Employment Type:

Full time

Shift:

Description:

Purpose

Leads, guides, & directs initial & ongoing medical documentation, audits, & coding educational programs Enables enterprise and regional level strategy to address internal or external business & regulatory issues. Designs, builds & executes national model to support optimal coding, charge capture & education of professional services including workflows, guidance, analysis & resolution for optimization. Provides functional expertise & ensures fulfillment of performance & service standards. Responsible for consistent operating performance & achieving financial goals. Identifies, defines & solves complex problems that impact the management & direction of the business. Collaborates with Service Area, Regions & Health Ministries to ensure consistency & integration of strategy & operations. Provides decision support, operations &/or optimization leadership focus.

Essential Functions

Our Trinity Health Culture: Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions.

Leadership

• Providing advice, guidance & leadership to RHM & Region leaders in developing strategies & in the achievement of performance goals.

• Enable Collaboration across & within service area, RHM, & Regions to ensure consistency & integration of strategy & operations

Direction & Growth

• Providing advice, guidance & leadership to service area, functional area, RHM & Regions.

• Leading standardization / systemness & optimization of policy, process, methodology, establishing a national community of practice

• Oversee Vendor/Contract Labor Management including centralizing strategy & optimizing spend

Strategic Support & Accountability

• Collaborates in system-wide strategy development & deployment of functional area priorities & initiatives

• Responsible for supporting regional efforts to comply with functional area priorities

• Accountable for the selection, evaluation, & overall success of the functional leadership teams

• Organization-wide focal point for establishing functional strategies & governance over financials & staffing

• Accountable for communication between service area, functional area, RHM, & Regions leader

Operational Delivery

• Responsible for measuring & reporting KPIs/metrics & value delivery

• Providing advice, guidance, & leadership for the colleague life cycle

Maintains a working knowledge of applicable Federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.

Minimum Qualifications

• Bachelor’s degree in business, healthcare administration or a related field, or equivalent combination of education and experience

• Seven (7) to ten (10) years of progressive experience in professional coding auditing and providing physician education.

• Five (5) years of management experience in a multi-facility, integrated health care delivery system, or related experience, to include demonstrated ability to build highly functioning team members.

Additional Qualifications (nice to have)

• AAPC Professional Coding Certification preferred.

• Experience with revenue cycle & accounting systems & insurance issues, healthcare industry issues & trends, legal issues in field of expertise, required third party & governmental guidelines, & work processing. Epic experience strongly preferred.

Physical & Mental Requirements & Working Conditions

Indirect / Healthcare Support Services: (OSHA: Healthcare support services mean services that facilitate the provision of healthcare services.)

• Rare clinical / patient facing work environment.

• Includes continuous work time indoors (subject to travel requirements) under temperature-controlled & well-lit conditions; may encounter occasional variable external environmental conditions.

• Includes occasional lifting, up to 30 pounds unassisted, frequent travel & use of computer; Includes continuous sitting & may require rare long periods of continued walking, standing, stooping, bending, pulling & pushing.

Direct Healthcare & Indirect / Support Healthcare Services: must be able to:

• Adapt to frequent interruptions, shifting priorities & stressful situations; Attend to tasks until complete, understand & relate to complex ideas & concepts & be able to remember multiple tasks & regimens extending over long periods of time & work on concurrent tasks / projects.

• Read small print, frequent ability to hear normal sounds & voice patterns, able to give / receive instructions & other verbal communications in-person & over the phone / computer / device / equipment assigned with some background noise.

• Perform frequent manual dexterity activities & occasional grasping / handling.

• Continuous attention to maintain a safe working environment & use of available personal protective equipment (PPE).

Comply with Trinity Health’s policies & procedures.

KEY: Average Workday Activity: Occasional (1% - 33%), Frequent (34% - 66%), Continuous (67% - 100%)

*References OSHA 1910.502 https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.502

ADDENDUM: Functional Roles

N/A

Date Created/ Last Updated

April 5, 2024 – OD&D

The above statements provide a representative description of the nature & level of work being performed by persons assigned to positions within this job description. This is not an exhaustive list of essential functions, conditions, & duties; other job-related tasks may be required. Additional detail may be provided by policies, procedures, guidelines, protocols, standards & other communications. Requests for reasonable accommodation will be considered in compliance with federal, state & local law.

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran