Manager, HIM Coding

Vail Health has become the world's most advanced mountain healthcare system. Vail Health consists of an updated 520,000-square-foot, 56-bed hospital. This state-of-the-art facility provides exceptional care to all of our patients, with the most beautiful views in the area, located centrally in Vail. Learn more about Vail Health here.

About the opportunity:

The HIM Coding Operations Manager oversees the coding operations department including personnel and resources which support proper coding of Vail Health and related entity medical records consistent with the standards of The Joint Commission, Medicare Conditions of Participation, HIPAA, and hospital policies.

What you will do:

Oversees coding operations for the Vail Health system and maintains key performance indicators established in collaboration with Revenue Cycle leadership equal to or better than the top 25th percentile of national benchmarks.

Identifies labor needs, organizes staff to meet needs of organization, prepares position justifications and descriptions

Develops best practice productivity targets for the organization and tracks and trends productivity metrics.

Assists in the development of annual operating and capital budgets for the coding department, monitors performance, and acts as necessary to address budget variances. Supports the organization's strategic planning efforts by forecasting capital and Coding initiatives for three (3) to five (5) years in advance.

Directs all coding activities regardless of whether coding is performed by providers or coding staff (in-house or outsourced) and establishes a plan to monitor and report the accuracy of coding and address coding deficiencies and education.

Partners with the Revenue Operations team and clinical leaders to support a successful clinically driven revenue cycle.

Leads organization RAC Denials team and works closely with the Patient Financial Services ("PFS") to track and monitor coding-related denials. Ensures a timely and appropriate response providing the best opportunity for the organization to receive funds. Makes appropriate changes to coding or other practices within the HIM function to reduce the number of denials. Monitors the timeliness of coding to ensure the DNFC is maintained within the key performance indicators for those accounts that are not lacking required documentation. Establishes the protocol for dropping accounts when a query is outstanding, resubmitting accounts when query responses or additional documentation is received following claim drop, and collaborating with PFS when external audits require rebilling.

Endeavors to maintain staff engagement and satisfaction scores for responsible departments based on periodic internal surveys at or above the stated organizational goal.

Continuously seeks opportunities for different and innovative approaches to addressing organizational problems and opportunities and advances one's education to ensuring competency in managing a state-of-the art HIM Coding Operations department.

Demonstrates privacy compliance through exemplary HIPAA day-to-day practice.

Role models the principles of a Just Culture and Organizational Values.

Perform other duties as assigned.

This description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

What you will need:

Experience:

• Five (5) years facility and professional production coding required.
• Two (2) year of leadership experience preferred.

Certification(s):

• One of the following certifications required:
  • Registered Health Information Technician (RHIT) Registered Health Information Administrator (RHIA)
  • Certified Coding Specialist (CCS/CCS-P)
  • Certified Professional Coder (CPC)
  • Certified Professional Medical Auditor (CPMA)

License(s):

• N/A

Computer / Typing:

• Familiarity with electronic medical records - Must possess Microsoft skills with Word, PowerPoint, and Excel
• Must possess the computers skills necessary to complete online learning requirement s for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.

Must have working knowledge of the English language, including reading, writing, and speaking English.

Education:

• Graduate of a coding certificate program, associate or bachelor degree in health information technology or other allied health field.

Benefits at Vail Health (Full Time) Include:

• Competitive Wages & Family Benefits:
  • Competitive wages
  • Parental leave (4 weeks paid)
  • Housing programs
  • Childcare reimbursement
• Comprehensive Health Benefits:
  • Medical
  • Dental
  • Vision
• Educational Programs:
  • Tuition Assistance
  • Existing Student Loan Repayment
  • Specialty Certification Reimbursement
  • Annual Supplemental Educational Funds
• Paid Time Off:
  • Up to five weeks in your first year of employment and continues to grow each year.
• Retirement & Supplemental Insurance:
  • 403(b) Retirement plan with immediate matching
  • Life insurance
  • Short and long-term disability
• Recreation Benefits, Wellness & More:
  • Up to $1,000 annual wellbeing reimbursement
  • Recreation discounts
  • Pet insurance

Pay is based upon relevant education and experience per year.

Yearly Pay:

$80,787.20-$115,398.40 USD