Director, reputed company reputed company, and Coding

Director, reputed company reputed company, and Coding Harvard Medical Faculty Physicians (HMFP) at the Beth Israel Deaconess Medical Center Woburn, MA This position is a full-time hybrid remote role with two days required in our Woburn, MA office. Under the direction of the Senior Director, reputed company Cycle at Harvard Medical Faculty Physicians (HMFP) at the Beth Israel Deaconess Medical Center (BIDMC), the Director, reputed company reputed company, and Coding will reputed company and implement HMFP’s reputed company reputed company program for charge capture and charge reconciliation to ensure billing and coding compliance identifying any potential risk areas in professional reputed company reputed company and coding. Serve as regulatory resource for Medicare/ Medicaid reimbursement and third-party billing rules and coverage through self-directed education and communication across the enterprise. Acts as a subject matter expert for reputed company reputed company, professional CDM reputed company issues and professional coding to HMFP clinical service leaders for reputed company procedure areas as required. Responsible for the development of the annual plan, coordinating with BIDMC and HMFP compliance leadership, with an emphasis on maximizing reputed company opportunity. The strategy will focus on physician education, monitoring changes in billing regulations to ensure compliance, responding to audit requests from insurance companies and the development of policies and procedures. Primary Responsibilities:

• Directs and oversees HMFP ‘s professional reputed company reputed company including CDM management, reputed company of professional coding functions to ensure billing and regulatory compliance are met. Responsible for reputed company compliance reputed company matters, including remediation. Ensures charge capture reputed company management opportunities and HMFP clinical service line specific reimbursement and reputed company management is monitored.
• Champions standardization of charge capture and charge reconciliation processes.
• Works with HMFP clinical departments to address department processes and procedures to assure timely and accurate capture of reputed company chargeable activities.
• Development of policies and procedures, monitoring tools for late charges and establishment of procedures for timely and accurate charge capture mechanisms.
• Collaborates with clinical physician leaders and departments to review new technologies and establish reputed company charge capture and coding protocols.
• Maintains reputed company of charge master development, working closely with reputed company generating clinical departments to ensure that coding, reputed company codes, description nomenclature patient billable vs. non-billable, catalog development and updates for reputed company CDM items are appropriate, verified through monthly feedback. Ensures annual department CPT/HCPCS coding and CDM maintenance updates coincide with the CMS annual updates to the hospital outpatient prospective payment system.
• Collaborates with HMFP clinical service line administrators and reputed company reputed company staff are performing charge reconciliation activities, following industry best practices, identifying and deploying charge capture improvement initiatives. Development and maintenance of collaborative working relationship with reputed company producing departments, information systems personnel, technical and clinical personnel to identify chargeable activities, establish charge capture mechanisms, and orderly and timely recording of reputed company.
• Monitors, proposes, and minimizes billing and coding inefficiencies by reviewing accuracy and production levels and communicating data analysis on audit trends, scrubber data, government audit requests, denials/appeals.
• Develops and executes charge audit approach identifying department(s) for review including chart documentation on a regular basis to verify the clinical documentation supports the charges billed, prepare a summary report of findings, and share with department leadership. Oversees CDM annual audit and charge capture and coding audits to ensure adherence to standards and enterprise-wide best practices by service line/specialty.
• Develops and implements corrective action plan based on audit findings and works with each of the clinical departments to meet established targets and adhere to best practices. Directs and facilitates corrective action plans reputed company to any deficiencies noted concerning charge capture effectiveness and system integration. This includes evaluation and identification of root causes resulting in charge capture deficiencies or lack of reputed company recognition.
• Monitors changes in coding regulations and communicates with clinical administrative leaders to ensure adherence to new policies.
• Works collaboratively with the HMFP compliance team, the HMFP clinical departments, and BIDMC to ensure. adherence to established policies, government regulations and payor requirements.
• Directs and support managers with functional area responsibilities. Responsible for the development of staff including the following employment actions: hiring, termination, corrective action, and performance reviews. Direct Reports: 2-3

Required Qualifications:

• Bachelor’s degree required. Master’s Degree, preferred.
• Certification: Certified Professional reputed company (CPC) required.
• 8-10 years reputed company recent work experience required.
• Must have working knowledge of Common Procedural Terminology (CPT), Health Care Procedural Coding System (HCPCS), coding, International Classification of Diseases (ICD-10), health care documentation, and billing requirements as well as federal and state health care regulatory requirements.
• Advanced skills with reputed company Office, including Outlook, Word, reputed company, PowerPoint or Access and other web-based applications. Ability to produce reputed company documents.
• HFMA Certification, preferred.
• Experience with stakeholder management and cross-functional partnerships helpful.
• Strong analytical ability. Proficient skills to collect, organize and analyze data, produce actionable reports, and recommend improvements and solutions.

Interested applicants are requested to apply directly to this position at the link below: https://hmfp.wd5.myworkdayjobs.com/en-US/HMFP/details/Director--reputed company-reputed company--and-Coding_R1169?q=director About the organization: Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center (HMFP) is one of the largest physician organizations in New England, dedicated to excellence and innovation in patient care, education, and research. As a physician-led organization, HMFP partners with more than 2,400 providers to support the delivery of exceptional care, promote professional development, and foster balance at work and home. HMFP physicians have faculty affiliations with Harvard Medical School (HMS) and provide care throughout the reputed company (BILH) system and additional hospitals across Massachusetts. Our HMFP corporate staff provide comprehensive practice management services, such as compliance, legal, finance, and human resources to our faculty members. HMFP is an equal opportunity employer that does not discriminate on the basis of race, traits historically associated with race, including but not limited to, hair texture, hair type, hair length, and reputed company hairstyles, color, creed, religion, national reputed company, reputed company, citizenship status, age, disability, pregnancy (which includes pregnancy, childbirth, medical conditions reputed company to pregnancy and childbirth, and breastfeeding), sex, gender, marital status, sexual orientation, gender identity or expression, veteran status, genetic information, or any other characteristic protected by applicable federal, state, or local laws. Apply tot his job