Vice President of Chart Acquisition and Coding
Schumacher Group: Business Opportunities - Lafayette, LA

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Provide comprehensive oversight of the coding process, which includes leadership, management and strategic direction regarding all pre-coding and coding processes in order to assure compliance, quality, and optimization of resources. Map short and long term strategy for chart flow and coding using knowledge or our internal systems as well as capabilities of other systems. Serve as Executive Sponsor for ICD 10 transition. Foster good communication and teamwork among various organizational revenue functions. Provide executive level reporting regarding both the current and future status of Coding Operations. Key stakeholder to our globalization initiative with governance and executive leadership for the offshore resources involved in all pre-coding and coding processes.

Job Responsibilities Primary Functions: *
  • Serve as the subject matter expert and represent Coding to the organization. Acts as strategic partner by providing organizational leadership on committees, to the executive board and on special projects. *
  • Lead process reviews to improve quality, efficiency, effectiveness of existing processes. Review departmental performances to ensure compliance, quality, and optimal use of people, partnerships, and systems. *
  • Develop people capability through performance management, talent assessment, organizational human resource planning, and development programs. *
  • Directs the development and implementation of educational and training programs regarding coding and reimbursement as needed by external and internal customers.
Oversight of the following departments:

Scanning *
  • Develop short and long term strategy for efficient chart capture *
  • Receive and compare the ED log and medical records via decentralized scanned images or an electronic medical record feed to ensure that all records are reconciled to the log at an appropriate juncture *
  • Perform indexing and quality assurance of the medical records for capturing of patient demographic and CPT/ICD9 coding *
  • Perform the reconciliation and quality control functions for daily chart activities
Coding *
  • Conduct and monitor payor-specific coding *
  • Ensure coding accuracy *
  • Ensure proper coding production levels *
  • Provide for audit and quality controls *
  • Develop the appropriate infrastructure to ensure compliance
Secondary Functions: *
  • Coordinating Responsibilities with the following departments/positions: *
    • Corporate compliance *
    • Medical Informatics *
    • Clinical Quality *
    • Schumacher Group Medical Billing *
    • Reimbursement & Managed Care *
    • Information Technology
Educational Qualifications
  • Bachelor’s degree in Accounting, Finance, Business Administration, or Health Care related field.

Professional Qualifications
  • Appropriate coding credentials such as Certified Professional Coder (CPC®), Certified Coding Specialist (CCS®), Certified Coding Specialist-Physician Based (CCS-P®) Registered Health Information Administrator (RHIA®) is strongly desired.

Previous Experience
  • Experience creating, justifying and managing a budget based on generally accepted accounting principles
  • Excellent communication skills - oral and written - and the interpersonal skills needed quickly to establish relationships of trust and collaboration across functional areas;
  • Motivated self-starter, capable of planning, developing and maintaining multiple projects of differing scale and duration
  • Track record of success in leading and building high functioning teams.
  • Ability to establish and monitor performance and productivity standards.
  • Ability to analyze business requirements, effectively articulate and present financial information in writing, and implement solutions in practice.
  • Ability to plan, organize, and document policies and work flow methods for the improvement of the work unit.
  • Strong managerial skills – direct supervision of staff including hiring, development, coaching, and performance managements
  • Strong customer focus and results orientation.

Special Skills
  • Experience in conducting billing & coding compliance reviews such as the following in the applicable inpatient, outpatient and physician practice setting:
    • RAC Audit Reviews
    • Concurrent/Retrospective Evaluation and Management Documentation Reviews
    • Office of the Inspector General (OIG) Work Plan Initiative Reviews
    • Reviews of Carrier/Fiscal Intermediary Specific Issues
    • Compliance Program Risk Assessments
  • Billing and Coding Education/Training for physicians, nurse practitioners, physician assistants, coding/billing staff, etc.

  • ICD-10 coding implementation assistance

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