Director, Coding Quality Assurance - IM & EM
工作发布日期：开放到填写。你属于哪个地方？你的职业生涯不仅仅是一份工作，它也是生活的一部分。无论你是临床医生还是非临床专业人士，在 USACS,你都会感觉与与你的兴趣和价值观相似的临床医师和办公室人员合作有联系。我们希望你每天都喜欢来到工作，因为你相信自己做什么以及那些与你一起工作的人。我们关心你的成功。美国医院也了解位置很重要。我们为从纽约到夏威夷的临床和非临床支持员工提供了职业机会，还有许多其他点。我们的支持文化，优异的利和竞争性补偿包是最好的。职位描述 编码质量保证 住院医疗及紧急医学部主任通过建立工具，工作流程，SOP,政策和程序来确保所有编码组织之间的一致性提供领导力。主管监督编码质量的结果以确保 USACS 编码人员的工作质量和生产，供应商合作伙伴编码者在多个专业中维护编码质性保证计划 (CQAP). 这一角色还负责制定和维护与临床医生，编码教育和运营合作伙伴的风险识别过程，以确保质量分数超过行业预期。关键工作功能：视觉，战略领导力和规划 50% · 为编码质量保证实体人员和紧急团队制定和执行战略方向。·建立并维护 QA 框架，政策，工作流程和 SOP 以确保编码实践一致性。·监测编码精度趋势和绩效指标来确定风险和改善机会。·与编码运营，编码教育和临床领导者合作以确保编码质量性能符合组织和行业基准。·与编程供应商合作促进流程的一致性。·制定质量绩效目标，基准和支持质量改善的工具。·确定影响编码质量的新趋势并实施主动策略。质量和操作监督 25% ·监督编码质°A 计划，包括审计过程。·监测内部和外部编码人员的 QA 评分。向教育和运营团队提供反，以建立专业化。
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Job Posting Closing Date: Open until Filled
Where do you belong?
Your career is more than just a job, it's part of your life. Whether you’re a clinician, or non-clinical professional, at USACS you'll feel a sense of connection working with clinicians and office staff who share your interests and values. We want you to love coming to work each day because you believe in what you do and the people with whom you work. We care about your success.
USACS also understands that location is important. We offer career opportunities for clinicians and non-clinical support staff from New York to Hawaii and numerous points in between. Our supportive culture, outstanding benefits and competitive compensation package is best in class.
Job Description
The Director, Coding Quality Assurance – Inpatient and Emergency Medicine, provides leadership to the Coding Quality Assurance Inpatient and Emergency teams by establishing tools, workflows, SOPs, policies, and procedures to ensure consistency across all coding organizations. The Director monitors coding quality results to ensure the quality and production of work by USACS coders, and vendor partner coders maintain Coding Quality Assurance Programs (CQAP) across multiple specialties. This role is also accountable for developing and maintaining a process to identify risk and partners with clinicians, coding education, and operations to ensure quality scores exceed industry expectations.ESSENTIAL JOB FUNCTIONS:
Visioning, Strategic Leadership, & Planning – 50%
- Develop and execute the strategic direction for the Coding Quality Assurance Inpatient and Emergency teams.
- Establish and maintain QA frameworks, policies, workflows, and SOPs to ensure consistency in coding practices.
- Monitor coding accuracy trends and performance metrics to identify risks and improvement opportunities.
- Partner with coding operations, coding education, and clinical leadership to ensure coding quality performance meets organizational and industry benchmarks.
- Collaborate with coding vendor partners to promote consistency in processes.
- Develop quality performance goals, benchmarks, and tools to support quality improvement.
- Identify emerging trends impacting coding quality and implement proactive strategies.
Quality and Operational Oversight – 25%
- Oversee the Coding QA program, including auditing processes.
- Monitor QA scores for internal and external coders by specialty. Provide feedback to education and operation teams to establish action plans.
- Ensure the integrity and reliability of coding quality metrics and reporting.
- Identify and recommend initiatives and programs for coding quality improvements.
- Identify any potential coding quality risk and initiate remediation plan which may require continuous monitoring and evaluation.
- Collaborate with coding operations and education teams to address discrepancies and identify gaps.
- Evaluate trends to identify training opportunities and operational improvements.
Shaping Team Culture & Development – 15%
- Provide leadership and direction to the Coding Quality Assurance team.
- Recruit, develop, and mentor QA staff promoting a culture of accountability and continuous improvement.
- Conduct regular performance discussions, coaching, and development planning.
- Sets a positive example in collaborating initiatives, identifying solutions, measuring, and sharing results, and providing feedback.
Professional Development – 10%
- Maintain expertise in coding standards, regulatory requirements, and industry best practices.
- Participate in continuing education, professional development, and industry forums.
- Serve as a mentor and resource for staff and emerging coding professionals.
KNOWLEDGE, SKILLS AND ABILITIES:
- Strong knowledge of medical coding principles, regulatory requirements, and compliance standards.
- Demonstrated leadership experience managing coding quality assurance programs.
- Ability to analyze coding quality data and translate findings into actionable improvement initiatives.
- Strong collaboration and stakeholder management skills across multi-disciplinary teams.
- Excellent communication and presentation skills.
- Proven ability to lead continuous improvement initiatives and manage performance metrics.
- Strong analytical, problem-solving, and organizational skills.
- Proficiency in Microsoft Office applications, with emphasis on Excel.
- Ability to identify, research and solve problems and discrepancies.
- Ability to maintain confidentiality and handle sensitive information.
EDUCATION AND EXPERIENCE:
- Associate degree required; Bachelor’s or Master’s degree preferred.
- RHIT, RHIA, CCS-P, CPC or other job-related certification required.
- 6+ years’ coding experience and leadership/supervision experience required.
- 6+ years of relevant experience managing coding inventory across a large physician practice or multi-site healthcare organization with high accountability for quality and production metrics.
- 6+ years of relevant experience managing HIM/Coding workflow and data capture processes, including within an electronic medical records system.
- 6+ years of relevant experience in managing multiple, large coding teams and/or projects, and influencing senior-level management and key stakeholders.
PHYSICAL DEMANDS:
- While performing the duties of this job, the employee is regularly required to sit for prolonged periods and occasionally walk, stand, bend, stoop, and lift up to 15 pounds.
- Required to have close visual acuity to perform the job.
Salary Range:
$103,887.00 - $192,191.00Salary may be determined on several factors including but not limited to knowledge, skills, experience, education, geographical location and requirements stated in job description.
USACS offers a comprehensive and competitive benefits package designed to support the health, well-being, and financial security of our employees.
Benefits may vary based on role, location, and employment status, but generally include:
- Medical, dental, and vision insurance options
- Health savings accounts (HSA) and flexible spending accounts (FSA)
- 401(k) employee and employer contributions
- Paid time off, including vacation, sick leave, and company holidays
- Paid parental leave & family support benefits
- Short-term and long-term disability insurance
- Life and accidental death & dismemberment (AD&D) insurance
- Employee assistance programs & wellness resources
Additional compensation may include bonus eligibility, equity, or other incentive programs, depending on the role.
Specific benefit offerings and eligibility will be provided during the hiring process and may be subject to change in accordance with applicable laws and company policies.
Click the red apply button to submit an application and resume. If you are an USACS employee, please apply via the Jobs Hub in the Workday system.
Originally posted on Himalayas