Director Coding - Revenue Cycle - (Museum District)

Overview

At Houston Methodist, the Director Coding position is responsible for planning, monitoring and directing the activities of the System Coding Department across all Houston Methodist facilities. The Director manages personnel performing inpatient and outpatient medical record coding, DRG and APC assignment, abstracting, and data entry functions; ensures accuracy and quality of coded and abstracted medical record data. This position coordinates coding and abstracting activities; provides data support with various departments and key stakeholders. The Director designs, implements, and monitors effective processes and systems within assigned areas of responsibility to achieve maximum efficiency, enhancing productivity and customer satisfaction. This role also assists in the development and evolution of the overall strategy for system-wide coding operations consistent with Houston Methodist strategic plans.

The Director position responsibilities include overseeing the activities of the department staff, ensuring quality, productivity, functional excellence and efficiency to accomplish strategic and operational objectives. In addition, this position is accountable for employee engagement, adequate staffing levels, budget development and compliance, staffing decisions such as hiring and terminating employment, coaching and counseling employees on work related performance, and developing and implementing policies and procedures to ensure a safe and effective work environment. This position also ensures training, monitoring and operations initiatives are implemented which secure compliance with ethical and legal business practices and accreditation/regulatory/government regulations.

Houston Methodist Standard

PATIENT AGE GROUP(S) AND POPULATION(S) SERVED

Refer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for description of primary age groups and populations served by this job for the respective HM entity.

HOUSTON METHODIST EXPERIENCE EXPECTATIONS

Provide personalized care and service by consistently demonstrating our I CARE values:

INTEGRITY: We are honest and ethical in all we say and do.

COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs.

ACCOUNTABILITY: We hold ourselves accountable for all our actions.

RESPECT: We treat every individual as a person of worth, dignity, and value.

EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.

Practices the Caring and Serving Model

Delivers personalized service using HM Service Standards

Provides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)

Intentionally collaborates with other healthcare professionals involved in patients/customers or employees' experiential journeys to ensure strong communication, ease of access to information, and a seamless experience

Involves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given job

Actively supports the organization's vision, fulfills the mission and abides by the I CARE values Responsibilities

PEOPLE ESSENTIAL FUNCTIONS

Directs, develops and implements strategic and operational/high level projects and processes either through independent/highly autonomous work or through the facilitation of work teams to enable the effective and efficient completion of objectives.

Oversees management of and ensures development for staff to meet overall objectives in terms of quality, service and cost effectiveness. Provides timely guidance and feedback to help others strengthen specific knowledge/skill areas needed to accomplish a task or solve a problem. Directs management responsibilities of selection, scheduling, supervision, retention, and evaluation of employees.

Meets or exceeds threshold goal for department turnover and/or system metrics on employee engagement indicators.

Provides leadership and communication to maintain a competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, completing performance appraisals, conducting new hire feedback sessions, coaching/corrective counseling, and providing recognition/commendations to achieve desired outcomes.

Identifies opportunities and takes action to build strategic relationships between one's area and other areas, teams, departments, and units to achieve business goals. Drives the promotion of teamwork within and between departments; participates and/or leads and facilitates department process improvements as needed. SERVICE ESSENTIAL FUNCTIONS

Oversees department operations, designated projects, schedules and activities as needed to ensure that goals or objectives are accomplished within the prescribed time frame. Sets priorities and functional standards, giving direction to staff as necessary to ensure the best possible delivery of service and high customer/patient satisfaction.

Drives department service standards and activities to impact department and/or system score for patient/customer-based satisfaction, through role modeling and fostering accountability. Serves and actively participates on various entity committees as a voice for the department. QUALITY/SAFETY ESSENTIAL FUNCTIONS

Ensures a safe and effective working environment; monitors and/or revises the department safety plan and/or any specific accreditation/regulatory required safety guidelines. Responsible for staff maintenance of credentials and competencies, per accrediting/ licensing agency and/or department guidelines as applicable.

Employs a proactive approach in the optimization of safe outcomes and information systems by monitoring and improving the department workflow and enhancing operations, using peer-to-peer accountability and identifying solutions via collaboration. Implements process improvements utilizing tools such as lean principles. Role models situational awareness, using teachable moments to improve safety.

Responsible for employee compliance to policies and procedures and performs associated actions upon non-compliance (i.e., licensure/certification compliance, focal point review requirements, disaster plan, in-services, influenza immunization, wage and hour, standard hours, timely termination submission, timely timecard approval, etc.).

Develops and reports performance metrics for assigned work sections. Ensures section goals/performance metrics are met by direct reports.

Performs/Leads performance improvement activities that support operational efficiencies,data integrity and service quality including measuring and improving quality outcomes.

Ensures that coding and DRG assignment is performed accurately and ethically, in accordance with nationally established rules and guidelines based upon documentation within the medical record.

