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Audit Director Salary in Irving, TX

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Human Resources Personnel Professional - II
The Judge Group Inc., Irving
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Health Information Management Coder Senior
CHRISTUS Health, Irving, TX, US
DescriptionSummary:*CHRISTUS Health System offers the position as a remote opportunity. Candidate must reside in the states of Texas, Louisiana, Arkansas, New Mexico, or Georgia to further be considered for this position.*Responsible for maintaining current and high-quality ICD-10-CM/PCS coding for all Inpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. Coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting. Inpatient coding is applicable towards all regional Inpatient encounters.Coder will work collaboratively with various CHRISTUS Health HIM and Clinical Documentation Specialists to ensure accurate and complete physician documentation to support accurate billing and reduce denials. Coder will also assist in other areas of the department, as requested by leadership. Coder will report directly to their Regional Coding Manager, with additional leadership from the Director of Coding Operations and System HIM Director.Assign codes for diagnoses, treatments and procedures according to the ICD-10-CM/PCS Official Guidelines for Coding and Reporting through review of coding critical documentation, to generate appropriate MS/APR DRG.Extracts and abstracts required information from source documentation, to be entered into appropriate CHRISTUS Health electronic medical record system.Validates admit orders and discharge dispositions.Works from assigned coding queue, completing and re-assigning accounts correctly.Manages accounts on ABS Hold, finalizing accounts when corrections have been made, in a timely manner.Meets or exceeds an accuracy rate of 95%.Meets or exceeds the designated CHRISTUS Health Productivity standard per chart type.Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).Assists in implementing solutions to reduce backend-errors.Identifies and appropriately reports all hospital-acquired conditions (HAC).Expertly queries providers for missing or unclear documentation, by working with the HIM department and Clinical Documentation Improvement Specialists.Participates in both internal and external audit discussions.Requirements: Bachelor's DegreeWork Type: Full TimeEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.
Director Corporate Specialty and Business Pharmacy Services
CHRISTUS Health, Irving, TX, US
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Works collaboratively with providers to maintain an effective (System) Hospital and Ambulatory formulary based on safety, efficacy and cost.Coordinates routine operational audits of pharmacy operations including purchasing, receiving, storage, distribution, expired and waste streams.Coordinate and lead system strategies to manage industry drug shortages, including development of system policies, guidance documents, and tools. Assist with research and coordination of supply chain alternatives (such as development of therapeutic interchanges, conservation strategies, and supply source or contracting alternatives). Consult and collaborate with stakeholders such as system pharmacists, physicians, nursing, clinical educators, legal counsel and ethics leaders, as appropriate.Coordinate assistance for any corporate system or process with a component that requires drug therapy expense or revenue analysis. 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Assist with pharmacy education initiatives and development and/or improvement of the pharmacy service/model.Participates in committee meetings(s) as determined by System Pharmacy Leadership to support organizational initiatives.Serves as a preceptor for pharmacy students/residents from local colleges of Pharmacy, pharmacy residents (if applicable), and/or other healthcare professionals in training.Responsible for oversight of clinical decision-making aspects of the Specialty Pharmacy program.Ensures that qualified clinicians are accountable to the organization for decisions affecting consumers.Provides guidance for clinical operational aspects of the Specialty Pharmacy program.Chairs the Specialty Pharmacy Quality Management Committee.Collaborates with the other System Pharmacy Directors to review and maintain department policies and procedures for pharmacy services; Assists in the development and implementation of accrediting agency medication management standards. Facilitate and provide leadership in the maintenance and development of clinical pharmacy initiatives, policies, and protocols. Collaborates with other System Pharmacy Directors to coordinate ongoing Performance Improvement/medication safety initiatives (including Medication Use Evaluation (MUE); medication incident reports, and adverse drug reactions (ADRs) for reporting to appropriate committees. Participates in departmental and interdisciplinary committees to support the organization’s efforts for performance improvement in the areas of patient safety, therapeutic outcomes, and cost savings.Enhances personal professional growth and development by accessing educational programs, job-related literature, in-service meetings, and workshops/seminars.Responsible for remaining up-to-date on all Federal, State and local laws, accreditation standards or regulatory agency requirements, which apply to the assigned area of responsibility and ensure compliance with all such laws and regulations. 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Compliance Auditor II
