Technical Coding Services Director

Join the Cleveland Clinic team where you will work alongside passionate caregivers and make a lasting, meaningful impact on patient care. Here, you will receive endless support and appreciation while building a rewarding career with one of the most respected healthcare organizations in the world.

The Technical Coding Services Director for Cleveland Clinic is responsible for directing the vision, strategy, and operations of Technical Coding Services across the Cleveland Clinic enterprise to include coding, observation, OR, surgical operations and pathology charging, radiation and hematology oncology (injections/infusions), claim edits, and A/R management for acute care services. Collaboratively partners with Clinical Documentation Integrity (CDI), Professional Coding Services, and Quality and Patient Safety on accurate documentation, coding, and synergies to drive high reliability and achieve the best outcomes for our patients, caregivers, organization, and community. Leads continuous improvement initiatives by focusing on caregiver engagement, customer relations, and quality and performance standards while driving accountability and operational efficiencies. Serves as a liaison to various departments, physicians, and allied health professionals regarding technical coding issues and questions. Collaborates with other clinical and non-clinical leaders to execute on enterprise-wide initiatives and support organizational goals.

Candidates being considered reside in Ohio, Florida or Nevada. The caregiver will work remotely from 8:00AM – 5:00PM.

The successful Technical Coding Services Director candidate will:

• Establish and drive strategy, execute initiatives, program goals and objectives, monitor performance, issues, and risks, and promote data integrity and best outcomes for all lines of the enterprise in Technical Coding Services.
• Routinely collaborates with Clinical Documentation Improvement (CDI), Professional Coding, and Quality and Patient Safety work groups on accurate documentation and coding to improve quality outcomes and foster accurate reimbursement (i.e. patient safety indicators (PSIs), hospital acquired conditions (HACs), diagnoses present on admission (POA), complications and comorbid conditions, and risk adjustment models – CMS, Vizient, USNWR, etc, clarification queries, and education).
• Develops and maintains standardized practices, processes, metrics, policies and procedures and guidelines across the enterprise to reduce front-end issues and ensure accurate reimbursement and patient satisfaction.
• Initiates, influences, oversees personnel management activities, budget, productivity, report management, and performance improvement initiatives.
• Monitors the performance of technical coding services identifying risks, issues, and trends and ensuring alignment and supporting department and organizational goals.
• Promotes the financial visibility of the organization by effectively managing all aspects of the technical coding services.
• Serves as the technical coding subject matter expert for the enterprise and ensures best practices in technical coding services and billing in accordance to coding guidelines and regulatory requirements as well as advanced knowledge of risk adjustment models (i.e. CMS, Vizient, USNWR, CMS-HCC) and consultative support to global locations (i.e. London and Abu Dhabi).
• Oversees and monitors resolution of patient and insurance inquiries as well as the coding compliance program enterprise-wide to include conducting and overseeing coding audit efforts, reports non-compliance issues detected, collaborates with key stakeholders on action plans, and results of follow-up audits.
• Monitors changes in regulatory coding, monitor’s compliance with documentation guidelines and testing compliance with regulations.
• Directs technology optimization and automation solution initiatives to include initiating, evaluating, and implementing in collaboration with ITD, providers, and other success partners.
• Promotes and helps maintain a professional team-oriented, service-conscious culture that contributes to the goals of the department and organization and reflects the values of the system.
• Develops training programs for coders, medical staff and ancillary personnel in collaboration with peers and success partners as related to coding and documentation in alignment with regulatory requirements and reimbursement and other patient service issues. Develops management reporting systems to ensure accurate and timely reporting of goals and results

Minimum qualifications for the ideal future caregiver include:  

• Bachelor’s Degree and eight years of relevant experience OR High School Diploma/GED with 13 years of experience 
• Registered Health Information Administrator certification (RHIA), Registered Health Information Technician certification (RHIT), Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) Certifications through the American Health Information Management Association is required.
• Advanced skills in Microsoft Office or Client 365 and MS Teams 
• Demonstrated team, leadership, organizational, financial management and problem-solving skills 

Preferred qualifications for the ideal future caregiver include:  

• Master’s Degree 

·Complexity of Work

• Excellent verbal and written communication, negotiation, and collaboration skills.
• Requires critical thinking skills, decisive judgment, and the ability to work with minimal supervision.
• Excellent problem-solver with a talent for synthesizing complex projects and translating high-level goals into actionable plans and achieving desired outcomes
• Advanced skills in Microsoft Office or Client 365 and MS Teams.
• Demonstrated team, leadership, organizational, financial management and problem- solving skills.
• Must be able to work in a stressful environment.

Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we’re dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/      

Physical Requirements:

• Ability to communicate and exchange accurate information. 
• Ability to perform work in a stationary position for extended periods.  
• Ability to work with physical records or operate a computer or other office equipment.  
• In some locations, ability to travel throughout the hospital system.  
• In some locations ability to move up to 25 lbs.

Personal Protective Equipment:

• Follows standard precautions using personal protective equipment (PPE) as required.