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Providence Health & Services Executive Director, (RCS) Coding in Renton, Washington

Description:

THE ROLE

Revenue Cycle Shared Services reflect the Providence employees who work throughout Providence St. Joseph Health in revenue cycle systems and structures in support of our ministries and operations in all regions from Alaska, Washington, Montana, Oregon, California, Texas, and New Mexico. Revenue Cycle's objective is to ensure our core strategy, Committed to Excellence, is enhanced along with the overall patient care experience (know me, care for me, ease my way) by delivering a robust foundation of services, operational and technical support, and the sharing of comprehensive, relevant, and highly specialized revenue cycle expertise.

This position is accountable for the operations and strategic direction / delivery of a best-practice acute coding service model within Revenue Cycle throughout the Providence health system (including affiliates). This role includes developing and executing strategic plans around organizational transformation, integration, standardization, and modernization of acute coding-related services. In addition to leading coding operations, this position will be responsible for large-scale coding initiatives that will involve partnering closely with many other stakeholder groups. A strong degree of vision, forward-thinking, leadership skills, business acumen, and communication skills are required for this position.

The incumbent performs all duties in a manner that promotes Providence mission, values, and philosophy. In all aspects, he/she serves as a role model for the values and mission of the organization.

ESSENTIAL FUNCTIONS

  • Ensure that all acute-care coding strategic goals and services are aligned with organizational priorities and developed in a consistent and standardized manner across all Regions.

  • Overall management and oversight of acute-care coding/abstracting/charging, QA, QI, education, training, denials /appeals, pre-bill quality & revenue-protection, and DRG validation functions within designated scope of responsibility.

  • Overall management of coding technology, workflows, and use of common tools including encoders, groupers, and other systems related to acute coding /abstracting. Identification of new coding-related technology / tools to enhance efficiencies, quality, etc.

  • Lead enterprise-wide acute coding-related initiatives and ensures adherence to official coding and regulatory guidelines.

  • Be accountable for the overall oversight of the development of standardized policies, procedures, and practices related to coding/abstracting across all Regions.

  • Establish and monitor overall compliance to all coding-related KPI’s and other metrics

  • Incorporate knowledge of enterprise-wide business strategies to effectively challenge the status quo and delivers innovative methods to gain efficiencies, reduce costs, increase automation, and improve quality for coding.

  • Lead large-scale projects which include: financial and quality analysis, problem solving, and team collaboration while leading a multidisciplinary team to advance revenue cycle coding programs

  • Lead integration activities to standardize complex and disparate coding processes to best-practice standards across multiple facilities and acute-settings.

  • Proactively identify opportunities, address obstacles, and lead transformational activities related to modernization and innovation.

  • Establish strong partnerships with internal and external stakeholders such as CDI, Risk/Integrity/Compliance, Quality, Providers, Revenue Integrity, vendors, Payer-yield, Information Services, and other departments within the organization.

  • Be able to breakdown raw information and undefined problems into specific workable components that in-turn clearly identifies the issues at hand. Make logical conclusions and decisions using a strong data/analytical approach.

  • Consistently display awareness and sensitivity to the needs of internal and/or external customers. Proactively ensure these needs are met or exceeded.

  • Identify and act upon opportunities. Motivate others during times of organizational stress, ambiguity, and change. Create an environment that encourages prudent risk-taking, sharing of best practices, and alerting groups to alternative approaches.

  • Knowledge and support of performance metrics for compliance and workflow optimization across revenue cycle operations. Embrace achieving best practices efficiently.

  • Improve organizational performance though the application of original thinking to existing and emerging methods, processes, products and services. Employ sound judgment in determining how innovations will be deployed to produce return on investment.

  • Communicate ideas or positions in a persuasive manner that builds support, agreement, or commitment. Take actions that directly or indirectly influence others to create buy-in, gain trust, and motivate actions in others or win concessions without damaging relationships.

  • Perform other duties as assigned.

Qualifications:

QUALIFICATIONS

Required experience and education for this position include:

  • Bachelor's Degree in an AHIMA accredited HIM program; or other related field of study

  • Upon hire, Registered Health Information Administrator certification

  • Upon hire, Registered Health Information Technician certification

  • More than 10 years of healthcare Industry Leadership Experience

  • At least 8 years withing a Leadership role in HIM/Coding in a complex healthcare environment such as a large multiple-hospital health system

  • 5 years of experience with implementing large change initiatives

  • Demonstrated experience in process improvement methodology, change management, operational improvement in complex systems

  • Acute Coding leadership experience in a large integrated health system featuring a variety of specialty services

  • Strong knowledge and understanding of acute-care coding such as ICD-10, PCS, CPT, along with MS-DRGs, APR-DRGs, SOI, ROM, and CMI

  • Strong EMR / Encoder proficiency required (prefer Epic and 3M 360 CAC systems)

  • Demonstrated skill to create and successfully execute plans for highly complex issues

  • Healthcare business operations and/or financial management experience in a healthcare setting

  • Demonstrated experience standardizing complex and disparate processes and policies

  • Proven ability to interact with and effectively communicate to all levels of an organization. Organizational, interpersonal, and communications skills and the ability to manage ambiguity and shifting priorities are critical for success in this position.

  • Proven ability to anticipate and respond proactively in a dynamic environment

  • Demonstrated ability to adapt and respond effectively and rapidly to a constantly changing environment

  • Strong leadership skills including mentoring, coaching, delegating, and holding leadership level employees accountable

  • Proven ability to lead/ organize multiple projects, schedules, demand and to meet shifting priorities

  • Strong ability to develop and effectively deliver business presentations to a wide audience

  • Demonstrated experience standardizing complex and disparate processes and maintaining common processes to standards across multiple facilities and in different settings

  • Ability to work within tight timeframes and meet strict deadlines

  • Strong attention to detail and outstanding analytical skills.

  • Ability to build and manage effective teams

  • Effective leadership skills.

Preferred experience and education for this position include:

  • Master's Degree in Business Administration, Healthcare Administrator, Public Administration or HIM

  • Upon hire, Coding Specialist certification.

We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit

https://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Leadership

Location: Washington-Renton

Req ID: 293386

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