CHRISTUS Health, Irving, TX, US
Description JOB SUMMARY Compliance Revenue Cycle Auditor will assist in the overall quality, compliance, and auditing activities to assess compliance of standard operating procedures, corporate policies, industry standards, and applicable federal and state laws for CHRISTUS Health. Conducts revenue cycle audit activities and prepares reports summarizing audit results. Works in conjunction with Director, Compliance Audit on revenue cycle compliance work plans, staff education, internal and external audits and reviews, and provides assurance that the organization is operating in an efficient and effective manner. MAJOR JOB RESPONSIBILITIES: Performs revenue cycle compliance audits according to the established work plan and ad hoc audits as needed, coordinates with the CHRISTUS Regional teams and the System Office as it relates to such audits, and prepares deliverables related to audit results including corrective action plans agreed to by revenue cycle leadership.Coordinates targeted internal medical record and claim reviews with the CHRISTUS revenue cycle departments.Identify risks related to the revenue cycle and assists with developing annual work plan to address those identified risks.Participates in regular compliance / revenue cycle workgroups and presents summary of compliance audit activities to the committee.Provides subject matter expertise / education to the facility staff as directed by the Director, Compliance Audit.Exercises due diligence in collaboration with the Director, Compliance Audit to prevent and detect misconduct and wrongdoing. Undertake all reasonable steps to respond appropriately when an offense is detected and prevent future similar offenses. Assess the enforcement of compliance program standards.Provides results of audits and education to HIM, Revenue Cycle Departments, physicians, hospital and clinic operations regarding revenue cycle requirement in conjunction with the Director, Compliance Audit.Assists department with development of corrective action plans (CAPs), as needed, and validate CAPs are implemented and successful by performing follow up audits.Communicates effectively with the regional compliance teams, Corporate Compliance team in the System Office, and hospital departments as needed following the CHRISTUS Core Values.Assists Director, Compliance Audit on OIG and other government audits/reviews and other compliance-related work, as assigned. Maintains confidentiality and discretion regarding all work matters. Performs all duties in a manner that protects the confidentiality of patients and does not solicit or disclose any confidential information unless it is necessary in the performance of assigned job duties. Assesses compliance with policies, procedures, and standards as promulgated by state and federal agencies, the hospital, and other regulatory entities.Performs other duties as assigned.Requirements: Bachelor’s degree is preferred, though experience in healthcare revenue cycle, auditing, hospital operations will be consideredKnowledge of and experience with Epic preferredStrong Skills with Microsoft products (Excel, Word, and Power Point)Five (5) years’ experience or more in healthcare revenue cycleStrong knowledge of revenue cycle regulatory requirements and operations requiredKnowledge of processes related to billing, including, but not limited to registration, CDM management, Local and National Coverage Decisions, Advanced Beneficiary Notices, Medicare Secondary Payor requirements, third party collections and write-offs, No Surprise Act and Pricing TransparencyOverall knowledge of hospital department operationsCHC or other hospital revenue cycle certifications preferred Work Type: Full TimeEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.
Accountant Lead
CHRISTUS Health, Irving, TX, US
DescriptionSummary:This position is responsible for accurate and timely preparation and review of Hospital Financial statements as assigned. This position is heavily involved in monthly/quarterly close processes, year end audit preparation, budget preparation, tax schedule preparation, and leads assigned projects. As a member of the Accounting team, this role is expected to lead efforts in improving processes for preparation of financial statements and related reports/schedules, ensuring reporting accuracy and building relationships in the organization that achieve these goals. This position reports directly to the Accounting Manager, with responsibility for multiple sets of books in which direct supervision of daily work activities of a staff or senior accountant and/or accounting assistants is required. The individual has responsibility for the assignment of work and review of work of designated staff for a specific financial reporting area. An expectation is to function at a high level of accounting knowledge coupled with ability to direct others and give feedback on a daily basis as to work product. Overall performance evaluation is not the direct responsibility of this position; however, the expectation