Associate Director

600 Advocate Health, Inc.; Milwaukee (WI); On-site; USD 97,000 - 145,000; Full time

Job summary

Advocate Health is seeking an Associate Director in Milwaukee to lead Epic coding functions and guide a team through complex hospital coding and billing workflows.

You will drive process improvements, ensure regulatory compliance, and educate clinicians on CPT/ICD/HCPCS updates while partnering with leadership across revenue cycle services.

Qualifications

• Bachelor's degree in Health Information Management or related field.
• 7 years of coding experience including advanced ICD, CPT and HCPCS in a large hospital/clinic.
• 1 year of progressive leadership experience in a high-volume health care setting.
• Strong knowledge of coding guidelines and regulatory requirements.

Responsibilities

• Manage Epic coding functions for all charges to ensure compliant claim submissions.
• Coach staff, conduct performance reviews and maintain morale.
• Recommend hiring, compensation changes, promotions, and corrective actions.
• Ensure adherence to ethical coding practices and organizational policies.
• Lead process improvements in production coding and charge capture.
• Educate leaders and clinicians on coding guidelines and CPT/ICD/HCPCS updates.
• Collaborate with coding leadership to resolve issues and standardize practices.

Skills

Leadership

Coding expertise

Communication

Project management

Independent judgment

Education

Bachelor's degree in Health Information Management

Tools

Excel

Electronic coding systems

Job description

Department: 10395 Enterprise Revenue Cycle - Individualized Clinician Support Surg Hosp Based and Complex Specialties

Status: Full time

Benefits Eligible: Yes

Hours Per Week: 40

Schedule Details/Additional Information: Please note this position request is for Associate Director. Job description not in system and will be attaching.

Pay Range $46.55 - $69.85

Major Responsibilities:

• Manages the Epic coding functions for all types of charges/codes to ensure that claims are submitted to payers in compliance with coding regulations and organizational guidelines.
• Performs human resources responsibilities for staff which includes coaching on performance, completes performance reviews and overall staff morale.
• Recommends hiring, compensation changes, promotions, corrective action decisions, and terminations.
• Responsible for understanding and adhering to the organizations Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to Advocate Aurora's business.
• Oversees the development, documentation, implementation, maintenance and continuous process improvement efforts of production coding for coding staff.
• Identifies trends and implements resolution to charge capture, coding and billing issues and rejections.
• Develops, updates and implements department guidelines and procedures.
• Educates team members, clinic/hospital leadership and clinicians on coding related guidelines, procedures and practices.
• Communicates and reinforces changes in CPT, ICD, HCPCS and other requirements and coordinates necessary modifications and updates to appropriate coding staff.
• Ensures that documentation, coding procedures and requirements are clearly communicated and reinforced to coding staff, physicians, patient care staff and revenue cycle team members as appropriate.
• Works directly with Coding leadership to research and resolve issues.
• Collaborates with other leaders in revenue cycle services and clinic/hospital administration, to implement and monitor coding, billing, documentation and charge capture processes.
• Creates highly functioning, self-directed work teams.
• Maintains up-to-date knowledge of Medicare, Medicaid and other regulatory requirements pertaining to nationally accepted coding policies and standards.
• Develops expertise in coding for assigned responsibilities.
• Manages the timely, accurate review and validation of charges/codes assigned for billing.
• At times, it may also include customer concerns that question coding.
• Ensures that coding practices and quality are consistent with coding and other regulatory requirements.
• Ensures that coding practices are standardized systemwide and consistent with regulatory requirements.
• Documents all coding procedures and guidelines in writing and ensures all coding team members adhere to them.
• Identifies opportunities for process and quality improvement based upon analysis and review of current practices.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines.
• Practices ethical judgment in assigning and sequencing codes for proper insurance reimbursement.

Licensure, Registration, and/or Certification Required:

Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA)

Education Required:

Bachelors degree (or equivalent knowledge) in Health Information Management or related field.

Experience Required:

7 years of experience in coding that includes experiences in advanced level of ICD, CPT and HCPCS coding in a large, complex clinic or hospital setting at a lead or senior level. Requires 1 year of progressive leadership experience in a high-volume health care setting.

Knowledge, Skills & Abilities Required:

• High leadership skills and abilities including team building, conflict resolution, project management and effective decision making.
• Advanced knowledge of ICD, CPT and HCPCS coding guidelines.
• Advanced knowledge of medical terminology, anatomy and physiology.
• Proficient knowledge of Medicare, Medicaid and commercial payer coding guidelines.
• Advanced computer skills including the use of Microsoft office products, especially Excel, electronic mail, including experience with electronic coding systems or applications.
• Excellent communication (oral and written), presentation and interpersonal skills, including the ability to effectively collaborate with multiple departments.
• Excellent organization and prioritization skills; ability to manage multiple priorities in a stressful, fast-paced work environment.
• Ability to work independently and exercise independent judgment and decision making.
• Ability to meet deadlines while working in a fast-paced environment.
• Ability to take initiative and work collaboratively with others.

Physical Requirements and Working Conditions:

• Exposed to a normal office environment.
• Must be able to sit for extended periods of time.
• Must be able to continuously concentrate.
• Position may be required to travel to other sites; therefore, may be exposed to road and weather hazards.
• Operates all equipment necessary to perform the job.
• This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care.

Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits. This is Transformation One shared purpose brought us together. Now, as one of the 10 largest not-for-profit, integrated health systems in the United States, our combined strength and stability drives us forward. Starting with You Caring for nearly 3 million people has inspired a transformation. One in which the patient’s experience guides our vision and empowers us to offer new possibilities in our communities. Reshaping Access What is access? It’s offering more sites of care than any other health system in the Midwest. But there’s a new frontier. Access is exploring the latest technologies to deliver care to patients exactly where they are and exactly when they need it Inspiring Professionals With our dynamically inclusive workforce and strong connections to the places where we live and work, we’ll touch more lives and contribute to stronger and more vibrant communities. Transforming Care We’re redefining the standard for care with world-class doctors and caregivers, innovative solutions, outstanding outcomes, and leading-edge research and clinical trials. Combined, Advocate and Aurora are recognized for clinical excellence in: Cardiovascular Care Neurosciences Gynecology Oncology Pediatrics Primary Care Neurology Geriatrics Trauma Care