[Hiring] Director, Inpatient Coding and Compliance @The Ohio State University

Role Description

The Director of Coding, Compliance and Clinical Documentation Enhancement is responsible for assuring high quality information collection and reporting systems for medical information management services, including coding, data quality management, and compliance. The information collected and used by medical information management staff is interconnected with the clinical and business systems of the health system and is used for patient care, teaching, research, hospital operations, quality assurance, and reimbursement. Accurate coding and compliance is essential for a financially viable health care organization.

• Manage department staff, programs, policies, and activities related to coding services, data quality management, clinical documentation enhancement, and Medical Information Management compliance.
• Oversee University Hospital, The James, OSU Harding, and University Hospital East.
• Assist in planning, organizing, and controlling medical record coding services, coding quality, and billing accuracy.
• Analyze performance to assess quality of coding and medical record documentation.
• Monitor effectiveness of data quality program and recommend improvements.
• Oversee the department’s compliance plan, including assessment, training, policies and procedures, monitoring, and corrective action.
• Provide direction, supervision, and support to all Medical Information Management areas and staff in the absence of the Administrative Director.
• Advise administration, medical, and managerial staff regarding specific issues and problems.

Qualifications

• Bachelor's Degree in Health Information Administration or equivalent.
• Credentialed as a Registered Health Information Administrator by the American Health Information Management Association.
• 10 years of relevant experience required.
• 15 or more years of relevant experience preferred.

Requirements

• Manage the program for high quality, timely coding of diagnoses and procedures for inpatient and outpatient accounts.
• Use ICD-9-CM, ICD-10-CM/PCS, and CPT-4 coding classification systems.
• Monitor the results of the program for quality improvement and timeliness.
• Manage ongoing review of coding for accuracy.
• Assure compliance with CMS regulations regarding coding and data abstraction.
• Provide education on coding, compliance, and documentation requirements.
• Maintain department compliance plan and monitor performance against the plan.

Benefits

• Remote location.
• Regular position.
• Scheduled hours: 40.
• Shift: First Shift.