Responsible for planning, organizing, staffing, directing and controlling the activities and personnel for professional coding service initiatives within Revenue Management for the Geisinger Health System.
Directly manages and implements programs to ensure efficient operations of the professional coding program in order to generate sufficient revenue and cash flow to support GHS operations and strategic initiatives.
Responsibilities include managing , formulating new programs, identifying areas of opportunity for program improvement, analyzing current workflow, benchmarking against industry best practice models, reducing duplication of effort while increasing efficiency and resolving any hospital and professional coding related issues to include coordinating policy and guidance associated with hospital and professional accounts receivable.
Assists with the establishment of training programs and various educational forums for revenue management coders and GHS associates. This also includes the communication of ongoing enhancements relative to process improvement and employee development. Assigns work schedules, interviews and recommends applicants for hire, trains and evaluates job performance and counsels as needed. Coordinates coding of professional services within established departmental timeframes. Manages a team of between 15-25 highly skilled employees with regards to correct coding.
Reports to the Director, Revenue Management Coding Operations and Revenue Management Senior Leadership.
Competencies and Skills:
Demonstrates strong administrative and leadership skills, including competence in planning and organizing services and directing staff.
Demonstrates strong oral and written communications skills; adeptness at assessing needs and setting priorities.
Demonstrates the ability to anticipate risk, think analytically and minimize potential problems.
Demonstrated excellent prioritization and organizational skills.
Demonstrates extensive knowledge of revenue cycle and/or regulatory requirements as they relate to the hospital and professional coding operation components of the revenue cycle and the effect on overall financial health required.
Must have an understanding of an integrated delivery healthcare system.
Accurate assignment of CPT 4, HCPC Level II, Modifier, ICD – 9 – CM codes.
Thorough understanding and application of new and expanding coding guidelines for ICD-10-CM.
Superior knowledge of anatomy and physiology along with disease pathophysiology.
Advanced skills in extracting an analyzing clinical documentation.
EDUCATION AND/OR EXPERIENCE:
Associate's degree or Bachelor's degree required. CPC/CCS/RHIT or equivalent required. Minimum of five years of Coding experience and seven years of management experience in an industry that requires oversight of workflow and productivity required.
Demonstrates extensive knowledge (i.e. minimum of five years) of revenue cycle and/or regulatory requirements as they relate to the hospital coding operation components of the revenue cycle and the effect on overall financial health. Understanding of an integrated delivery healthcare system required. Experience in a multi-hospital system preferred.
In lieu of degree, may consider CPC plus 10 years of Coding Supervisor experience.
Experience within a centralized business office utilizing one or more of the following systems 3M, IDX, Siemens, Epic, for a large-scale multi-site or multi-entity hospital system and/or a physician practice plan preferred.
Experience preferred within a revenue cycle of similar setting of size or volume.
Work is typically performed in an office environment
The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
ABOUT GEISINGER: Geisinger is a physician-led health system comprised of approximately 30,000 employees, including nearly 1,600 employed physicians, 13 hospital campuses, two research centers, and a 583,000-member health plan Geisinger is nationally recognized for innovative practices and quality care. Geisinger serves more than 3 million people in central, south-central and northeast Pennsylvania and also in southern New Jersey with the addition of National Malcolm Baldridge Award recipient AtlantiCare, A member of Geisinger. In 2017, the Geisinger Commonwealth School of Medicine became the newest member of the Geisinger Family.
We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.* Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. For more information, visit www.geisinger.org, or connect with us on Facebook, Instagram, LinkedIn and Twitter.
** Does not qualify for J-1 waiver. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
*Domestic partner benefits not applicable at Geisinger Holy Spirit.
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh Food
Farmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencing
programs, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.
Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 13 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers.
What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.