Sr Director- Medical Coding Operations- Birmingham, AL

Navigant Consulting Birmingham , AL 35202

Posted 3 weeks ago

Practice Information

Interested in working with talented people to help develop innovative solutions to some of society's most complex and challenging problems? We are Guidehouse, a leading consulting firm serving the public sector and commercial clients with specialized capabilities in strategy, technology, and risk management. You may not yet know our name, but we have a rich history. Guidehouse is a combination of PwC's former public sector practice and Navigant's deep expertise in energy, financial services and healthcare.

We offer an exciting, fast-paced environment that fosters intellectual growth and rewards individuals based on impact, not tenure. Our firm is at the forefront of an emerging model solving complex problems that stretch across government and private companies, affording our people the opportunity to be on the cutting edge of the consulting profession. By focusing on markets facing transformational change, technology-driven innovation, and significant regulatory pressure, our employees also develop and deploy world class knowledge and problem solving that leads to breakthrough solutions.

Our healthcare segment is comprised of consultants, former provider administrators, clinicians, and other experts with decades of strategy, operational/clinical consulting, managed care services, digital health, revenue cycle management, and outsourcing experience. Professionals collaborate with hospitals and health systems, physician enterprises, payers, government, and life sciences entities, providing performance improvement and business process management solutions that help them meet quality and financial goals. You will make an immediate impact from day one, working with a team to provide end-to-end solutions. We don't simply put band-aids on our client's issues, we are working side-by-side with them. Are up for the challenge?

Business Process Management unites the strengths of four category-leading companies to address the complexities of today's healthcare system. We design, develop and implement integrated, patient-centered solutions for sustained improvements in performance and profitability, working collaboratively across a spectrum of customers that encompasses hospitals, health systems, physician practice groups and payers.

Responsibilities

Oversees the activities and operations related to the coding department within the department. Develops and monitors goals and objectives for established area of responsibility and sets workflow priorities and standards. Participates in the development and enforcement of policies and standards. Performs special projects and all other duties as requested by Executive Director.

  • Directs daily operations of the coding/charge capture department.

  • Monitors coding/charge capture processes to ensure that established policies, procedures and protocols are followed.

  • Ensures appropriate equipment and or resources are available for staff to attain maximum performance levels.

  • Determines and directs the goals and objectives of the coding department.

  • Assigns, or delegates responsibility for, specified work or functional activities and disseminates policy to supervisors.

  • Plans and develops processes and or procedures to improve the operating quality and efficiency of the department.

  • Establish and maintain appropriate internal control safeguards. (e.g. QA standards).

  • Designs operational procedures and processes that meet audit standards and improve efficiency.

  • Assist staff to resolve complex or out of policy operation problems.

  • Develops and monitors statistical reports to enhance outcomes, forecasting, and operational efficiency.

  • Develops reports to enhance outcomes, forecasting and operational efficiency.

  • Ensures accuracy of data.

  • Analyzes data, monitors and makes recommendations for changes and implements plans to improve department activity.

  • Works directly with corporate leadership.

  • Determine organization's systems, processes and structures to effectively and efficiently reach goals and objectives.

  • Participate in planning (strategic, business, project, staffing, etc.) and project management.

  • Lends expertise to internal teams and task forces.

  • Develops and implements policy changes.

  • Monitors projects, budgets, etc ensuring all mandates are executed appropriately.

  • Maintains open channels of communication.

  • Interprets organizational policies, procedures and administration decisions so mutual understanding is reached at the staff level.

  • Informs staff of their key responsibilities and performance standards.

  • Organizes and facilitates meetings to disseminate information and/or to obtain input.

  • Participates on various committees, department, and other appropriate meetings related to department and/or MSO issues.

  • Informs others as needed in a clear, concise manner; selects the proper mode of communication and includes appropriate parties.

  • Resolves and/or escalates issues in a timely fashion.

  • Keeps Executive Director advised of all pertinent issues.

  • Maintains knowledge of current coding changes and developments.

  • Maintains knowledge of current coding changes and developments.

  • Coordinates coding education opportunities for staff.

  • Assist staff to resolve complex or out of policy operation problems.

  • Investigates and addresses any compliance issues as they arise.

  • Counsels physicians and/or liaison when coding changes and or issues are identified.

  • Communicates and or disseminates information to staff in an appropriate manner; accurately and timely.

Qualifications

  • Bachelor's Degree.

  • Five years related experience or a combination or ten years education and related experience.

  • Certified Professional Coder (CPC) or a comparable coding certification (e.g. AHIMA CCS-P).

  • Proven management and leadership capabilities.

  • Proficient computer skills.

Mental/Physical Requirements

  • Strong conceptual, as well as quantitative and qualitative analytical skills

  • Work as a member of a team as well as be a self-motivator with ability to work independently

  • Constantly operates a computer and other office equipment to coordinate work

  • Regularly uses close visual acuity and operates computer equipment to prepare and analyze and transmit data

  • Generally works in an office environment

EEO/C&B Statement

Additional Requirements

  • This position requires successful completion of a background check and employment verification.

  • The successful candidate must not be subject to employment restrictions from a former employer (such as a non-compete) that would prevent the candidate from performing the job responsibilities as described.

Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Rewards and Benefits

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

About Guidehouse

With a unique blend of large firm resources and an entrepreneurial collaborative culture, Guidehouse is where your purpose, passion, and expertise transform organizations. Guidehouse is a leading global provider of consulting services to the public and commercial markets with broad capabilities in management, technology, and risk consulting. We help clients address their toughest challenges with a focus on markets and clients facing transformational change, technology-driven innovation and significant regulatory pressure. Across a range of advisory, consulting, outsourcing, and technology/analytics services, we help clients create scalable, innovative solutions that prepare them for future growth and success. Headquartered in Washington DC, the company has more than 7,000 professionals in more than 50 locations. If you're passionately motivated to make a difference and deliver exceptional work, we invite you to learn more about your career opportunities at www.guidehouse.com


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Sr Director- Medical Coding Operations- Birmingham, AL

Navigant Consulting