Director of Coding Regulatory Compliance Support

This job posting is no longer active.

Description

Introduction

Do you want to join an organization that invests in you as a Director Coding  - Regulatory Compliance Support? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Benefits

HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
  
• Fertility and family building benefits through Progyny
  
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• Family support, including adoption assistance, child and elder care resources and consumer discounts
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan
  
• Retirement readiness and rollover services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Director Coding Compliance like you to be a part of our team.

The Director Coding - Regulatory Compliance Support will be responsible for maintaining and supporting the company’s compliance program as it relates to hospital coding. The Director, Coding will also be responsible for providing direction to the Health Information Management Service Centers (HSCs), Parallon and Clinical Documentation Improvement (CDI) regarding appropriate processes for compliance with coding and querying rules. This individual will lead a team that develops and provides support for policies, processes, education, and training for compliant coding. The Director manages implementation and monitors compliance with company policies and procedures. Since many quality measures rely on coding and documentation, the Director collaborates with the Clinical Operations Group and the Division and Facility Chief Medical Officers on core measures and pay for performance topics.

The Director routinely interacts with key executives and leaders throughout HCA and Parallon, including group and division operations and corporate departments. The Director also provides input for the compliance risk included in the company’s coding audit plan and assists the legal department in operational and regulatory reviews. This position will report to the Assistant Vice President, Coding.

Duties include but not limited to:

• Provides management and leadership for the design and development of the Company’s coding compliance program, including the development of policies and procedures, internal education, system updates, compliance edits, tools and resources
• Identifies, communicates and provides direct action to address key compliance risk (focus DRG, targeted diagnosis or procedures, or clinical documentation practices)
• Executes the strategy and oversees the development, implementation and maintenance of appropriate ICD-10 coding, including query compliance
• Works closely with the legal department on legal and regulatory matters
• Leads special projects from the coding compliance perspective e.g. due diligence reviews
• Coordinates with the FAH, AHIMA and AHA in responding and advocating for key regulatory changes in coding
• Demonstrates leadership with innovation, knowledge sharing and practices when working with customers and peers
• Evaluates review results to determine if trends and/or systemic issues exist and facilitate action steps for problem resolution, root cause analysis and future risk mitigation
• Monitors performance and communicates with appropriate parties to ensure regulatory system readiness and optimal use of installed technology to meet current and future technology needs
• Routinely communicates with and provides essential regulatory and coding/querying compliance updates to key company and Parallon leadership
• Fosters communication and facilitates collaboration between Facility/Division, Clinical Operations Group, Division Chief Medical Officers, Parallon, Group/Division Leadership as well as other departments with HCA
• Provides coding subject matter expertise and strategy guidance on key company initiatives (e.g., financial reporting, Hospital Acquired Conditions (HAC), core measures, CHOIS, product lines, CMI, NCD/LCD, I-10/CPT codes for contract negotiations, and other projects upon request)

Experience & Education:

• Bachelor’s degree required
• Minimum of ten (10) years’ experience in hospital coding, revenue cycle, or other related healthcare experience required
• Registered Health Information Technician, Administrator or equivalent credential required
• Occasional Travel from time-to-time, but not on a regular basis

HCA Healthcare (Corporate), based in Nashville, Tennessee, supports a variety of corporate roles from business operations to administrative positions. Like our colleagues in any HCA Healthcare hospital, our corporate campus employees enjoy unparalleled resources and opportunities to reach their potential as healthcare leaders and innovators. From market rate compensation to continuing education and career advancement opportunities, every person has a solid foundation for success. Nashville is also home to our Executive Development Program, where exceptional employees are groomed to take on CNO- and COO-level roles in our hospitals. This selective program focuses on ethics, leadership and the financial and clinical knowledge required of professionals at this level of the industry.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times.  In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Director Coding Compliance opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Apply