Sr. Manager-Single Path Coding (Possible Remote)

Stanford Health Care

Newark New Jersey

United States

Information Technology
(No Timezone Provided)

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. A Brief OverviewThe Sr. Manager Single Path Coding (SPC) is responsible for managing the daily operations of the Single Path Coding Team. The Sr. Manager SPC serves as a key liaison and participant in the process for both the hospital and professional revenue cycles and assists and/or coordinates with others to resolve account inquires related to SPC coding and charge capture. The Sr. Manager SPC has oversight of all Single Path Coding related work and processes including staffing, training, work distribution, and is held accountable for meeting professional coding accounts receivable and hospital coding DNB goals. The Sr. Manager SPC effectively communicates with provider teams across the organization, including providing feedback related to documentation optimization opportunities. The Sr. Manager SPC will also ensure goals are met for coding productivity and accuracy metrics related to SPC.What you will doAssists Director in writing and maintaining policies, procedures, and training materials for SPC work.Direct the training of new employees (including contract staff) and ensure ongoing training of all staff. Conduct performance appraisal reviews and routine competency assessments of SPC staff providing timely and appropriate feedback. Take appropriate organization, system and personnel actions as necessary.Ensure coding process and guidelines meet state and federal regulatory requirements and standards.Works with medical staff to improve clinical documentation to facilitate accurate coding. Enforce the use of physician query process when appropriate.Manage internal and external Hospital and Professional coded data for clinicians, researchers, financial and business planning, and clinical quality support services.Manage the daily operations and activities in the SPC Coding Team to ensure accurate and timely coding of outpatient hospital surgical coding and professional surgical specialty coding.Monitor the Information System infrastructure supporting coding and data reporting including the abstracting and encoder software, billing and decision support applications, and electronic interfaces. Perform other duties as assigned.Demonstrated expertise in ICD-10-CM, CPT-4, HCPCS, as well as APCs and RVUs.Supervise and ensures productivity, turn-around-time, and quality of work goals are met.Education QualificationsBachelor's Degree in related fieldExperience Qualifications5+ years to 7 years of progressively responsible and directly related work experienceRequired Knowledge, Skills and AbilitiesAbility to communicate complex coding concepts in simple form to cross-functional departments and providersAbility to effectively collaborate with medical staff and all external customersAbility to manage complex projects and resources (people, costs, and time)Ability to mediate and resolve complex problems and issuesAbility to solve problems and identify solutionsAbility to strategize, plan and implement changeKnowledge of coding software, including groupers, compliance tools, editors, optimizers and encodersKnowledge of health information from discharge, coding, billing and data reporting.Expertise in ICD-10, CPT4, HCPCS, and ability to leverage coding advice from professional specialty organizationsKnowledge of local, state and federal regulatory requirements related codingAbility to research and apply payer specific guidelinesKnowledge of project management process and systemsLicenses and CertificationsRHIA - Registered Health Information Administrator orCCS - Certified Coding Specialist orRHIT - Registered Health Information TechnicianThese principles apply to ALL employees:SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.You will do this by executing against our three experience pillars, from the patient and family's perspective: Know Me: Anticipate my needs and status to deliver effective careShow Me the Way: Guide and prompt my actions to arrive at better outcomes and better healthCoordinate for Me: Own the complexity of my care through coordination#LI-RL1 Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Sr. Manager-Single Path Coding (Possible Remote)

Stanford Health Care

Newark New Jersey

United States

Information Technology

(No Timezone Provided)

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. A Brief OverviewThe Sr. Manager Single Path Coding (SPC) is responsible for managing the daily operations of the Single Path Coding Team. The Sr. Manager SPC serves as a key liaison and participant in the process for both the hospital and professional revenue cycles and assists and/or coordinates with others to resolve account inquires related to SPC coding and charge capture. The Sr. Manager SPC has oversight of all Single Path Coding related work and processes including staffing, training, work distribution, and is held accountable for meeting professional coding accounts receivable and hospital coding DNB goals. The Sr. Manager SPC effectively communicates with provider teams across the organization, including providing feedback related to documentation optimization opportunities. The Sr. Manager SPC will also ensure goals are met for coding productivity and accuracy metrics related to SPC.What you will doAssists Director in writing and maintaining policies, procedures, and training materials for SPC work.Direct the training of new employees (including contract staff) and ensure ongoing training of all staff. Conduct performance appraisal reviews and routine competency assessments of SPC staff providing timely and appropriate feedback. Take appropriate organization, system and personnel actions as necessary.Ensure coding process and guidelines meet state and federal regulatory requirements and standards.Works with medical staff to improve clinical documentation to facilitate accurate coding. Enforce the use of physician query process when appropriate.Manage internal and external Hospital and Professional coded data for clinicians, researchers, financial and business planning, and clinical quality support services.Manage the daily operations and activities in the SPC Coding Team to ensure accurate and timely coding of outpatient hospital surgical coding and professional surgical specialty coding.Monitor the Information System infrastructure supporting coding and data reporting including the abstracting and encoder software, billing and decision support applications, and electronic interfaces. Perform other duties as assigned.Demonstrated expertise in ICD-10-CM, CPT-4, HCPCS, as well as APCs and RVUs.Supervise and ensures productivity, turn-around-time, and quality of work goals are met.Education QualificationsBachelor's Degree in related fieldExperience Qualifications5+ years to 7 years of progressively responsible and directly related work experienceRequired Knowledge, Skills and AbilitiesAbility to communicate complex coding concepts in simple form to cross-functional departments and providersAbility to effectively collaborate with medical staff and all external customersAbility to manage complex projects and resources (people, costs, and time)Ability to mediate and resolve complex problems and issuesAbility to solve problems and identify solutionsAbility to strategize, plan and implement changeKnowledge of coding software, including groupers, compliance tools, editors, optimizers and encodersKnowledge of health information from discharge, coding, billing and data reporting.Expertise in ICD-10, CPT4, HCPCS, and ability to leverage coding advice from professional specialty organizationsKnowledge of local, state and federal regulatory requirements related codingAbility to research and apply payer specific guidelinesKnowledge of project management process and systemsLicenses and CertificationsRHIA - Registered Health Information Administrator orCCS - Certified Coding Specialist orRHIT - Registered Health Information TechnicianThese principles apply to ALL employees:SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.You will do this by executing against our three experience pillars, from the patient and family's perspective: Know Me: Anticipate my needs and status to deliver effective careShow Me the Way: Guide and prompt my actions to arrive at better outcomes and better healthCoordinate for Me: Own the complexity of my care through coordination#LI-RL1 Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.