is for specific and documented feedback on the work of Associates assigned to the Financial Accountant-Lead to be incorporated into performance evaluations of those Associates. The position requires demonstrated ability to plan projects, develop and adhere to timelines, multi-task on various work flows, develop work processes meeting internal control guidelines, interpret Accounting guidance to direct work of others, and maintain skills and work at the Senior Accountant level to produce accurate and timely financial reports.Responsibilities:Provide guidance to other team members regarding complex accounting and reporting transactionsPerform independent research to guarantee the proper treatment of financial transactions and ensuring compliance with GAAPDrive improvements to Accounting team by identifying opportunities for improvement and leading new initiatives to capitalize on opportunitiesBuild and maintain relationships that motivate, guide and encourage others to achieve goal of continuous quality improvement in the processes and systems used for financial statement preparation and related reportingPrepare monthly reporting of financial and operational results, ensuring compliance with generally accepted accounting principles and System policies and procedures while ensuring the integrity and accuracy of informationAnalyze and review assigned monthly financial statements identifying suspect transactions and articulating finding to the Accounting ManagerOversee and plan work of Accounting Assistance and Senior Accountant by making assignments and reviewing daily work schedules to accomplish monthly reporting goals with accuracy and adherence to established deadlinesResearch financial/accounting issues and propose the necessary change to Management that maintains the integrity of financial informationPrepare year end audit reporting for external auditorsIdentify and research audit issues and questionsSupport Senior Management, Regional and Corporate Associates with data requests and analysesCoordinate special projects assigned by the Director of Corporate Accounting or Corporate Controller including set up of books for new entities as assigned designing processes to adhere to internal controls and GAAP reporting guidelinesRequirements:Bachelor's DegreeWork Type: Full TimeEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.
Director Credentialing - Staff Credentialing
CHRISTUS Health, Irving
DescriptionSummary:The Director of Credentialing oversees the operations of the CVO to develop, manage, and monitor processes and procedures that support the credentialing, re-credentialing, expireables, and delegated credentialing processes. Oversees all of the credentialing functions including application management and primary source verification. Ensures compliance with the appropriate accrediting and regulatory agencies. Supervises credentialing staff in the day-to-day management of the overall CVO credentialing process and database management.Responsibilities:Responsible for the development and management of a comprehensive provider credentialing office for all CHRISTUS Health entitiesObtains accreditation of the credentialing office and obtains delegation for the managed care credentialing of CHPH network providersDirects the CVO credentialing process for all managed care and medical staff providers, in accordance with The Joint Commission, NCQA, URAC, and CMS accreditation standards, Federal and State Laws, and CHRISTUS Health policies.Coordinates the management of the credentialing database and associated applications, ensuring the accuracy of data and reporting to downstream systems. Monitors data for analysis and report generation.Coordinates the management of the application process, to ensure distribution, receipt, processing, and timely delivery to clientsDirects the management of the expireables process to ensure all provider licenses, insurance, and certifications remain current, ensuring appropriate notification prior to expiration.Monitors and reports turnaround times for processing of applications, with focus on delivery of a high-quality product with the greatest efficiency.Participates in development and review of CVO operating policies and procedures; develops, recommends, and/or implements changes, revisions, and enhancements as appropriate to current operating environment.Analyzes accreditation standards and develops criteria to ensure compliance.Prepares for and coordinates credentialing audits in compliance with accrediting agencies and managed care contracts.Functions as the primary CVO credentials contact; develops and maintains positive working relationships across ministries.Oversees the supervision of associates, which includes training, promotion, enforcement and auditing of internal procedures, and problem resolution; evaluates performance and makes recommendations for personnel actions; motivates associates to achieve peak productivity and performancePerforms miscellaneous job-related duties as assigned.Requirements:Bachelor's Degree preferred or equivalent experienceMinimum 10 years working in credentialingMinimum 7 years in a leadership positionCertified Professional in Medical Services Management (CPMSM) and/or Certified Provider Credentialing Specialist (CPCS) required Work Type: Full TimeEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.
Director Credentialing - Staff Credentialing
CHRISTUS Health, Irving, TX, US
DescriptionSummary:The Director of Credentialing oversees the operations of the CVO to develop, manage, and monitor processes and procedures that support the credentialing, re-credentialing, expireables, and delegated credentialing processes. Oversees all of the credentialing functions including application management and primary source verification. Ensures compliance with the appropriate accrediting and regulatory agencies. Supervises credentialing staff in the day-to-day management of the overall CVO credentialing process and database management.Responsibilities: Responsible for the development and management of a comprehensive provider credentialing office for all CHRISTUS Health entitiesObtains accreditation of the credentialing office and obtains delegation for the managed care credentialing of CHPH network providersDirects the CVO credentialing process for all managed care and medical staff providers, in accordance with The Joint Commission, NCQA, URAC, and CMS accreditation standards, Federal and State Laws, and CHRISTUS Health policies.Coordinates the management of the credentialing database and associated applications, ensuring the accuracy of data and reporting to downstream systems. Monitors data for analysis and report generation.Coordinates the management of the application process, to ensure distribution, receipt, processing, and timely delivery to clientsDirects the management of the expireables process to ensure all provider licenses, insurance, and certifications remain current, ensuring appropriate notification prior to expiration.Monitors and reports turnaround times for processing of applications, with focus on delivery of a high-quality product with the greatest efficiency.Participates in development and review of CVO operating policies and procedures; develops, recommends, and/or implements changes, revisions, and enhancements as appropriate to current operating environment.Analyzes accreditation standards and develops criteria to ensure compliance.Prepares for and coordinates credentialing audits in compliance with accrediting agencies and managed care contracts.Functions as the primary CVO credentials contact; develops and maintains positive working relationships across ministries.Oversees the supervision of associates, which includes training, promotion, enforcement and auditing of internal procedures, and problem resolution; evaluates performance and makes recommendations for personnel actions; motivates associates to achieve peak productivity and performancePerforms miscellaneous job-related duties as assigned.Requirements:Bachelor's Degree preferred or equivalent experienceMinimum 10 years working in credentialingMinimum 7 years in a leadership positionCertified Professional in Medical Services Management (CPMSM) and/or Certified Provider Credentialing Specialist (CPCS) required Work Type: Full TimeEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.
General Manager/ HOA
Associa, Irving
The General Manager (GM) is a performance driven leader and mentor to all onsite direct reports. This position provides the overall supervision of a HOA community, interacting with board members, homeowners, vendors, committee members as well as staff of the Client Shared Services Center (CSSC) of Associa and with Somerset offices.The GM will work collaboratively with the board on homeowner services, facility management, project oversight, Committees, proactive and clear communication with all residents and management of employees.Job Duties and ResponsibilitiesSafetyManage functionality of all Emergency and Fire Safety systems and procedures throughout the property.Ensure all emergency phone tree contacts within each Property Emergency Manual are current with valid contact information.Have all employees fully trained on emergency responsiveness.Monitor timely building infrastructure inspections with local code enforcement and the Fire Marshall.Employee MoraleProvide leadership and oversight in general operations of the property.Foster a positive workplace environment with clear lines of communication.Develop career engaged employees in their professional learning and advancement.Work collaboratively with branch management, Human Resources and on-site management on any employee issues as they develop.Recruiting, orientation and onboarding of all new employees.Coaching, counseling and discipline, working with HR, with all employee issues.Board MeetingsAttends all board meetings, providing an agenda, status of prior meeting action items, meeting materials and new business recommendations.Manages the annual meeting and open board election process incorporating:Notice of meeting/election per Governing DocsCall for candidatesDistribution of proxy ballotsCoordination of candidate bios and introductionsPreparation of annual meeting slide deck, in cooperation with each board officerPromote casting of ballots and meeting attendance in advance, seeking to meet quorumPre-meeting proxy ballot countCoordinate meeting process In-meeting final ballot countLiaison with any and all committees, meeting on a regular schedule basis to provide resources and open communication channels with the board.Financial ManagementProcess and properly code all invoices from vendors and service provides via StrongRoomOversee timely and accurate ADP payroll processing each pay periodReview and analyze monthly financial statements to ensure accurate and timely reportingPrepare a monthly Variance Report, describing all material variances to budget and the underlying reasonsPrepare a draft annual operating budget for board's review and approval, according to the Governing DocsAssist Somerset with coordination of state and federal tax filingsAssist Somerset in securing engagement letters from the