Oversees internal or external audits, reports findings to compliance and ensures education and rebills are completed appropriately. FINANCE ESSENTIAL FUNCTIONS

Develops and manages department operational and capital budgets, approvals, and ongoing maintenance of the department(s), ensuring operation in a cost-effective manner. Proactively identifies and plans for capital needs related to current equipment and future department projects. Ensures staffing plans and schedules meet department needs that reflect understanding of the importance of cost-effectiveness.

Creates department strategies to achieve financial target and staffing needs, through optimizing productivity, supply/resource efficiency, minimizing incidental overtime and overtime percentage, and other areas according to department specifications.

Ensures coding and abstracting meets the established timeframes for hospital billing needs and data collection. GROWTH/INNOVATION ESSENTIAL FUNCTIONS

Identifies and implements innovative solutions for practice or workflow changes to improve department, entity or system operations by leading unit projects and/or other department/ system-directed activities. Proactively leads task forces and committees. May represent HM at assigned community or professional organization meetings.

Drives change initiatives, maintaining effectiveness when experiencing major changes in work responsibilities or environment; adjusts effectively to work within new work structures, processes, requirements or cultures. Partners effectively with stakeholders as appropriate.

Ensures own career discussions occur with appropriate management. Completes and updates My Development Plan (MDP) on an on-going basis. Conducts conversations with staff on their development and MDP.

Ensures appropriate computer systems are updated with the annual code, DRG changes and any other associated changes or updates; assists Information Technology with testing if these updates; recommends upgrades or changes to current systems and participates in selection of new systems.

This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.

Qualifications

EDUCATION

Bachelor's degree required

Master's degree preferred WORK EXPERIENCE

Eight years of progressively responsible experience in applicable field, at least two of which must have been in a Supervisor/Manager/Director role License/Certification

LICENSES AND CERTIFICATIONS - REQUIRED

CCS - Certified Coding Specialist (AHIMA) OR

RHIA - Registered Health Information Administrator (AHIMA) OR

RHIT - Certified Health Information Technician (AHIMA) OR

CPC - Certified Professional Coder (AAPC) - when in the Ambulatory setting KSA/ Supplemental Data

KNOWLEDGE, SKILLS, AND ABILITIES

Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations

Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially about activities impacting patient or employee safety or security

Demonstrates the ability to interact with others in a way that gives them confidence in one's intentions and those of the organization

Ability to use appropriate interpersonal styles and techniques to gain acceptance of ideas or plans; modifying one's own behavior to accommodate tasks, situations and individuals involved

Demonstrates leadership qualities and critical thinking through self-direction initiative and effective interpersonal skills and oral/written communication skills

Ability to identify and understand issues, problems and opportunities, comparing data from different sources to draw conclusions; using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints and probable consequences

Extensive knowledge of regulatory and accreditation agency requirements that impact department; stays abreast of industry changes

Demonstrates highly effective communication skills-strong written communications and platform presentation abilities

Ability to work effectively in a fast-paced environment

Demonstrates flexibility and adaptability in the workplace

Capable of leading teams/facilitating groups, building consensus and garnering highest confidence in professionalism and work product by senior leadership

Ability to work under pressure and balance many competing priorities; highly responsive and solution/action oriented

Proficiency in spreadsheet, word processing, and presentation software

Maintains a positive and supportive attitude and demeanor

Professional handling of exposure to confidential/sensitive information

Expert knowledge and proficiency in the following:

ICD-10-CM and CPT/HCPCS coding classification systems

MS-DRG, APR DRG and APC assignment systems

Official coding guidelines and coding compliance

Working knowledge of medical terminology, anatomy and physiology, disease processes and pharmacology

Knowledge of all components of the medical record

Proficiency with electronic encoder application

Extensive computer knowledge and familiarity with systems used in health care

Proficiency with Microsoft Office products SUPPLEMENTAL REQUIREMENTS

WORK ATTIRE

Uniform No

Scrubs No

Business professional Yes

Other (department approved) No ON-CALL*

*Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.

On Call* Yes TRAVEL**

**Travel specifications may vary by department**

May require travel within the Houston Metropolitan area Yes

May require travel outside Houston Metropolitan area Yes

Company Profile

Houston Methodist Specialty Physician Group - As one of the nation's leading hospitals and academic medical centers Houston Methodist has brought together some of the nation's leading experts in multiple specialties to serve our patients. As part of Houston Methodist Specialty Physician Group (HMSPG), these specialists not only provide excellent clinical care, but are on the forefront of research, developing leading-edge technologies and treatments, and teaching the medical pioneers of tomorrow. This combination of clinical service, research and academics ensures patients have access to the latest in treatments and technologies while providing the best in comprehensive patient care. Established as a non-profit corporation and certified by the Texas State Board of Medical Examiners, HMSPG enables physicians to maintain autonomy with respect to their clinical practice while growing their practice within an academic environment.