As the Quality Coding and Audit Manager, you will manage and evaluate the quality programs for the Health System. Assist in the development of policies, procedures and work instructions for the audit staff.
Job Responsibilities Include:
Manages quality audit and education operations, including, but not limited to:
Hiring, training, disciplining and supervising staff;
Develops policies, procedures and work instructions.
Evaluating performance and ensuring appraisals are completed on a timely basis;
Assessing and making recommendations to improve the efficiency of current systems/processes for all applicable registration and financial services;
Processing payroll, maintaining employee records and work schedules, and ensuring adequate coverage at all times;
Maintaining daily workflow in order to expedite processing while ensuring quality care and customer service;
Keeping informed of and disseminating all pertinent hospital and departmental policies and procedures, JCAHO, and other regulatory agency standards, and insurance requirements and regulations.
Manages the financial aspects including, but not limited to:
Working closely with the Patient Accounts department and Health Information Management to ensure effective management of patient cases and accurate billing practices;
Assessing the front-end inpatient registration and insurance screens; incorporates financial billing requirements;
Integrating system needs and requirements based upon the decentralization of services in conjunction with all appropriate departments;
Assisting in the preparation and monitoring of the department budget;
Monitoring the daily ED and Outpatient registrations for Quality Assurance;
Ensuring compliance and integrity of data with billing and regulatory requirements
Assumes responsibilities related to patient access services in the absence of the Director.
High School Diploma or equivalent, required. Knowledge of Hospital Administration or related Healthcare field as normally acquired through completion of a Bachelor's Degree.
Minimum of five (5) years experience in a healthcare setting, two of which are in an admitting or business office function. Minimum of one (1) year supervisory experience.
Advanced knowledge of related hardware/software, and hospital registration/billing systems, required. SMS INVISION preferred.
Transforming care, optimizing patient satisfaction and creating better patient outcomes are just some of the things our talented team members are doing at North Shore-LIJ each and every day. As a culture committed to providing our customers with the highest quality service, we stand behind our core values: Patients first; Caring; Excellence; Innovation; Integrity and Teamwork. It is our commitment and our culture that sets us apart from others and is the cornerstone of everything we do. Join an organization whose team members are valued, cared for and offered continuous opportunities to grow. Click on the link to learn more about us:www.northshorelij.com/goals
Please note: North Shore-LIJ is a smoke-free environment. Smoking and the use of tobacco products is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises. Free smoking cessation programs and quit medications are offered to team members who wish to quit through the North Shore-LIJ Center for Tobacco Control.
Northern Westchester Hospital