Coordinates the activities and personnel of DNFB/Chart Analysis section of GMC Revenue Management, DNFB/Chart Analysis Specialist as to policies, procedures, quality, and productivity standards. Also assumes the responsibility for successfully meeting the standards and criteria of regulatory, licensing and accrediting agencies including, but not limited to HIPAA, JCAHO standards and CMS. Oversees the completion of the abstraction process on all discharged inpatient and observation medical records. The abstraction process is critical for data reporting regarding hospital service, attending provider, newborn names and discharge disposition. Each abstraction item supports PHC4, hospital compliance, Premier benchmarking and is the support system for financial modeling and current budget analysis for over 45,000 inpatient and observation cases annually. Responsible for personnel management of assigned employees. Assigns work schedules, interviews and recommends applicants for hire, trains and evaluates job performance/counsels as needed. Performs other personnel related duties. Coordinates coding of all outpatient and inpatient charts within established departmental timeframes.
Reports to the Director, Revenue Management, Coding Quality and DNFB/Chart Analysis.
COMPETENCIES AND SKILLS:
Demonstrates extensive knowledge of revenue cycle and/or regulatory requirements as they relate to the hospital and professional coding operation components of the revenue cycle and the effect on overall financial health required.
Must have an understanding of an integrated delivery healthcare system.
Demonstrates strong administrative and leadership skills, including competence in planning and organizing services and directing staff.
Demonstrates strong oral and written communication skills; adeptness at assessing needs and setting priorities.
Demonstrates ability to anticipate risk, think analytically and minimize potential problems.
EDUCATION AND EXPERIENCE:
High School diploma or equivalent required. B.A., B.S. or Master's in related field preferred. Appropriate years of experience may be considered in lieu of degree.
CPC/CCS/RHIT or equivalent preferred.
Minimum of five (5) years of experience as a Coding Supervisor or Coding Quality Manager in a similar setting required. Managerial experience in any health care setting can be substituted on a year for year basis.
Demonstrates extensive knowledge (i.e. minimum of five years) of revenue cycle and/or regulatory requirements as they relate to the hospital and professional coding operation components of the revenue cycle and the effect on overall financial health. Understanding of an integrated delivery healthcare system required. Experience in a multi-hospital system preferred. Experience within a revenue cycle of similar setting of size or volume preferred.
Experience within a centralized business office utilizing one or more of the following systems IDX, Siemens, Epic, for a large-scale multi-site or multi-entity hospital system and/or a physician practice plan preferred.
Multi-hospital system experience preferred. Experience preferred within a revenue cycle of similar setting of size or volume.
WORKING CONDITIONS/PHYSICAL DEMANDS:
Work is typically performed in an office environment.
The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
ABOUT GEISINGER: Geisinger is a physician-led health system comprised of approximately 30,000 employees, including nearly 1,600 employed physicians, 13 hospital campuses, two research centers, and a 583,000-member health plan Geisinger is nationally recognized for innovative practices and quality care. Geisinger serves more than 3 million people in central, south-central and northeast Pennsylvania and also in southern New Jersey with the addition of National Malcolm Baldridge Award recipient AtlantiCare, A member of Geisinger. In 2017, the Geisinger Commonwealth School of Medicine became the newest member of the Geisinger Family.
We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. * Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. For more information, visit www.geisinger.org, or connect with us on Facebook, Instagram, LinkedIn and Twitter.
** Does not qualify for J-1 waiver. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
*Domestic partner benefits not applicable at Geisinger Holy Spirit.
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh Food
Farmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencing
programs, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.
Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 13 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers.
What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.