Director, Inpatient Coding and Compliance
Scope of Position
The Director of Coding, Compliance and Clinical Documentation Enhancement is responsible for assuring high quality information collection and reporting systems for medical information management services, including coding, data quality management, and compliance. The information collected and used by medical information management staff is interconnected with the clinical and business systems of the health system and is used for patient care, teaching, research, hospital operations, quality assurance, and reimbursement. Accurate coding and compliance is essential for a financially viable health care organization.
Position Summary
This position provides administrative direction to the coding services program and clinical documentation enhancement in Medical Information Management. Manages the program for high quality, timely coding of diagnoses and procedures for inpatient and outpatient accounts, using ICD-9-CM, ICD-10-CM/PCS and CPT-4 coding classification systems, to meet the hospitals’ billing system requirements. Manages the abstracting of data elements required for billing (admission type and source, discharge disposition, attending physician). Monitors the results of the program for quality improvement and timeliness. Manages ongoing review of coding for accuracy. Coding accuracy is critical to the Medical Center’s Integrity Program and accurate reimbursement.
Minimum Required Qualifications
- Bachelor's Degree in Health Information Administration or equivalent.
- Credentialed as a Registered Health Information Administrator by the American Health Information Management Association.
- 10 years of relevant experience required. 15 or more years of relevant experience preferred.