NYU Langone Health is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education. It comprises more than 200 locations throughout the New York area, including five inpatient locations, a children’s hospital, three emergency rooms and a level 1 trauma center. Also part of NYU Langone Health is the Laura and Isaac Perlmutter Cancer Center, a National Cancer Institute designated comprehensive cancer center, and NYU Grossman School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. At NYU Langone Health, equity, diversity, and inclusion are fundamental values. We strive to be a place where our exceptionally talented faculty, staff, and students of all identities can thrive. We embrace diversity, inclusion, and individual skills, ideas, and knowledge. For more information, go to nyulangone.org(Opens in a new window)
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Position Summary:
We have an exciting opportunity to join our team as a Health System HIM Director-Coding.
In this role, the successful candidate as the HIM Director of Coding is responsible for overseeing all aspects of medical coding operations at NYU Langone Health ensuring accurate timely and compliant coding for inpatient outpatient and specialty services including Emergency Department oncology research and other ancillary services This role involves managing the coding team ensuring adherence to federal state and payer regulations and driving initiatives to improve coding quality and efficiency The Director will collaborate with key stakeholders including clinical departments revenue cycle teams and leadership to optimize coding processes that support both clinical and financial objectives of the academic medical center
Job Responsibilities:
Lead and manage the medical coding team providing guidance support and professional development opportunities nbsp; Establish coding performance metrics monitor team performance and implement strategies for continuous improvement; Ensure adequate staffing levels training and certification requirements for coding professionals Foster a collaborative environment between the coding team and other departments including clinical compliance and revenue cycle teams with a strong partnership with Clinical Documentation Integrity CDI.
Ensure compliance with ICD 10 CPT 4 HCPCS and other applicable coding standards; Maintain knowledge of federal state and payer regulations to ensure coding practices are aligned with evolving healthcare standards; Conduct periodic audits to assess coding accuracy and resolve any discrepancies; Oversee the implementation of coding updates including ICD 10 CM/PCS CPT 4 and HCPCS ensuring the team is trained on changes
Work closely with billing reimbursement and coding teams to optimize the revenue cycle process and maximize reimbursement; Identify coding and billing patterns providing feedback and recommendations for process improvements; Ensure timely coding of all records to maintain acceptable unbilled numbers to promote healthy cash flow patterns; Collaborate with clinical departments and leadership to ensure coding practices are aligned with clinical documentation; Develop and deliver ongoing training programs to coding staff to keep them updated on changes in coding guidelines regulations and payer requirements; Work with clinical staff to improve clinical documentation practices to support accurate coding and reimbursement; Serve as a expert resource for coding related queries and provide expertise on complex coding scenarios;
Analyze coding data to identify trends opportunities for improvement and potential risk areas; Prepare and present regular reports on coding accuracy compliance and productivity to senior leadership; Collaborate with data analysts and IT teams to implement coding and revenue cycle reporting tools; Strategically plans for long term goals include resource allotment/savings and technology use; Foster strong working relationships with the clinical community to support initiatives and the integration of coding processes within clinical practice Provide guidance on coding for clinical trials academic projects and specialty care services nbsp;Promote positive public relations for the department and health system; Performs various other related duties as may be deemed necessary or as may be directed by the Senior Director/Department Head;
Minimum Qualifications:
To qualify you must have a Bachelor s degree in Health Information Management HIM Healthcare Administration or a related field with Registered Health Information Administrator RHIA plus Certified Coding Specialist CCS certification OR Registered Health Information Technician RHIT certification plus Certified Coding Specialist CCS certification OR Master s Degree in health related field plus 5 years progressive experience in HIM Seven years of progressive experience in HIM including at least 5 years in a leadership role at an academic medical center or large healthcare system Knowledge of regulatory requirements and payer specific coding guidelines Medicare Medicaid commercial insurers Knowledge of federal state and payer reimbursement methods Diagnosis Related Groups DRGs and severity systems as well as universal coding practices and guidelines Possesses a high level of clinical knowledge to participate collaboratively with clinicians Must have strong critical thinking data financial and analytical skills as well as an exceptional ability to integrate clinical coding and reimbursement knowledge Must be able to recognize payer and DRG differences/implications in hospital financial/reimbursement Must be highly detail oriented have strong organizational skills and possess excellent communication presentation and interpersonal skills Computer proficiency MS Outlook Office Excel PowerPoint is required
Preferred Qualifications:
Master s Degree in HIM or related field with RHIA CCS Certifications from AHIMA ACDIS AAPC and other professional organizations are also encouraged Proficiency with Epic EHR 3M/Solventum tools and analytical knowledge in Tableau and Vizient
Qualified candidates must be able to effectively communicate with all levels of the organization.
NYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you’ll feel good about devoting your time and your talents.
NYU Langone Health is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military and veteran status, marital or parental status, citizenship status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision. We require applications to be completed online.
If you wish to view NYU Langone Health’s EEO policies, please click here. Please click here to view the Federal “EEO is the law” poster or visit https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm for more information.
NYU Langone Health provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $213,477.55 – $304,968.49 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
To view the Pay Transparency Notice, please click here
Salaries shown on independent jobs related websites reflect market averages and do not represent information obtained directly from NYU Langone. We invite and encourage each candidate to discuss salary/hourly specifics during the application and hiring process.
