Major Responsibilities:

• Oversees development, presentation, and maintenance of CEU-approved coding and documentation education for professional coders which may include in-person classes and virtual offerings, for initial training and continuing education purposes.
• Responsible for development of a comprehensive library of coding education for professional coders in a variety of learning modalities including but not limited to micro-learnings, recorded presentations on all coding and documentation topics, job aids, tip sheets, and articles.
• Collaborates closely with Professional Coding Production and other Mid-Revenue Cycle team leaders to ensure that their identified education needs are met on a consistent and timely basis.
• Conducts trend analysis to identify patterns and variations in coding practices. Compares coding profile with national and regional norms to identify variations requiring further education.
• Identifies, assesses, and resolves problems. Prepares administrative reports.
• Role model, embodying the best of AAH Health's culture by demonstrating personal accountability and understanding the value of diversity in teams and seeks to get the best out of all people. Gets the right people in the right roles, then aligns and energizes them to achieve excellence. Establishing trust and create a culture of psychological safety to enable candid debate.
• Engages actively with colleagues in assessing and developing talent, focusing both on competencies and character. Identifies future skillset needs, then recruits and develops people to meet those needs. Invests time in coaching and mentoring high-potential team members for success.
• Analyzes audit results provided by other Mid-Revenue Cycle teams, Compliance, and Internal Audit to identify need for professional coder education.
• Partners with system leaders and peers in the design and implementation of education opportunities. Collaborates on departmental strategic plans and goals ensuring accurate and consistent communication.
• Develops functional requirements, requests for proposals, product evaluation, contract negotiation and selection for key software tools that will provide high-quality, cost-effective tools to support the coding functions.
• Develops a cohesive team of education teammates and revenue cycle support within and outside the health information management department to ensure that all locations are meeting expectations, to achieve established long-range strategies, and to accomplish goals of the Mid-Rev Cycle and the Advocate Health enterprise.
• Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale.
• Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives.
• Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations, and laws applicable to the organization's business.

Licensure, Registration, and/or Certification Required:

• A Coding Certification from American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA).

Education Required:

• Bachelor's Degree in Health Care Administration, or
• Bachelor's Degree in Health Information Management.
• Or equivalent Knowledge

Experience Required:

• Typically requires 7 years of experience in coding and health information management for a large complex health care system. Includes 3 years of management experience in leading coding, health information management and/or auditing functions.

Knowledge, Skills & Abilities Required:

• Demonstrated knowledge of physician coding guidelines.
• Demonstrated skills in financial and statistical analysis necessary to examine revenue cycle/reimbursement activities and detect/resolve any related issues.
• Demonstrates extensive knowledge of third-party reimbursement programs, state and federal regulatory issues, national and local coverage decisions, research related restrictions, and ICD-9/ ICD-10, CPT/HCPCS coding classification systems.
• Demonstrated proficiency in the Microsoft Office Suite (Word, Excel, PowerPoint) or similar products and in patient accounting and billing systems.
• Ability to deal and work effectively with multiple departments and in matrix organizational structures.
• Strong written and verbal communication skills.
• Proven leadership ability to guide individuals and groups toward desired outcomes.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.