McLaren Health Care Reg Dir Coding in Shelby Township, Michigan
Regional Director of Coding is responsible leading Revenue Cycle Coding, Audit
and an Account Resolution Departments. Functional assignments include management
of facility and professional coding services, managing internal and external auditing,
customer service, and coding information system analysis and management. Develops and implements plans to ensure the
achievement of established objectives.
Represents Coding, Auditing, Accounts Resolution and Revenue Cycle in
meeting strategic objectives throughout the McLaren System. The Regional Director is expected to be a
contributing member of the Revenue Cycle leadership team. Demonstrates the philosophy and core values
of McLaren Health Care in the performance of duties.
ESSENTIAL FUNCTIONS& RESPONSIBILITIES
Discharge Not Final Billed (DNFB) and Discharge Not Final Coded (DFNC) for the
leadership throughout the system in regard to facility and professional Coding,
managing internal and external auditing and account resolution inquiries.
closely with the central business office to improve processes impacting the Discharge
Not Final Coded (DFNC) and Discharge Not Final Billed (DNFB).
knowledge of healthcare facility and professional claims processing including
ICD-10, CPT, HCPC, PCS, NDC codes and modifiers as well as thorough knowledge
of UB and 1500 claim edits.
knowledge of Medicare, Medicaid, and Third Party reimbursement methodologies.
and interpret provider contracts to determine billing discrepancies.
vendors coding and auditing contracts.
Bachelor’sDegree required in Accounting, Business Management or closely relatedfield in order to understand the impact of the revenue cycle on theperformance of the health system.
Fifteen (15)years’ experience in a progressively more responsible leadership role in HealthInformation Management/Coding and/or Revenue Cycle with demonstrated supervisoryresponsibility in health care.
RHIT or RHIA
- MBA or MHA or MHIT
Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
Primary Location: Michigan-Shelby Township-McL Central Bus Office
Employee Status Regular
Shift Day Job
Job Type Standard
Req ID: 20009681