Associate Director, Outpatient Medical Coding

Scope of Position

The Associate Director of Outpatient Coding Services performs at an expert level sustaining responsibility for timely and accurate coding of all facility outpatient visits and outpatient coding audits for The Ohio State University Wexner Medical Center (OSUWMC) including James Hospital. This position oversees the operations of denials, claim edits, and charge capture for reimbursement purposes. In this role, the Associate Director of Outpatient Coding Services serves as a liaison and coordinator for special projects regarding the coding of medical records. This position develops and implements policies and procedures to achieve organizational goals; and assists in the development of operational strategy.

Position Summary

This role serves as the Associate Director for outpatient coding services, and compliance which includes, student interns, medical record coding specialists, and failed claims specialists. This team is vital to the continued operation of the entire Department as it serves to assign the codes necessary for the billing of the outpatient visit. Sets daily priorities, monitors accounts not coded, trains and supports coding specialists in assigning ICD-10-CM diagnoses, Hierarchical condition category (HCC) coding, operationalize SDOH, assign procedure codes (CPT-4), and determines APC assignments for billing and statistical purposes. The manager monitors performance to ensure compliance with policies and procedures and billing rules. The Associate Director sets forth daily priorities for staff, monitors accounts not resolved, and suggests innovative ideas to the Director of Coding and Compliance.

Minimum Qualifications

• Bachelor’s degree in health information administration or equivalent degree required.
• Minimum 3 years of medical coding and/or revenue management experience required.
• Previous management experience preferred.
• Seven years of relevant industry experience in health system-wide outpatient medical coding, and revenue cycle operations preferred.
• Required certification can include Registered Health Information Record Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS) by the American Health Information Management Association, and the COC (outpatient credential only).
• Considerable progressively responsible administrative medical information management experience required.
• Knowledge and experience with electronic health records and health information management applications required.