JOB SUMMARY

The

Regional Director of Coding is responsible leading Revenue Cycle Coding, Audit

and an Account Resolution Departments. Functional assignments include management

of facility and professional coding services, managing internal and external auditing,

customer service, and coding information system analysis and management. Develops and implements plans to ensure the

achievement of established objectives.

Represents Coding, Auditing, Accounts Resolution and Revenue Cycle in

meeting strategic objectives throughout the McLaren System. The Regional Director is expected to be a

contributing member of the Revenue Cycle leadership team. Demonstrates the philosophy and core values

of McLaren Health Care in the performance of duties.

ESSENTIAL FUNCTIONS& RESPONSIBILITIES

1.

Manages

Discharge Not Final Billed (DNFB) and Discharge Not Final Coded (DFNC) for the

McLaren system.

2.

Provides

leadership throughout the system in regard to facility and professional Coding,

managing internal and external auditing and account resolution inquiries.

3.

Works

closely with the central business office to improve processes impacting the Discharge

Not Final Coded (DFNC) and Discharge Not Final Billed (DNFB).

4.

Strong

knowledge of healthcare facility and professional claims processing including

ICD-10, CPT, HCPC, PCS, NDC codes and modifiers as well as thorough knowledge

of UB and 1500 claim edits.

5.

Working

knowledge of Medicare, Medicaid, and Third Party reimbursement methodologies.

6.

Read

and interpret provider contracts to determine billing discrepancies.

7.

Manages

vendors coding and auditing contracts.

Required:

• Bachelor’sDegree required in Accounting, Business Management or closely relatedfield in order to understand the impact of the revenue cycle on theperformance of the health system.

• Fifteen (15)years’ experience in a progressively more responsible leadership role in HealthInformation Management/Coding and/or Revenue Cycle with demonstrated supervisoryresponsibility in health care.

• RHIT or RHIA

Preferred:

• MBA or MHA or MHIT

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans