Manager, Coding and Clinical Documentation

Requisition ID
2021-149596
Employment Type
Full Time
Department
Revenue Cycle Management
Hours / Pay Period
80
Shift
Day
Standard Hours
Monday - Friday 8am-5pm
Facility / Process Level : Name
CommonSpirit Health
Location
CO-ENGLEWOOD

Overview

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

 

Reporting to and working in collaboration with CommonSpirit Health (CSH) Operations, this position is responsible for assistance in carrying out and monitoring the majority of the activities related to the Coding (both inpatient and outpatient operations), and Clinical Documentation Integrity (CDI) Management activities of Optum 360 and Conifer Health.  This position will require collaboration and consistent communication with the National CommonSpirit Health Director well as other members of CommonSpirit Health Middle Revenue Cycle leadership along with the Enterprise Executive Leadership CFO and CMOs.

Responsibilities

  • Review and analysis of all CDI and Coding operations and financial reports to identify
    • Volume Workbook analysis
    • CMI trending
    • CC/MCC capture rates
    • Query reports
    • Financial actual to goal (monthly)
    • DNFB/DNFC
    • CDS and Coding Mismatch rates
    • Results from CHAN, MARSI, HIA and Corporate Responsibility
  • Adherence to CHS National Best Practice Guidelines
    • Assist with yearly review, updating CHS National Guidelines/Policy/Procedures for Coding and CDI
  • Ensure best practice “operations and process flows” are being adhered to and recommend changes as necessary
  • Encourage and establish collaborative practices with Coding, Quality, CDSs, Compliance and Physicians
  • Alert National Director to any issues or potential issues as it pertains to performance from Optum 360/Conifer
  • Identify potential areas for Education based on Reports (Physician, CDS, Coder, Quality, Corporate)

Special Knowledge, Skills, Abilities

  • Ability to establish personal and professional credibility with Dignity Health’s SVP Finance & Revenue Operations, executive team, and finance, as well as with the revenue cycle partnership, leadership and staff throughout the system.  Demonstrates subject matter expertise and leadership to other business partner relationships – clinical, compliance, and information technology.
  • Thorough knowledge of the full revenue cycle across the organization with the confidence to challenge the status quo to improve organizational effectiveness and service to customers.
  • Ability to craft a vision, gain alignment, and motivate others towards its achievement.  The capacity to balance the big picture, strategic perspective, with attention to the details of operations.
  • Exceptional interpersonal, communication, and presentation skills, and the ability to clearly articulate goals and expectations across the organization.
  • The ability to manage multiple projects simultaneously and maintain flexibility in a dynamic work environment.  The ability to prioritize and effectively respond to issues as they arise.

Benefits Include: Benefits include Medical, Dental, Vision, Paid Time Off, Holidays, Retirement Program, Disability Plans, Tuition Reimbursement, Adoption Assistance, Employee Assistance Program (EAP), Discount Programs, Life Insurance Plans, Worker Compensation, Dress for Your Day Policy, Voluntary Benefits.

 

Compensation Range:  $44.73 to $58.15, hourly rates, annualized.

 

Position is eligible for incentive pay based on company performance.

Qualifications

  • Bachelor’s degree required. 
  • 10 years of revenue cycle management and/or consulting within healthcare
  • Advanced communication skills
  • Excellent knowledge of revenue cycle and other healthcare financial performance metrics
  • Deep familiarity with revenue cycle policies and procedures
  • Working knowledge of Lawson and accounting unit structure
  • Familiarity with management reporting, metrics, and goal setting

Options

Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
Share on your newsfeed

Connect With Us!

Not ready to apply, or can't find a relevant opportunity?

Join one of our Talent Communities to learn more about a career at CommonSpirit Health and experience #humankindness.