Manager, Profee Surgical Specialties & Anesthesia Coding Teams

Role Description

This position is responsible for promoting financial viability by effectively managing all aspects of the enterprise organization's coding department. This position works in close partnership with various members of the organization's leadership staff and is central in creating a comprehensive and seamless coding process throughout WVU Medicine.

As a member of the coding leadership team, this position requires participation in operations, strategic planning, physician relations, finance, resource allocation, and/or contracting as appropriate. This position provides enterprise departmental direction relative to all aspects/activities that ensure the attainment of the goals of the coding department, which ultimately assist WVU Medicine in achieving favorable hospital/clinics operating results.

Qualifications

• Bachelor’s degree in Healthcare Management, Business, Finance or Accounting AND Five (5) years of in-depth experience within healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing either from a consulting perspective or as an employee/manager
• OR Associate’s Degree in Health Information Technology AND Seven (7) years of in-depth experience within healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing either from a consulting perspective or as an employee/manager
• OR In Lieu of Bachelor or Associate’s Degree, Nine (9) years of experience of in-depth experience within healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing either from a consulting perspective or as an employee/manager.

Requirements

• Master degree in Finance, Business Administration, Healthcare Administration or related field preferred.
• Coding certification via AHIMA or AAPC or strongly preferred.
• Seven (7) years of in-depth experience within healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing either from a consulting perspective or as an employee/manager.

Core Duties and Responsibilities

• Directs the staff and operations of the coding department. Ensures optimal performance through effective employee selection, training and development, and performance management.
• Holds staff accountable for achieving plans and performance targets. Works with staff to identify and resolve the most complex issues and problems impacting the department.
• Develops a high-performing team that provides superior project management skills and supports the overall coding department to drive improved financial performance.
• Maintains strong understanding of coding metrics, leadership skills, project management, and leads the team in building plans to support operational departments.
• Leads the coding department's strategic plan objectives and operational goal setting and execution through departmental leadership.
• Design, implement, and ongoing monitoring of all relevant key performance indicators to ensure that cash flow is maximized throughout the revenue cycle.
• Continuously evaluates the effectiveness and efficiency of operations and implements or proposes optimization or transformation efforts.
• Develops and maintains strong relationships with clients/providers and effectively manages relationships and business processes at all clinics/physician offices and hospitals.
• Develops, implements, and effectively manages policies, processes, and procedures for the coding department.
• Provides regular revenue management reports to clients, providers, and management.
• Manages operational expenses in accordance with the budget.
• Works with IT to implement system-wide programs and information systems.
• Addresses any operating issues that are hindering the maximization of cash flow.
• Works collaboratively with coding department leadership to meet strategic goals.
• Arranges for billing/coding audits as required and appropriate.
• Ensures high ethical standards and promotes coding transparency.

Physical Requirements

• Prolonged periods of sitting and standing.
• Visual strain may be encountered in viewing of computer screens and written material.
• Travel is required.

Working Environment

• Standard Office Environment.

Skills and Abilities

• Excellent analytic and problem-solving skills to process auditing and monitoring reports.
• Ability to investigate and resolve complex problems and coordinate efforts.
• Ability to identify key quarterly goals and execute against them.
• Ability to communicate ideas and data both verbally and written, in a persuasive manner.
• Ability to take major strategic objectives and break them down into meaningful action steps.

Additional Job Description

• Scheduled Weekly Hours: 40
• Shift: Exempt/Non-Exempt: United States of America (Exempt)
• Company: SYSTEM West Virginia University Health System
• Cost Center: 539 SYSTEM HIM Provider Based Coding Analysis