Hospital for Special Surgery
Hospital for Special Surgery (HSS) was founded in 1863 and is recognized as a world leader in musculoskeletal medicine. Though located in New York City, HSS treats patients from throughout the New York City Metropolitan Area, New York State, the United States, and over 90 countries who seek its internationally recognized specialized care. HSS has 215 beds and 36 operating rooms and performs more than 29,000 surgeries per year. HSS performs more hip surgeries and more knee replacements than any other hospital in the nation. HSS surgeons who specialize in joint replacement perform, on average, 365 of these operations every year. In addition, it handles more than 400,000 non-surgical outpatient visits annually. It is an affiliate of the New York-Presbyterian Healthcare System and Weill Cornell Medical College. It has one of the most sought-after residency programs and its graduates hold prominent positions in hospitals throughout the country.
For more information on Hospital for Special Surgery, please visit its website: www.hss.edu.
The Director of Coding (Director) is responsible for the management and overall coordination of coding and documentation for the compliant charge-capture process. Working closely with HIM, Operations, Patient Accounting, physicians, ancillary departments, senior management, and the compliance officer, s/he will ensure optimal compliance in the billing-cycle process, maintain national standards, and operate at the highest level of productivity and efficiency.
Under the purview of the HIM Department, the Director will monitor the coding of all inpatient and outpatient accounts, ensuring their timeliness and accuracy. S/he will collaborate with CDI and the Patient Accounting Department to resolve issues related to Epic revenue-cycle workflows and work queues.
The Director is an active member of the Epic team and will bring operational experience, as well as technical knowledge, to support the Epic system and the hospital’s revenue-cycle process.
As a member of the leadership team within the Finance Department, he/she will work closely with other members of the team to help implement and continuously improve the hospital’s systems, revenue cycle, and overall financial performance, which is aligned with and supportive of the hospital’s mission and strategic goals.
The Director will manage a group of 13 professionals with three direct reports (one coding manager and two DRG reviewers). The Director will report to the director of HIM, with a dotted line to the senior vice president of operations.
RESPONSIBILITIES: The specific responsibilities include, but are not limited to:
- Provide leadership and management for the compliant capture-charge process, ensuring that all inpatient and outpatient accounts are coded accurately and on a timely basis.
- Collaborate with Revenue Cycle and Quality Management Departments to ensure accurate coding on all cases; be the arbiter to resolve issues on difficult cases.
- Collaborate with the Finance Department to resolve issues related to Epic revenue-cycle workflows and work queues.
- Be proactive and monitor the case-mix budget; provide detailed analyses on any variances.
- Participate in the development of health-information management policies for all operational areas, especially those related to coding.
- Ensure staff compliance with documented and established workflow guidelines and procedures.
- Write effective appeals related to DRG downgrades.
- Conduct formal coder training and education.
- Develop a key metric-management dashboard; prepare reports on coding performance.
- Establish strong working relationships with financial leadership and colleagues and key personnel of interfacing departments (e.g., Revenue Cycle, HIM, CDI,
- Compliance, Operations, Physicians, Medical and Executive Leadership)
- Lead, mentor, and engage staff (coding manager, 10 coders, and 2 DRG reviewers), resulting in a high-performance work environment and culture.
- Manage resources, work assignments, and deliverables within agreed-upon scope, budget, and timeline.
- Participate as a partner and team member, as required, in other hospital initiatives and projects.
EXPERIENCE, COMPETENCIES, AND PERSONAL CHARACTERISTICS:
- Minimum of five years of progressive coding and management experience in a hospital and/or healthcare consulting are required. Experience as a coding manager is preferred. Major teaching/surgical hospital experience is highly desirable.
- Experience with a Clinical Documentation Improvement program is required.
- Strong working knowledge of Epic Revenue-Cycle processes.
- In-depth understanding of National Coding Guidelines, AHA Coding Clinic, and ICD-10.
- Strong clinical background related to coding and assignment of CCs and MCCs.
- Demonstrated success at cultivating good working relationships and communicating effectively with all hospital departments, medical staff, and hospital leadership.
- Outstanding written and oral communication skills. Succinct and easy to understand. A good listener. Capable of teaching and training diverse audiences on coding and related subjects.
- Experience resolving issues through innovative problem solving and solution development.
- Experience writing appeals related to DRG downgrades and developing dashboards/reporting tools.
- Technology and data savvy; proficiency in 3M software, Microsoft Word, Excel, PowerPoint.
- Highly analytical and process driven; possesses a solid understanding of revenue cycle and quality improvement.
- Proven project management skills; capable of establishing priorities and delivering high-quality work on a timely and cost-effective basis.
- Well organized and disciplined; can work independently and with teams through proper engagement and involvement to achieve desired results.
- Stays current on industry trends and reforms; can identify potential impacts and/or problems and translate them into remedial-action plans.
- Smart and insightful. Highly confident, hands-on, results-driven person who is focused on achieving the goals of the organization.
- Unquestionable personal integrity. Exudes credibility and professionalism. Very likeable. Quickly builds confidence in others. Team player and understands his/her role in relationship to others.
- Candidates must pass an HSS coding test.
- A bachelor’s degree is required. Advanced degree in a healthcare-related field is a plus, but not required.
- Current CCS/CPC certifications required. 3M coding software expertise is required.
- EPIC certification in HIM (or other Epic applications in revenue cycle) preferred.
Instructions for Resume Submission:
Email resume as an attachment to: Ms. Cara Arai at firstname.lastname@example.org