Director, DRG Team

Company: Accuity
Location: Charleston
Posted on: May 26, 2023

Job Description:

Job Type
Full-time

Description
Accuity was founded in 2016 with the goal of reinventing the Clinical Documentation Process through MD case review, and MD to MD education. Over the last six years, we have experienced rapid growth and are excited to continue in growing our team nationwide. Learn more about us at .
The Director, DRG is responsible for providing oversight, training, and leadership of the DRG Integrity Specialists, identify training needs and deliver training from both an on-boarding and cross-training perspective. The Director, DRG will also ensure staffing models are accurate based on volume, productivity expectations, and provides education to the DRG Team based on quality output captured through acute, inpatient audits.
Primary Responsibilities

• Ensures compliance with external agencies and state and federal regulations for ethical coding
• Maintains, and implements policies and procedures; evaluates and improves the effectiveness of policies and procedures and workflow
• Coordinates work assignments of system wide coding staff and adjusts as needed based on schedules and volumes
• Monitors productivity levels and turn-around time while assessing current Tower productivity standards and developing a strategic plan to improve organizational effectiveness
• Maintains DRG Team staff employee files and tracks annual performance evaluations
• Monitors backlogs for all customers and initiates action where necessary based on key performance indicators
• Identifies and implements improvement measures that will enhance Tower quality and productivity as well as client satisfaction
• Supports the process and workflow, training, and education of the remote and on-site DRG staff
• Assists Leadership with execution and compilation of specific reports
• Identifies patterns, trends and variations in coding data and takes appropriate steps in collaboration with departments to effect resolution or explanation of the variance
• Ensures that information systems support current and future needs of the department. Works closely with information technology in transition planning including, but not limited to, testing, installation and education of staff to produce and maintain high quality coding and data integrity
• Monitors the initiation, revision, and implementation of external regulations, statutes, and standards; facilitates implementation of revised regulations; ensures compliance
• Analyzes internal quality reviews, makes recommendations for education, counseling, or termination for staff as appropriate. Review provisions for staff development, training, and orientations as prescribed by customers and any internal departmental standards
• Performs miscellaneous job-related duties as assigned
  Requirements
  
  Education:
  • Bachelor's degree in Healthcare Management, Healthcare Administration, Health Information Management or other related field(s) requiredLicensure and/or Credentials:
    • Coding credential required from AHIMA/AAPC (RHIA, RHIT, CCS, CPC and/or CIC)
      Experience:
      • Minimum 5 years of work experience in the Health Information Managements (HIM) field
      • Minimum of 5 years Inpatient coding experience
      • Extensive knowledge of revenue cycle management and coding services
      • Extensive operational knowledge of hospital revenue cycle
      • Requires good interpersonal and customer service skills
      • Demonstrated knowledge of both MS and APR-DRGs, ICD-10-CM and ICD-10-PCS
      • Demonstrated knowledge of computer technology and preferred knowledge of MS Office including Word, Excel, and PowerPoint
        Knowledge, Skills & Abilities:
        • Highly motivated, self-directed and able to work independently with minimal supervision
        • Analytical ability to gather and interpret data to identify areas of opportunity, problems, or issues and apply sound judgement
        • Leadership skills that demonstrate accountability, decision-making, coaching and counseling
        • Ability to interpret coding quality audit data, track and trend the audit results, and convert into applicable education
        • Strong written and verbal skills
        • Experience with electronic health records and health information systems
        • Ability to organize and set priorities to ensure that objectives are met in a timely manner
        • Ability to establish and maintain cooperative working relationships with staff at every level of the organization
        • Ability to oversee seven-day Tower operations including but not limited to scheduling, work distribution, productivity monitoring, and quality output
        • Ability to use a PC in a Windows environment, including MS Word
        • Independent, focused individual able to work remotely or on-site
          

Keywords: Accuity, Charleston , Director, DRG Team, Executive , Charleston, West Virginia