Senior Director, DRG

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 five years, we have experienced rapid growth and are excited to continue in growing our team nationwide. Learn more about us at .

The Senior Director, DRG is responsible for providing oversight and leadership to the DRG Team Directors and Coaches. This individual is responsible for selecting, hiring, training and developing staff to build a high performing team. The Senior Director, DRG is responsible for consistently reviewing staffing models against current volume and upcoming pilots to ensure proper staffing.

The Senior Director, DRG will also ensure that the DRG Coach Team has the tools, training and tracking in place to ensure a high level of productivity and compliant outputs, captured through acute, inpatient audits. Collaboration and effective leadership skills will allow the Sr. Director, DRG to foster positive relationships within the Tower (physician + DRG Coach) teams and across the organization.

Primary Responsibilities

• Ensures compliance with external agencies and state and federal regulations for ethical coding.
• Monitors the initiation, revision, and implementation of external regulations, statutes, and standards; facilitates implementation of revised regulations.
• Maintains, and implements policies and procedures; evaluates and improves the effectiveness of policies and procedures and workflow.
• Monitors productivity levels and turn-around time. Assesses current Tower productivity standards and develops a strategic plan to improve organizational effectiveness.
• Maintains DRG Team Coach staff employee files and monitors performance, ensuring the Coach team receives real time feedback along with their annual appraisals.
• Supports the process and workflow, training, and education of the remote DRG Team Coach staff.
• Identifies and implements improvement measures that will enhance Tower quality and productivity as well as client satisfaction.
• Analyzes internal quality reviews, makes recommendations for education, counseling, or separation of staff as appropriate.
• Review provisions for staff development, training, and orientations as prescribed by customers and any internal departmental standards.
• Monitors backlogs for all customers and initiates action where necessary based on key performance indicators.
• Works with other departments (Technology for example) to ensure that accurate and complete reporting is available.
• Identifies patterns, trends and variations in coding data and takes appropriate steps in collaboration with departments to effect resolution or explanation of the variance.
• 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.
• Performs miscellaneous job-related duties as assigned.

Education:

• Bachelor's degree in Healthcare Management, Healthcare Administration, Health Information Management or other related field(s) required
• RHIA, RHIT certification(s) required

Experience:

• Minimum of 5 years work experience in the Health Information Managements (HIM) field
• Minimum of 5 years Inpatient coding experience and CCS or RHIT required (Experience)
• Minimum of 1 year in a people manager position
• Extensive knowledge of revenue cycle management and coding services
• Extensive operational knowledge of hospital revenue cycle

Licensure and/or Credentials:

• RHIA, RHIT certification(s) required

Knowledge, Skills, and Abilities:

• Demonstrated leadership abilities that foster an inclusive, positive and healthy culture
• 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 and HIM technology
• 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 (Work, Excel, PPT, etc.)
• Independent, focused individual able to work remotely or on-site