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Vanderbilt University Medical Center Lead Program Manager-Coding Education & Optimization in Nashville, Tennessee

Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of diverse individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health recognizes that diversity is essential for excellence and innovation. We are committed to an inclusive environment where everyone has the chance to thrive and where your diversity of culture, thinking, learning, and leading is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research.

Organization:

Section of Surgical Sciences

Job Summary:

JOB SUMMARY

The Lead Coding Manager for the Section of Surgical Sciences will review, accurately assign, and abstract diagnostic and procedural codes, using designated coding classifications. Duties also include assisting with documentation improvement by educating providers individually both professional and hospital billing, CMI capture, quality reviews to improve pillar PSI and mortality rates, and increased billing and collections.

The Lead Coding Manager for the Section of Surgical Sciences will provide leadership in the creation, coordination, execution and growth of complex programs independently. Supports programs that are expected to experience significant change, expansion or evolution over time.

* CPC, CCS, or CBCS certification strongly preferred *

* Experience with EPIC, Clarity, 3M and Business Objects will be helpful *

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KEY RESPONSIBILITIES

  • Collaborates with the clinical department administrators within the Section of Surgical Sciences in the development and implementation of educational activities related to charge capture improvement projects.

  • Performs analysis of charges generated within the Section to identify, verify and resolve discrepancies in provider documentation to aid in educational program development.

  • Assists with onboarding/training new providers and mentors team members in proper documentation within the VUMC Electronic Medical Record (EPIC).

  • • Oversees program plans, goals and objectives in collaboration with program and area leadership.

  • • Provides professional and/or technical leadership in the execution of day-to-day program activities.

  • • Communicates within and across department to maximize information sharing around progress, needs, inter-dependencies and accomplishments.

  • • Participates in institutional task forces and other special committees related to the achievement of goals and objective.

  • • The responsibilities listed are a general overview of the position and additional duties may be assigned.

TECHNICAL CAPABILITIES

  • Revenue Cycle (Expert): Knowledge of the financial process to track patient care from registration and scheduling to the final payment of a balance.

  • • Quality Management (Advanced): Developing a systematic process of checking to see whether a process or service is meeting specific requirements.

  • • Networking (Advanced): Build relationships through industry contacts, professional organizations and individuals.

  • • Peer Leadership (Expert): The ability to show leadership and influence people of equal rank in an effort to accomplish team goals.

  • • Program Management (Expert): Planning, organizing, and managing resources to bring about the successful completion of specific program goals and objectives.

  • • Financial Processes (Advanced): Ability to monitor costs, expenses and revenue as well as the ability to manage those costs and expenses in relation to budgeted amounts.

  • • Mentoring & Coaching (Expert): The essence of training and mentoring on the job is transfer of knowledge. Whereas training can be considered more formal and scheduled, mentoring is often in the form of guidance and "hands-on" experiences. The reporting relationship is unimportant since the purpose is to pass on information and experiences. These discussions normally center around a person's goal of learning job procedures, content, standards, analysis and problem-solving.

  • • Process Improvement (Advanced): Identifies, analyzes and improves upon existing business processes for optimization and to meet standards of quality.

Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of diverse individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health recognizes that diversity is essential for excellence and innovation. We are committed to an inclusive environment where everyone has the chance to thrive and where your diversity of culture, thinking, learning, and leading is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research.

Vanderbilt Health recognizes that diversity is essential for excellence and innovation. We are committed to an inclusive environment where everyone has the chance to thrive and to the principles of equal opportunity and affirmative action. EOE/AA/Women/Minority/Vets/Disabled

Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more.

At our growing health system, we support each other and encourage excellence among all who are part of our workforce. High-achieving employees stay at Vanderbilt Health for professional growth, appreciation of benefits, and a sense of community and purpose.

Core Accountabilities:

  • Organizational Impact: Plans and sets own objectives to deliver against responsibilities that have a direct impact on the near term results of a system or institution. * Problem Solving/ Complexity of work: Solves highly complex problems and recommends solutions that may have broad impact to the function.* Breadth of Knowledge: Viewed as the technical expert at VUMC within a professional area and a broad knowledge of other professional areas. * Team Interaction: Leads complex project teams; coaches and guides team members and develops strategy for project execution.

Core Capabilities :

Supporting Colleagues: - Develops Self and Others: Acts upon constructive feedback from all levels of the organization and initiates strategies to develop talent in others. - Builds and Maintains Relationships: Leverages relationships and insight to forecast potential future needs and influence delivery of work to exceed expectations. - Communicates Effectively: Anticipates difference audience concerns, styles and finds mutually beneficial solutions across conflicting and sensitive issues. Delivering Excellent Services : - Serves Others with Compassion: Demonstrates in-depth knowledge of broad-based issues and considers the interests of others to improve satisfaction of services. - Solves Complex Problems: Critically evaluates complex information and identifies trends/risks to make recommendations to improve processes across areas. - Offers Meaningful Advice and Support: Provides ongoing feedback and development discussions to motivate and support team members to maximize performance. Ensuring High Quality : - Performs Excellent Work: Anticipates problems or obstacles which may interfere with quality standards and develops plants to ensure area's quality standards are met.- Ensures Continuous Improvement: Routinely draws upon valuable learning from others, past experiences, and new information to determine key opportunities. - Fulfills Safety and Regulatory Requirements: Develops appropriate corrective actions for unsafe environments in order to ensure operational and safety compliance. Managing Resources Effectively: - Demonstrates Accountability: Identifies potential obstacles to goal achievement and develops solutions to address those obstacles. - Stewards Organizational Resources: Creates the appropriate systems and processes to effectively manage resources. - Makes Data Driven Decisions: Applies in-depth knowledge of data to recommend and implement new approaches to improve decision making capabilities. Fostering Innovation: - Generates New Ideas: Identifies opportunities and leads development of new initiatives that create value across areas. - Applies Technology: Creates the energy and drive for self/others to identify and leverage technology in new, innovative ways to drive greater efficiencies. - Adapts to Change: Anticipates the change process and clearly communicates impact on others/own team(s), assisting them in embracing the change.

Position Qualifications:

Responsibilities:

Certifications:

Work Experience:

Relevant Work Experience

Experience Level:

7 years

Education:

Bachelor's

Vanderbilt Health recognizes that diversity is essential for excellence and innovation. We are committed to an inclusive environment where everyone has the chance to thrive and to the principles of equal opportunity and affirmative action. EOE/AA/Women/Minority/Vets/Disabled

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