board by which to conduct the annual third part CPA audit of the HOAEnsure capital project expenditures are coded toward Replacement Reserves as appropriateFacility ManagementEstablish a functional work order process whereby requests are handled promptly and completely, and the Chief Engineer manages the productivity of same.Create and oversee a Preventive Maintenance schedule that covers all key assets including: mechanical, electrical, plumbing, infrastructure, electronic systems, security access and building infrastructure. The GM reviews worked performed with the Chief Engineer and then reports progress to the board during the monthly board meeting.Responds to repairs and maintenance items that occur with the Chief Engineer.Oversees project management via the annual Reserve Budget.Review the Reserve Study annually and make recommendations for modifications.Walk a portion of your building and parking lot daily, preferably with your Engineer, so that by the end of each week, you have seen and assessed the complete building, garage and grounds. This will give you the opportunity to stay ahead of any developing issues, create opportunities to see and visit with residents and communicate to your staff that you are paying attention to the details.Project ManagementAttend all project meetings and coordinate follow through with the board of directors.Provide work product and information to Engineering Firms, Attorneys and Contractors as needed.Coordinate project funding via Special Assessment and bank loan program, acting as liaison with Somerset corporate office and centralized Accounting.Participate with external project update reporting mechanisms and address follow through on the part of management as appropriate.Lead homeowner communications on all project status reports and updates.Coordinate access and informational messaging with homeowners when project work intersects with individual homeowner units.Oversee in-house Engineering Department as it supports and interacts with project personnel.Administration & OperationsResponsible for maintaining a consistent level of cleanliness throughout the property.Ensures onsite employees are in uniform, name tag with appropriate hygiene and grooming.Provides training and resources for employees to conduct their duties with reasonable ease.Establishes performance accountability by department that is documented regularly. Assists board with annual insurance quotes, comparisons and selection of appropriate carrier(s).Solicits 3 bids on all contracts and service agreements before presenting and recommending options to board.CommunicationsManage board member communications, assuring all members are aware of issues, concerns, projects and all relevant matters, as they arise.Provide board members with sufficient advance notice as possible, and provide as much information that is available, to assist board with decision making.Support TownSq application and training across all system users.Assemble and share a weekly update report to the board of directors, with bullet points of action items accomplish, and a status of those projects still in progress.Author and distribute a periodic all-home owner newsletter / update, so residents can know what is going on and better appreciate the work involved in increasing the value of their property.Follow up personally with each homeowner following an issue resolution, to ensure they are satisfied and to underscore your personal oversight.While working on major projects or extended matters, take the time to communicate what you and your team are doing, enabling residents the chance to understand that work is in progress. The absence of communication creates the assumption that nothing is being accomplished.Knowledge and SkillsStrong track record of increasing Employee Engagement and Satisfaction through a hands-on collaborative leadership style.Proven ability to generate a high level of board and home owner satisfaction at a sustained level.Professional communication skills that are effective at all levels of the organization as well as our clients, board members, vendors, bankers, attorneys, contractors and strategic partners. Proficient in written, verbal and public delivery of communication.Confidentiality and discretion in the performance of all duties and responsibilities.Solid knowledge of Accounting, Financial statements and Managerial reports.Proficiency with Microsoft Office Suite of product (WORD, Excel, Outlook, etc.)Knowledge of Facility Management, including Preventive Maintenance, Work Orders, Operations, Capital Project oversight and Reserve Study management.Detail orientation with strong follow up skills, establishing accountability.Clear analytical and problem-solving ability, the decisions of which may impact several stakeholders.Proactive analysis of related information and options on each topic, enabling you to come to the board with proposed solutions and options vs. just identifying a problem exists.Seniority LevelMid-Senior levelIndustryReal EstateEmployment TypeFull-timeJob FunctionsCustomer ServiceGeneral BusinessSkillsMicrosoft OfficeMicrosoft ExcelMicrosoft Outlook
Director Credentialing - Staff Credentialing
CHRISTUS Health, Irving, TX, US
