Reg Dir Coding

JOB SUMMARY

The Regional Director of Coding is responsible leading Revenue Cycle Coding, Audit and an Account Resolution Departments. Functional assignments include management of facility and professional coding services, managing internal and external auditing, customer service, and coding information system analysis and management. Develops and implements plans to ensure the achievement of established objectives. Represents Coding, Auditing, Accounts Resolution and Revenue Cycle in meeting strategic objectives throughout the McLaren System. The Regional Director is expected to be a contributing member of the Revenue Cycle leadership team. Demonstrates the philosophy and core values of McLaren Health Care in the performance of duties.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES

1. Manages Discharge Not Final Billed (DNFB) and Discharge Not Final Coded (DFNC) for the McLaren system.

2. Provides leadership throughout the system in regard to facility and professional Coding, managing internal and external auditing and account resolution inquiries.

3. Works closely with the central business office to improve processes impacting the Discharge Not Final Coded (DFNC) and Discharge Not Final Billed (DNFB).

4. Strong knowledge of healthcare facility and professional claims processing including ICD-10, CPT, HCPC, PCS, NDC codes and modifiers as well as thorough knowledge of UB and 1500 claim edits.

5. Working knowledge of Medicare, Medicaid, and Third Party reimbursement methodologies.

6. Read and interpret provider contracts to determine billing discrepancies.

7. Manages vendors coding and auditing contracts.

Qualifications

Required:

• Bachelor’s Degree required in Accounting, Business Management or closely related field in order to understand the impact of the revenue cycle on the performance of the health system.
• Fifteen (15) years’ experience in a progressively more responsible leadership role in Health Information Management/Coding and/or Revenue Cycle with demonstrated supervisory responsibility in health care.
• RHIT or RHIA

Preferred:

• MBA or MHA or MHIT

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

McLaren Regional Medical Center

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