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Clinical Coding Operations Director

M.D. Anderson Cancer Center

This is a Full-time position in Houston, TX posted August 26, 2021.

Position Title: Director, Clinical Coding Operations Department: Revenue Operations and Clinical Coding Division: Finance Reports to: Executive Director, Revenue Operations and Clinical Coding MISSION STATEMENT The mission of The University of Texas M.

D.

Anderson Cancer Center is to eliminate cancer in Texas, the nation, and the world through outstanding programs that integrate patient care, research and prevention, and through education for undergraduate and graduate students, trainees, professionals, employees and the public.

SUMMARY The primary role of the Director, Clinical Coding Operations is to direct, administer and lead our Hospital, Clinics¡¦ and Professional coding operations whose primary mission is implementation, execution and management of the Hospital¡¦s (inpatient) and Clinics¡¦ (outpatient) coding, quality assurance, and integrity to provide the institution and Physician Referral Services (practice plan) with accurate, reliable and timely revenue coding and feedback of its clinical and research services provided to its patients.

The Director will be responsible for working collaboratively and in coordination with the other areas within Revenue Operations and Clinical Coding department to implement activities to provide compliant, consistent and leading-edge practices that are critical to the financial success of the Institution¡¦s patient Revenue Cycle, through its staffs¡¦ talents and ensuring compliance with Federal and States¡¦ requirements.

The position will have visibility to many clinical divisions and must demonstrate strong interpersonal communication skills, excellent management skills and professional presence to function under pressure due to time and importance constraints.

CORE VALUES Caring Behaviors Courtesy: Is respectful and courteous to each other at all times Friendliness/Teamwork: Promotes and rewards teamwork and inclusiveness; Is sensitive to the concerns of our patients and our co-workers Integrity Behaviors Reliability: Communicates frequently, honestly and openly Accountability: Holds self and others accountable for practicing our values Discovery Behaviors Responsiveness: By his/her actions, creates an environment of trust; Encourages learning, creativity and new ideas Safety: Notices a safety concern and brings it to someone¡¦s attention; Models safe behaviors (wears badge, keeps work area clean and orderly) Personal Leadership/Self-Initiative: Helps others to identify and solve problems; Seeks personal growth and enables others to do so.

KEY FUNCTIONS 1.

Direct, administer and lead the Coding team responsible for patient, clinical and research coding and quality assurance of its inpatient and outpatient functions and 2,000 users of Physicians and Mid
– Levels.

The Director will work closely with the others throughout Revenue Coding and Enablement, Clinical Operations and the Division of Finance that includes resources from Clinical Divisions (such as Surgery, Nursing, Pathology, Lab Medicine, Diagnostic Imaging, Radiation Oncology, Rehabilitation Services, etc.), HIMS, Case Management, Performance Improvement, central IS, Research Finance, Patient Business Services, Clinical Revenue and Reimbursement, Accounting, Sourcing and Contracting, Legal, Managed Care Contracting and Treasury, among others.

The Director will serve as the primary contact point for all Clinical Coding functions.

2.

The Director will oversee team roles and responsibilities needed to execute continuous implement of the Coding team processes by utilizing people, processes and technologies to improve efficiency, effectiveness, service quality and reduce cases backlogs and cycle times measured by discharges that are not final billed so that overall performance metrics are optimized.

3.

The Director will participate as needed in all Revenue Cycle project related decisions including staffing, deliverable acceptance, change management and communications.

4.

The position must consider processes and implement functions that comply with UT System Policies, Federal and State Statutes and the institution¡¦s policies and procedures regarding revenue coding and capture compliance, financial controls and audit inquiries.

5.

Provide support to strategic projects that interact / overlap / or has dependencies with the Epic project including ICD-10 Coding Standards project, eResearch and the Moonshot platforms.

6.

Maintain personal professional growth and development through seminars, workshops and professional affiliations.

Establishes goals and objective for employees to measure performance and cross training to mutually agreed-upon expectations and provides employees access to resources needed in progressing in their development plans.

7.

Perform special projects as assigned by the Executive Director, Revenue Operations and Clinical Coding.

Required: Bachelors degree in Finance, Health Information Management, Healthcare Administration, Business Administration or related field.

Ten years of professional progressive experience in coding, finance, accounting, information services or related field to include six years of managerial experience.

Successful completion of the LEADing Self Accelerate program may substitute for one year of required supervisory or management experience.

One of the following: Registered Health Information Administrator (RHIA) by the American Health Information Management Association (AHIMA) Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC) Certified Professional in Healthcare Information and Management Systems (CPHIMS) by the Health Information and Management Society Preferred: Masters degree in finance, business administration, or a health information management related field.

Currently licensed as a RHIA, CPHIMS, CCS, CCDS, or CDIP.

Ten (10) years of prior experience of successfully managing Professional or Health Information Management Coding operations.

3M Encoder software experience.

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