DescriptionSummary:The Director of Credentialing oversees the operations of Health plan credentialing to develop, manage, and monitor processes and procedures that support the credentialing, re-credentialing, expireables, and delegated credentialing processes. Oversees all of the credentialing functions including application management and primary source verification. Ensures compliance with the appropriate accrediting and regulatory agencies. Supervises credentialing staff in the day-to-day management of the overall health plan credentialing process and database management.Responsibilities: Responsible for the development and management of a comprehensive provider credentialing office for all CHRISTUS Health entitiesObtains accreditation of the credentialing office and obtains delegation for the managed care credentialing of CHPH network providersDirects the credentialing process for all managed care and medical staff providers, in accordance with The Joint Commission, NCQA, URAC, and CMS accreditation standards, Federal and State Laws, and CHRISTUS Health policies.Coordinates the management of the credentialing database and associated applications, ensuring the accuracy of data and reporting to downstream systems. Monitors data for analysis and report generation.Coordinates the management of the application process, to ensure distribution, receipt, processing, and timely delivery to clientsDirects the management of the expireables process to ensure all provider licenses, insurance, and certifications remain current, ensuring appropriate notification prior to expiration.Monitors and reports turnaround times for processing of applications, with focus on delivery of a high-quality product with the greatest efficiency.Participates in development and review of operating policies and procedures; develops, recommends, and/or implements changes, revisions, and enhancements as appropriate to current operating environment.Analyzes accreditation standards and develops criteria to ensure compliance.Prepares for and coordinates credentialing audits in compliance with accrediting agencies and managed care contracts.Functions as the primary credentials contact; develops and maintains positive working relationships across ministries.Oversees the supervision of associates, which includes training, promotion, enforcement and auditing of internal procedures, and problem resolution; evaluates performance and makes recommendations for personnel actions; motivates associates to achieve peak productivity and performancePerforms miscellaneous job-related duties as assigned.Requirements:Bachelor's Degree preferred or equivalent experienceMinimum 10 years working in credentialingMinimum 7 years in a leadership positionCertified Professional in Medical Services Management (CPMSM) and/or Certified Provider Credentialing Specialist (CPCS) required Work Type: Full TimeEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.
Director Professional (PB) Coding
CHRISTUS Health, Irving, TX, US
DescriptionSummary:The Director of Professional Coding is responsible for the direction and leadership of operational, financial, workforce management, for Professional (Pro-fee) Coding, Audit, and Education departments. This includes establishing, meeting and continuously monitoring the goals and objectives while maintaining alignment with the strategic goals and objectives for Christus Trinity Clinic. While the range of duties and responsibilities is broad and varied, the position includes directing the day-to-day operations, budgeting, productivity, coding compliance, and human resource management. The Director works closely with a variety of stakeholders, coordinating the activities of Professional Coding across the system. The Director is responsible for a diverse, growing department, requiring skills in data-driven decision-making, project management, and process improvement/lean management. This position requires a deep knowledge of industry best practices in pro-fee coding and documentation, technology and workflow. The Director will use these skills and experience to partner with physicians, department managers, coding leads/managers, Education Director, revenue cycle (CBO) and revenue integrity departments, and other clinical and non-clinical operational stakeholders in a highly complex professional coding model, to maximize patient and provider experience from a coding perspective, while increasing coding accuracy and efficiency.MAJOR RESPONSIBILITIES: · Conducts themselves in a manner that upholds CHRISTUS core values. · Interprets impact of broad scope organizational change for staff and develops change strategies for successful implementation. · Leverages leadership competencies to develop themselves and others. · Develops and manages operational initiatives with measurable outcomes. · Formulates objectives, goals and strategies collaboratively with other stakeholders. · Prepares and delivers reports to operational leadership outlining progress toward meeting goals and objectives, to include performance related to pre-AR aging, work queue management, finance, quality, and staffing. · Actively seeks opportunities to improve financial outcomes, engaging staff in the process. · Monitors and analyzes data and utilizes for decisions regarding FTE’s, staffing and operational budget. · Creates business plan(s)/SBARs in support of operational and staffing needs, analyzing cost benefit of programs and resources to support coding operations. · Directs and provides guidance to managers to effectively allocate resources based on charge volume, budget constraints, and program priorities, goals, and objectives. · Contribute to the success of the Christus Trinity Clinic by providing leadership, direction and coordination of operations, finances, and staffing for area of responsibility. · Manage and direct all activities within area of responsibility. · Continually assesses all services, identifies problems, utilizes data to analyze and propose innovative approaches for solutions. · Engages staff and other stakeholders in continuous improvement of systems and processes; manages resources for staff participation in improvement work activities. · Ensures effective facilitation of improvement teams and development of leadership skills to ensure overall effectiveness of meetings. · Organizes and prioritizes time and resources to manage efficiency. · Remains current of new coding and documentation