Vendor Resource Management Coding Manager

: This position is incentive eligible.

Introduction

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Vendor Resource Management Coding Manager today with Parallon.

Benefits

Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
• Family support through fertility and family building benefits with Progyny and adoption assistance.
• Referral services for child, elder and pet care, home and auto repair, event planning and more
• Consumer discounts through Abenity and Consumer Discounts
• Retirement readiness, rollover assistance services and preferred banking partnerships
• Education assistance (tuition, student loan, certification support, dependent scholarships)
• Colleague recognition program
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Come join our team as a Vendor Resource Management Coding Manager. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!

Job Summary and Qualifications

The VRM Coding Manager is responsible for supporting the development and evolution of the overall strategy for the Company's Vendor Resource Management coding quality and operations. The VRM Manager manages, directs and coordinates VRM activities. Responsibilities include management of process, personnel and vendors. The VRM Coding Manager is responsible for planning, assigning, and directing the VRM staff. This includes actively monitoring employee performance, providing recognition or implementing corrective actions as needed, addressing complaints, resolving issues, and effectively overseeing and managing vendor relationships.

What you will do in this role:

• Provides direct managerial oversight to vendors, Coding Leads, Coordinators, and Data Analysts in management of inpatient and outpatient coding functions, quality, workflow, and overall work responsibilities
• Ensures complete, accurate, timely and consistent coding, while adhering to published coding guidelines and Company policies
• Coaches and supports team members' development, addresses and resolves dysfunctional behavior and promotes teamwork. Provides discipline and counseling as needed to maintain a productive and cohesive team.
• Proactively manages (including corresponding communications and escalation paths) significant issues in coding, status of projects, barriers and successes
• Selects, evaluates, trains, and provides leadership and direction to reporting staff
• Responsible for ongoing review and improvement of processes and services to ensure continuous improvement
• Responsible for ensuring employee schedules sufficiently meet business and customer needs
• Facilitates problem solving and collaboration within functional area(s)
• Responsible for ensuring staff/vendor coding personnel compliance with documented and established workflow guidelines as it relates to completing and pending accounts in work queues/worklists
• Assists in identifying and implementing process improvements to decrease costs and improve service for applicable stakeholders and submitting system enhancement and Business Intelligence report requests accordingly
• Facilitates the resolution of IT issues as it relates to vendor workflow; submits break fix requests for any reports used by coding vendors or VRM team
• Monitors productivity and provides timely and consistent feedback to vendor and VRM staff
• Analyzes quality data to identify education opportunities; develops and provides education to vendor coders accordingly; submits and coordinates education requests to Parallon HIM corporate team when applicable
• Monitors vendor coders pended accounts in production as well as in HIM CPART review tool to ensure timely turnaround per contract agreement
• Provides timely follow-up on customer escalations related to coding quality and coding process issues
• Monitors monthly quality scores by vendor and individual coder; recommending that vendor coding personnel be placed under Quality Improvement Plan (QIP) according to VRM Quality Control Plan, and requesting actions plans from the vendors accordingly
• Responds to customer requests for action plans to improve coding quality and operational process concerns.
• Monitors and trends computer assisted coding (CAC) reporting and metrics including but not limited to Precision and Recall (P&R) rates, autosuggested codes entry method and actionable edits resolution percentages, ensuring compliance with contract agreements
• Prepares coding accuracy and productivity reports for the VRM Assistant Director/VRM Directors as needed
• Participates in Parallon HIM coding process and quality improvement pilots/initiatives, coordinating vendor activities to support these efforts
• Participates in weekly rotation of on call coverage of IT&S issues and facilitates escalations as necessary
• Manages and assists in the Mailbox to ensure timely and accurate feedback to customers and vendor(s)
• Promptly reports issues or trends to the appropriate member of the Corporate HIM Leadership team, or other appropriate party
• Maintains up-to-date knowledge of regulatory changes impacting coding requirements and ensures VRM staff and vendors are appropriately educated on new standards
• Reviews all official data quality standards, coding guidelines, company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current
• Ensures coder and VRM staff are in compliance with HCA/Parallon HIM educational requirements by monitoring education completion
• Coordinates work assignments to achieve operational goals
• Ensures safe, ergonomic, and confidentiality compliant practices are being followed within the work environment
• Prepares and hosts weekly and/or ad hoc vendor conference calls
• Manages the onboarding process for new vendor and VRM support staff
• Establishes and maintains good working relationships with the vendors
• Practices and adheres to the “Code of Conduct” philosophy and “Mission and Value Statement”
• Other duties as assigned

Qualifications you will need:

• Undergraduate degree required. Bachelor's degree strongly preferred. Equivalent work experience may substitute education requirements
• Minimum 3 years health care management/leadership experience required
• Minimum 3-5 years inpatient/outpatient hospital coding experience strongly preferred
• Experience managing a large coding pool or coding review pool strongly preferred
• RHIA, RHIT and/or CCS required

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Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

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"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Vendor Resource Management Pro-Fee Coding Manager opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.