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Title

Medical Coding Operations Director 

EOE Statement eCatalyst Healthcare Solutions, Inc. is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.  
Description

Medical Coding Operations Director - Philadelphia, PA

Location: Philadelphia, PA area

Status: Salaried, Exempt 

Job Summary 

The Medical Coding Operations Director is responsible for the daily account management, resource allocation and effectiveness and the overall service and delivery of  eCatalyst services to our client, a non-profit healthcare provider.

The Medical Coding Operations Director is responsible for meeting all metrics, managing eCatalyst and outsourced staff, and delivering exceptional services consistent with our brand promise.   

Additionally, the Medical Coding Operations Director will routinely meet with clients to build productive working relationships and assure client needs are understood and met as they work together to provide solutions for all facilities within the large integrated network.

Essential Functions 

  • Meet or exceed the client’s Service Level Agreement (SLA) metrics and KPIs. 
  • Hold regularly scheduled meetings with clients to understand and communicate goals, process changes and staffing issues.  
  • Direct coding operations for acute hospital inpatient, outpatient, and ambulatory services.
  • Provide strategic guidance and direction for system-wide coding services.
  • Ensure the effective recruitment, training, and retention of dedicated coding professionals.
  • Leverage working knowledge of coding regulations to ensure coding standards are upheld. 
  • Develop strategy, goals, objectives, budgets, and performance standards for Coding Operations. 
  • Oversee coding technology, including encoders, groupers, and Computer Assisted Editing (CAE) software.
  • Maintain supportive and positive working relationships with other departments, serving as a consultant on coding-related issues regarding coding methodologies, documentation, and coding quality.
  • Identify process improvements that add value to client services.   
  • Work with client leadership to identify additional services eCatalyst could perform to assist the client in meeting their overall goals.  
  • Provide expert advice/leadership regarding coding guidelines, payer policies, OIG work-plans and industry trends.  
  • Work with Human Resources to identify the best-fit employees for specific assignments. 
  • Monitor productivity daily and work with staff to meet or exceed standards.  
  • Review and approve timecards per established guidelines.  
  • Communicate performance expectations to staff and routinely provide performance feedback including 1:1 meetings and formal evaluations. 
  • Meet KPIs related to team member productivity, quality, and staff satisfaction/retention.    
  • Maintain current expert knowledge regarding coding guidelines, payer policies, OIG work-plans and industry trends.   
  • Develop and deliver presentations on best practice, industry change, and operational improvements for clients and industry groups.  
  • Identify internal sales opportunities and immediately present to the COO for review. 
  • Participate in sales calls and demonstrations when required. 
  • Provide input to and review of proposals and responses to RFPs. 
  • Identify opportunities for product development or extension to increase the value of the company. 
  • Contribute to strategic planning through in-depth knowledge of client experience and market forces.  

 

Travel Required

  • Client or sales travel may be required outside of the immediate vicinity no more than 20% of the time.  
  • Travel to Company Headquarters, located in Phoenix, AZ for corporate meetings and other events, up to four times per year.  
 
Position Requirements

Required Education, Skills, and Experience 

  • Bachelor’s Degree in Health Information Management, Health Information Technology, Health Services, or similar focus is required. 
  • Coding certifications for both facility and/or professional fee coding.  
  • 7+ years of progressive experience leading coding operations.  
  • 5+ years of experience in acute hospitals and ambulatory services.
  • 3+ years of contract coding services experience. 
  • Proficient in Microsoft Office applications (Word, Outlook, PowerPoint, Excel and Teams). 
  • RHIT, RHIA, or CCS & RN.
  • Proficient in ICD-10.
  • Progressive leadership experience in multi-facility health system(s).

 

Preferred Education, Skills, and Experience

  • Master’s Degree in Health Information Management, Health Information Technology, Health Services, or similar focus is preferred.  
  • 10+ years of coding experience.
  • Experience working with offshore coding providers. 
  • Demonstrated internal and external sales experience. 
  • Skilled in developing, writing and delivering articles, newsletters, podcasts and industry- focused presentations.  

 

EEO Statement

It is the policy of eCatalyst Healthcare Solutions, Inc. to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law.

 

Why eCatalyst?

 

Our People! – You’ll love working with dedicated HIM professionals who have years of experience in HIM and RCM. Our close-knit, talented team embodies our core values and challenges each other to deliver exceptional results to our customers.

Our Culture! – You’ll be part of a women-owned business focused on delivering career growth opportunities in an inclusive environment. We welcome diverse experiences, perspectives, and ideas to deliver the best value and solutions to our customers.

Our Drive! – You’ll be a member of a team focused on developing high-quality products, services, and solutions that exceed our clients' expectations. We continuously seek new ways to improve results above and beyond what seems possible. 

Our Cause! – You’ll help us give back to our communities with your time, talents, and commitments. 

 
Full-Time/Part-Time Full-Time  
About the Organization eCatalyst Healthcare Solutions is proud to be one of the nation's top HIM and Middle Revenue Cycle companies. Our expertise includes coding, auditing, clinical documentation improvement (CDI), master patient index, registry, revenue cycle, staffing, consulting, and more. eCatalyst is distinguished by our highly experienced and credentialed team and our unrelenting client focus.  

This position is currently not accepting applications.

To search for an open position, please go to http://CDMEnterprisesInc.appone.com



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