Director, Enterprise Professional Coding

The Director of Enterprise Professional Coding is an integral member of the Revenue Cycle division, working closely with the financial and clinical operations to provide strategic direction in support of operational performance and key financial metrics. Understands interrelationships among systems and processes across functional areas to evaluate processes, improve efficiency, and ensure optimal results. Facilitates the overall structure, process, oversight, and accountability of professional coding and health data collection activities to ensure accurate provider documentation and coding as it relates to appropriate, compliant, and optimal reporting and reimbursement for health care services. Areas of oversight include professional coding edit resolution, provider documentation and professional coding auditing and education.

• Oversee the professional coding to include daily operations management, budget, productivity, quality, education and training, auditing, report management, performance improvement initiatives and developing standardized practices, processes, policies and procedures.
• Manage the daily operations of professional coding for UVA Health and community health to effectively implement process improvements while ensuring team is high functioning and efficient
• Develop and implement strategic goals and objectives to ensure regulatory compliance acting as the subject matter expert on Centers for Medicare and Medicaid Services (CMS) HCC documentation requirements and ICD-10-CM coding guidelines
• Ensures key processes have standards of performance that are measured, reported, and addressed. Directs key processes by monitoring and reporting performance statistics and explaining variances. Assist with analysis, trendspotting and presentation of findings, outcomes, and issue.
• Develop best-practice documentation guidelines, including condition-specific reference materials
• Ensure compliance with internal policies and external regulations and standards. Monitors work unit compliance with internal controls and develops remediation plans to address identified control weaknesses.
• Develop and recommend changes to policies and procedures that affect professional coding operations by establishing key performance indicators.
• Analyzes changes to professional coding and billing rules and regulations by utilizing appropriate reference materials, internet sources, seminars and publications.
• Provides guidance, communication and education on correct charge capture, coding and billing processes to clinical departments.
• Serves as a key leader in future work flow design and management under Epic financials.
• Actively seeks to promote and maintain a professional team-oriented, service-conscious culture that contributes to the goals of the department and organization.
• Fosters a positive and proactive work environment, emphasizing respect for individuals, high standards of quality, customer service, innovation and team work.
• Maintain personal professional growth and development through seminars, workshops and professional affiliations.

Position Compensation Range: $100,817.60 – $161,304.00 Annual

MINIMUM REQUIREMENTS:

Education: Bachelor’s degree in Accounting, Finance, Healthcare Administration, or related field required.

Experience: Minimum five (5) years of healthcare financial management that includes revenue cycle or related experience working directly in Healthcare Professional Billing Revenue Cycle, Revenue Integrity, Charge Capture and/or Coding.

Licensure: None.
PHYSICAL DEMANDS
This is primarily a sedentary job involving extensive use of desktop computers. The job does occasionally require traveling some distance to attend meetings, and programs.

COVID Vaccination Requirement and Guidelines

Please visit the UVA COVID-19 Job Requirements and Guidelines  webpage prior to applying for current information regarding vaccination requirements and guidelines for employment at UVA.

The University of Virginia, i ncluding the UVA Health System which represents the UVA Medical Center, Schools of Medicine and Nursing, UVA Physician’s Group and the Claude Moore Health Sciences Library, are fundamentally committed to the diversity of our faculty and staff.  We believe diversity is excellence expressing itself through every person’s perspectives and lived experiences.  We are equal opportunity and affirmative action employers. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran status, and family medical or genetic information.