managerial, leadership and interpersonal skills

  • Strong verbal and written communication skills

  • A team player, always willing to contribute to the whole of the organization

Education

  • Bachelor’s degree or combination of RHIT and experience in pr

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Company

QHR

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