Stony Brook University Associate Director, Ambulatory Coding in Stony Brook, New York

Associate Director, Ambulatory Coding

Description

Position Summary

At Stony Brook Medicine, ourAssociate Director, Ambulatory Coding will be a valuable member of our team. Reporting to the Director of Revenue Integrity, the Associate Director, Ambulatory Codingwill need tohave comprehensive knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines particularly as it relates to APCmethodologies. The Associate Director, Ambulatory Coding will also need to have a strongworking knowledge of all regulatory requirements associated with coding and APCassignment, significant coding experience, and proficiency in medical recordreview and documentation standards.

Duties of the Associate Director, Ambulatory Coding may include but are not limited to thefollowing:

  • Responsiblefor the day-to-day management of the ambulatory coding staff, inclusive ofinterviewing, training, evaluation, workflow and productivity.

  • Performdata quality reviews on ambulatory encounters to validate the ICD-10-CM, CPTand HCPCS Level II code and modifier assignments, APC group appropriateness, secondarydiagnoses and/or procedures and ensure compliance with all relative CMSmandates and outpatient reporting requirements.

  • Manageday-to-day activities of the ambulatory coding staff and prepare periodicreports which track coding productivity and quality metrics. Communicate with ambulatory coding staff anyidentified deviations from established metrics.

  • Continuouslyevaluate the quality of clinical documentation to identify incomplete orinconsistent documentation for outpatient encounters that impact the codeselection and resulting reimbursement.

  • Collaboratewith the Associate Director, Revenue Integrity Staff Development inidentification of areas for training of ambulatory coding staff related tovarious topics, including updated coding guidelines and practices, medicalterminology and disease processes.

  • Maintainknowledge of new technology related to coding and abstracting software andother forms of automation, maintain current knowledge of coding updates, HIPAAprivacy requirements and other issues impacting the coding process.

  • Maintaincurrent knowledge of CMS’ LCD, NCD and NCCI edits resolve claim scrubberissues.

  • Developreports and collect and prepare data involving outpatient data for clinicalevaluation purposes and/or financial impact and profitability, utilizing Excel,Monarch, Vizient databases as appropriate.

  • Demonstratecompetency in the use of computer applications and APC Grouper Software, OCEedits and all coding and abstracting software and hardware currently in use bythe Revenue Integrity Department.

  • Incollaboration with the Associate Director, Revenue Integrity, monitoroutpatient unbilled accounts reports for outstanding and/or un-coded outpatientencounters.

  • Coordinateand monitor the outsourced coding vendor’s processes and accuracy. Monitoroutside vendor access to the SBUH Access HIM system.

  • Collaboratewith R.I. Staff Development related to the monthly coding staff review process.

  • Provideoversight to outside Compliance Audits relative to ambulatory coding processes.Verify that outside vendors are providingservices consistent with contract terms, and that vendor billing isaccurate.Collaborate with AssociateDirector, R.I. related to Ambulatory Services issues in coding (e.g. RAC, MAC,Private Insurance)

  • Collaboratewith SBUH IT department liaison related to IT issues in the Access HIM systemwhich affects function, timeliness of coding process, or DNFB.

  • ManageAmbulatory Registration issues and corrections.

  • Abideby the Standards of Ethical Coding as set forth by the American Health InformationManagement Association.

  • Performother duties as assigned.

QUALIFICATIONS:

Required Qualifications: A Bachelor’s Degree with RHIA credential; or AssociatesDegree in Health Information Technology or equivalent with RHIT credential; orsuccessful completion of a coding program with an advanced coding credential (CCSor CCS-P)and three or more years acute care hospitalambulatory coding experience. Excellent verbal and written communication skills.

Preferred Qualifications: Five or more years acute teaching hospital-basedambulatory surgery and/or emergency department coding and auditing experience.

SpecialNotes: StonyBrook Medicine is a smoke free environment. Smoking is strictly prohibitedanywhere on campus, including parking lots and outdoor areas on the premises.

All Hospital positionsare subject to changes in pass days and shifts as necessary. Thisposition may require the wearing of respiratory protection, which may prohibitthe wearing of facial hair.

The selected candidate must successfully clear abackground investigation. Prior to start date, the selectedcandidate must meet the following requirements: Successfully complete pre-employmentphysical examination and obtain medical clearance from Stony Brook Medicine'sEmployee Health Services (The hiring department will be responsible for any feeincurred for examination), submit (3) written references, and provide a copy ofany required New York State license(s)/certificate(s). Please be advised thatfailure to comply with any of the above requirements could result in a delayedstart date and/or revocation of the employment offer.

About Stony BrookMedicine

The best ideas in medicinestart with the best people. At Stony Brook Medicine, our highest calling is toput the power of ideas to work in our patients’ lives. Stony Brook Medicineintegrates and elevates all of our health-related initiatives: education,research and patient care. StonyBrook Medicine is Long Island’s premier academic medical center. With 603 beds,we serve as the region’s only tertiary care center and Level 1 Trauma Center,and are home to the Stony Brook Heart Institute, Stony Brook Cancer Center,Stony Brook Children’s Hospital, Stony Brook Neurosciences Institute, and StonyBrook Digestive Disorders Institute. We also encompass Suffolk County’s onlyLevel 4 Regional Perinatal Center, state-designated AIDS Center,state-designated Comprehensive Psychiatric Emergency Program, state-designatedBurn Center, the Christopher Pendergast ALS Center of Excellence, and KidneyTransplant Center. It is home of the nation’s first Pediatric MultipleSclerosis Center.

Stony Brook University is an AffirmativeAction/Equal Opportunity employer. We are committed to the creation of adiverse and inclusive campus climate. We encourage protected veterans,individuals with disabilities, women and minorities to apply.

This function/positionhas been designated as “essential.” This means that when the Hospital is facedwith an institutional emergency, employees in such positions may be required toremain at their work location or to report to work to protect, recover, andcontinue operations at Stony Brook Medicine, Stony Brook University Hospitaland related facilities.

Pursuant to ExecutiveOrder 161, no State entity, as defined by the Executive Order, is permitted toask, or mandate, in any form, that an applicant for employment provide his orher current compensation, or any prior compensation history, until such time asthe applicant is extended a conditional offer of employment withcompensation. If such information has been requested from you before suchtime, please contact the Governor’s Office of Employee Relations at(518) 474-6988orvia email atinfo@goer.ny.gov.

IF YOU NEED A DISABILITY-RELATED ACCOMMODATION,PLEASE CALL THE UNIVERSITY HUMAN RESOURCE SERVICES DEPARTMENT AT (631) 632-6161OR THE UNIVERSITY HOSPITAL HUMAN RESOURCES DEPARTMENT AT (631)444-4700. IN ACCORDANCE WITH THE TITLE II CRIME AWARENESS AND SECURITYACT, A COPY OF OUR CRIME STATISTICS IS AVAILABLE UPON REQUEST BY CALLING (631)632-6350. IT CAN ALSO BE VIEWED ON-LINE AT THE UNIVERSITY POLICE WEBSITEAT http://www.stonybrook.edu/police

Job Field: Finance

Primary Location: US-NY-Stony Brook

Official Job Title: TH Medical Records Associate Director

Department/Hiring Area: Revenue Integrity

Stony Brook University Hospital

Schedule: Full-time

Pass Days: Day Shift

Posting Start Date: Jun 6, 2018

Posting End Date: Jul 6, 2018, 10:59:00 PM

Salary: Commensurate with experience

Salary Grade: SL4

Req ID: 1801577