TPR Pro Fee Coding Ops Director (Remote based in US)

Description

This role provides enterprise coding management oversight over professional coding for Tenet Physician Resources (TPR). This individual is responsible for managing all coding operations activities in collaboration with the VP, Clinical Operations. Manages daily unbilled activities with TPR coders, GBC Coders, and vendor coders to ensure quality is 97% or better and coding is within turn around standard. Drives process improvement around denials and voids to ensure standard is met. Ensures alignment and partnership with facility leaders, providers and RCM.

Ensure adequate resources and staffing for consistent coverage of engagements. Manages service line performance, as well as engagement, quality, and productivity standards. Interfaces directly with Tenet hospitals and TPR market leaders. Serves as the critical link in managing relationships with national vendor partners.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following. Others may be assigned.

• Supports coding team by providing appropriate educational resources. Interfaces with both Tenet corporate and facility leadership.
• Ensure adequate staffing for consistent coding team coverage. Ensure corporate standards for business unit human resources are aligned with predetermined qualifications, competence and performance expectations; ensure consistent application of policies/procedures pertaining to human resources management. Monitor and maintain compliance with DNFB/C and FBNE targets.
• Continually assess and improve financial and operational performance through data analysis and support the implementation of sustainable performance improvement initiatives.
• Monitors coding quality in accordance with applicable Tenet monitoring policies. Coordinates feedback with Corporate leadership, HIM leadership, Compliance, Facilities, and other appropriate parties.
• Works with coding audit team to prepare action plans in response to audit findings. Ensure compliance with Tenet -required educational updates and in-services.
• Average coding quality standard of =/>97% accuracy per monitoring period both individually and as a service line.
• Participate as directed in business expansion and targeted growth activities.
• Directs the development of tactical plans and operating budgets to achieve strategic goals; monitor progress toward goals throughout the year.
• Researches and monitors healthcare regulatory standards. Attends and participates in meetings and is responsible for coding related information communicated at meetings and between Tenet Corporate and facility teams and leadership.
• Attends relevant coding workshops to stay abreast of new and changing technologies. Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM, ICD-PCS and CPT coding.
• Attends any mandatory coding seminars. Participates as needed in Quarterly Coding Updates and coding conference calls.

Required:

• Bachelor’s degree in Health Information Management and or relevant Bachelor’s degree with 10 years in a comparable position.
• Ten (10) years of progressive pro-fee experience including five (5) years of management.
• Current CCS and/or CPC.
• Must be able to travel up to 30% nationally. Motor Vehicle Report (MVR) will be conducted on finalist.
• Strong leadership Pro Fee coding experience, knowledge of wRVUs, CPT Assistant, and all coding guidelines.
• Ability to build and maintain team dynamics.
• Strong computer applications knowledge including Microsoft Word, Excel, and PowerPoint.
• Must be fluent in general information technologies; significant level of autonomy; must be self-directed.
• Implement policies and procedures that guide and support the provision of the services.
• High Level knowledge of Coding processes and nomenclatures.
• Excellent organizational skills for initiation and maintenance of efficient workflow.
• Capacity to work independently in a virtual office setting or at facility setting if required to travel for assignment.
• Able to operate computer keyboard, mouse and other peripherals as appropriate to accomplish coding & abstracting duties.
• Abides by the Standards of Ethical coding set forth by AHIMA and monitors coding team for violations and reports as areas of concern are identified.
• Maintains knowledge of current professional coding certification requirements and promotes recruitment and retention of certified staff in coding positions.
• Support the collaboration between coding and financial operations.
• Works collaboratively with other organization leaders.
• Strong Microsoft Office skills including PowerPoint.
• Up to 30% travel required. We will run a Motor Vehicle Registration check on the final candidate.

Preferred:

• The ideal candidate will have coding management experience in a large multi-facility health system.
• Additional AAPC credentials.
• Successfully demonstrates leadership of large coding teams for complex multi-hospital systems
• Competency in all facets of coding related to IP, OP, ED, and pro-fee.

Compensation:

• Pay: $120,000-$150,000 annually. Compensation depends on location, qualifications, and experience.
• Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level.
• Management level positions may be eligible for sign-on and relocation bonuses.

Benefits:

The following benefits are available, subject to employment status:

• Medical, dental, vision, disability, life, AD&D and business travel insurance
• Manager time off – 20 days per year
• Discretionary 401k with up to 6% employer match
• 10 paid holidays per year
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.
• For Colorado employees, paid leave in accordance with Colorado’s Healthy Families and Workplaces Act is available.

Tenet Healthcare complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.