Date Posted: 11/4/2016

Position Number: 54234

Location: North Shore

Allegheny Health Network is an integrated delivery network focused on preserving health care choice and providing affordable, high-quality care to the people in our communities.  With more than 14,000 employees including 7,400 health care professionals, nearly 200 primary care and specialty care practices, Allegheny Health Network includes seven hospitals in Pennsylvania with nearly 2,400 licensed beds.

Allegheny Health Network’s clinical expertise ranges from primary care to the most complex surgical procedures.  Services include cancer diagnosis and treatment, cardiovascular care, neurological and neurosurgical services, organ transplantation, orthopedic and rehabilitation services, and women’s health.

Department: HIM/ Medical Records

Status: Full-time

Union/ Non-union: Non-union

Job Summary: Plans, directs, organizes and controls the coding sections of multiple facilities to assure timely coding for billing and coding compliance. 

Job Responsibilities: Plans, organizes, directs and manages the activities, budget and employees for multiple facilities. (30%) Assures timely and accurate coding/abstracting to comply with regulatory agencies and fiscal intermediaries and meets turnaround time of less than 4 days. Assures validation process required by external agencies, e.g., PA Health Care Cost Containment Council (25%) Assures that audited records are coded correctly, appealed if appropriate, follows-up on process, identifies education issues. Educates medical staff, residents, registration and medical record staff regarding coding compliance and clinical documentation. (25% ) Administers the computer system, and coordinates database requests for reports. (10%) Designs, implements and maintains quality control measures, PI indicators, and productivity monitors. (5%) Performs other duties assigned. (5%) 

Certification/Registration:

• Requires critical thinking, decisive judgment. Must be able to work in dynamic every changing environment and take appropriate action.:

Education:

• Associates Degree required. If CCS, Associates Degree preferred.

Licensure:

• Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) preferred

Required Experience:

• Five years experience in medical record setting required with at least three years at management level preferred.
• Experience in an academic medical center preferred.
• Knowledge of JC, DOH, CMS and other regulatory standards.
• Excellent ability to communicate effectively (in writing and verbally) with internal and external customers.
• Three years coding, encoder, grouper, abstracting, registration and bill systems experience required.
• Excellent computer skills.