guidelines, best practices and incorporates into Professional Coding practices and programs. · Serve as subject matter expert in Evaluation & Management (E/M) coding and documentation requirements, CPT, ICD-10-CM, HCC, and HCPCS assignments. · Serve as subject matter expert in Resident/Teaching Physician coding and documentation guidelines, CMS’ Incident-To and Split/Shared rules. · Articulate and enforce standards for quality/productivity. · Demonstrates achievable and measurable results and develop action plans for improvement. · Initiates, monitors, and enforces all regulatory requirements including: CMS, NCCI, HIPAA, etc. · Holds self and others accountable to policy, standards and commitments and provides timely follow through on questions and concerns. · Actively listens to staff ideas and concerns, assesses others communication styles and adapts to them. · Effectively facilitates meetings within Coding, Compliance, Revenue Cycle Operations and Clinical Operations. · Creates bi-directional systems that effectively communicate information and data with various teams, providers, etc. · Articulates and presents data, information, and ideas in a clear and concise manner. · Communicates opinions and ideas in a nonthreatening and nonjudgmental manner to staff, peers, and others. · Communicates with physicians, department leaders, and senior administration to maintain coordination with other CHRISTUS programs and departments. · Manages the complex interdepartmental and interdisciplinary relationships to assure collaboration and effective/efficient operations within Coding Operations, Compliance, Revenue Integrity, and Revenue Cycle. · Creates an environment that encourages diverse opinion, recognizes differences, and incorporates into process and services. · Exhibits awareness of personal attitudes and beliefs, recognizing its effect on response to others. · Creates a culture for recognizing and rewarding staff. · Creates and maintains a satisfying workplace that fosters professional growth and job satisfaction for all members. · Interviews to select top talent, matching Professional Coding Operations needs with appropriate skill sets. · Identifies and addresses professional growth needs of self and others. · Assesses manager, lead and staff development needs, identifies goals and provides resources. · Identifies lack of competency in performance and establishes a corrective action plan (CAP) which includes goals, interventions, and measures. · Maintains membership in professional organization(s) to develop knowledge and resources through networking, continuing education, and participation in national, regional, and/or local activities. · Ensures integration of ethical standards and CHRISTUS core values into everyday work activities. Requirements:Education Minimum – · Bachelor’s Degree in Health Information Management (HIM) or other healthcare-related field · Four (4) years of relevant experience may be considered in lieu of degree in addition to the experience below. Preferred – · Master’s Degree in related field Work Experience Minimum – · Five (5) years management experience in Professional (Pro-fee) Medical Coding and three (3) plus years hands-on professional coding experience for a large health care facility, clinic, or consulting organization. Preferred – · Five (5) years management experience in Professional (Pro-fee) Medical Coding and three (3) plus years hands-on professional coding experience for a large health care system · Experience in EPIC Certifications – Certified Professional Coder (CPC) or Certified Coding Specialist Professional (CCS-P). Additional AAPC specialty certifications, RHIT, RHIA, would be a plus. Required Skills, Knowledge, and Abilities · Proficiency in 2023 E/M coding and documentation guidelines · Proficiency in CPT, ICD-10-CM, HCPCs coding for professional services · Demonstrated understanding of CMS/NCCI guidelines · Knowledge of principles used for compliant coding · Ability to operate in high-pressure situations · Effective analytical ability in order to develop and analyze options, recommend solutions to and solve complex problems and issues · Ability to function independently and deal with multiple, simultaneous projects · Excellent communication and interpersonal skills to include the ability to negotiate and resolve conflicts and build teams · Demonstrated creativity and flexibility · Excellent organizational skills · Knowledge of HIPAA and other compliance requirements · Demonstrated innovative approach to problem resolution · Ability to work collaboratively across CHRISTUS Health entities and disciplines · Effective organizational, planning and project management abilities · Ability to recognize personal strengths and weaknesses and develop goals for professional growth and achievement · Ability to demonstrate a commitment to quality and excellence · Effective leadership abilities: o Ability to implement change in a positive, sensitive and forward - thinking manner o Planning and problem solving o Developing goals and objectives, and establishing priorities o Inspires confidence, appropriate risk taking and achievement of high standards o Self-starter with a willingness to try new ideas o Positive, can-do attitude coupled with a sense of urgency o Good judgment and ability to act decisively at the right time o Ability to persuade others and develop consensus o Effective communication skills both in written and verbal presentation with a communication style that is open in order to foster trust, credibility and understanding o Effective collaboration and promotion of teamwork Work Type: Full TimeEEO is the law - click below for more information: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdfWe endeavor to make this site accessible to any and all users. 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