Navigant Consulting Inc Project Business Operations Manager - Navigant BPM - Remote Location in MITCHELL, South Dakota

Navigant Consulting, Inc. (NYSE: NCI) is a specialized, global professional services firm that helps clients take control of their future. Navigant’s professionals apply deep industry knowledge, substantive technical expertise, and an enterprising approach to help clients build, manage and/or protect their business interests. With a focus on markets and clients facing transformational change and significant regulatory or legal pressures, the Firm primarily serves clients in the healthcare, energy and financial services industries. Across a range of advisory, consulting, outsourcing, and technology/analytics services, Navigant’s practitioners bring sharp insight that pinpoints opportunities and delivers powerful results. More information about Navigant can be found at navigant.com.

Navigant Cymetrix unites the strengths of four category-leading companies to address the complexities of today’s healthcare system. We design, develop and implement integrated, patient-centered solutions for sustained improvements in performance and profitability, working collaboratively across a spectrum of customers that encompasses hospitals, health systems, physician practice groups and payers.

The Health Information Coding Operations Manager shall report directly to the Director of Coding Operations and will be responsible for managing client projects to ensure quality and productions standards are met. The Coding Operations Manager will work as the liaison between Coders and the client to ensure work functions are carried out according to the project contract. This position will perform any and all related job duties as assigned.

Essential Job Functions

  • Computer Literacy

  • Advanced Coding Skills, ICD-10-CM and CPT

  • Excellent verbal and written Communication Skills

  • Strong working knowledge of governmental regulations relating to coding

  • High level of productivity

  • Ability to work independently

  • HIPAA compliant work stations

  • Strong working knowledge of Protected Health Information

  • Maintains professional credentials at all times

  • Management Skills

Duties and Responsibilities

  • Provides training to Coders on assigned facility, including facility specific coding/abstracting guidelines, encoder and EHR or Chartone functionality.

  • Develops and maintains Client Policies and Procedures specific to the project.

  • Post all Policies and Procedures to the Client Portal.

  • Performs Coding project assessments as needed for potential new clients.

  • Acts as liaison between Coders and client and relays expectations in a clear, organized manner to ensure accurate and efficient job performance.

  • Reviews all new Coder's work to ensure compliance with facility guidelines and quality standards before Coder is released to code and notifies the review team once they have been released.

  • Monitors and tracks daily staff productivity, workload, chart assignment, and workflows to ensure turnaround standards are met.

  • Determines staffing needs and adjust Coder schedules to support workflow needs to meet goals.

  • Completes employee timesheets and time off in iemployee.

  • Assists in interviewing and hiring qualified Coders and ensure minimum requirements are met.

  • Reports to the Director of Coding Operations if productivity standards or turnaround times are not met and provides weekly project status report.

  • Maintains ongoing dialogue with client and coders by participating in monthly conference calls to communicate issues, recommend process improvements and ensure client expectations are being met.

  • Coordinates and leads weekly “Stand UP Calls”.

  • Post all weekly Stand Up minute notes to the Client Portal the same business day as the meeting occurred.

  • Provides daily support to Coder to resolve problems and respond to questions relating to the facility.

  • Evaluates Team Member job competency, identifying strengths & weaknesses and provides ongoing training and development.

  • Completes annual evaluations and provides feedback to staff on performance.

  • Maintains a working knowledge of ICD-10-CM and CPT coding principles including Evaluation and Management coding guidelines, governmental regulations, official coding guidelines, and third party requirements regarding documentation and billing.

  • Assists with Coding or Reviewing as needed.

  • Conducts 100% preview of first 25 charts assigned t new coder on a client project.

  • Ensures that all services documented in the patient’s chart are coded with appropriate ICD-9 and CPT codes. When services/diagnoses are not documented appropriately, seeks to attain proper documentation in a timely manner according to facility standards.

  • Achieves and maintains 95% or 98% accuracy in coding based on client contract while maintaining a high level of productivity. Accuracy will be monitored during monthly reviews either within the facility or via e-web.

  • Ability to maintain average productivity standards as follows: Inpatients 3-4 charts per/hr, outpatient surgery 4-6 charts per/hr, emergency room/clinics 25-30 charts per/hr, emergency room with E/M 20-25 charts per/hr, ancillary/diagnostic 25-30 charts per/hr.

  • Works the review queue on a daily basis to ensure all charts that are placed in the review queue are worked and any corrections are communicated to the facility if necessary.

  • Charts that require re-bills are to be corrected and communicated to the facility daily for the rebill process. See re-bill policy in facility guidelines.

  • Downtime must be reported immediately to the administrative staff to ensure 24 hr twenty four hour turnaround is met.

  • E-web system problems should be reported to administrative staff and e-web immediately.

  • Will be responsible for working directly with the IQC staff to ensure quality standards are being met for each facility.

  • Provides accurate answers to physician’s/hospitals coding and/or billing questions within eight hours of request.

  • Responsible for coding or pending every chart placed in their queue within 24 hours.

  • Quality reports must be reviewed and necessary corrective action plan should be communicated to the IQC Coding Director within five working days of receipt of the monthly quality report.

  • Maintains current professional credentials while working for Navigant Cymetrix.

  • Coders are responsible for maintaining HIPAA compliant work stations (reference HIPAA work station policy).

  • Coders are responsible for maintaining patient privacy at all times (reference company handbook policy compliance section 105).

  • Coders are responsible for signing a client and Company confidentiality statement.

  • It is the responsibility of each Coder to review and adhere to the coding division policy and procedure manual content.

  • Works well with other members of the facilities coding and billing team to insure maximum efficiency and reimbursement for properly documented services.

  • Communicates problems or coding principle discrepancies to your supervisor immediately..

  • Communication in emails should be professional at all times (reference e-mail policy).

  • Active involvement with the ICD-10 Training of the Navigant Cymetrix coding team.

  • Assist with the roll out of the education plan for the ICD-10 training.

Responsibility to Client:

  • Serves as liaison with Navigant Cymetrix and client.

  • Works diligently with client to resolve concerns or issues in a timely effective manner.

  • Ensures high quality customer service.

  • Communicates and maintains the performance expectations of client.

  • Anticipates customer needs and initiates action to meet and/or exceed those needs.

  • Identifies and recommends ways to improve client satisfaction.

  • Must be hold one of the following credentials: (RHIT, RHIA, CCS, CPC-H, CPC-P).

  • Must have three years of coding management experience.

  • Abide by all client policies and procedures.

  • Abide by all Navigant Cymetrix policies and procedures.

  • Personal responsibility, respect for self and others, innovation through teamwork, dedication to caring and excellence in customer service.

  • Strong conceptual, as well as quantitative and qualitative analytical skills

  • Work as a member of a team as well as be a self-motivator with ability to work independently

  • Constantly operates a computer and other office equipment to coordinate work

  • Frequently travels by airplane, train or car as necessary to perform work at another location

  • Regularly uses close visual acuity and operates computer equipment to prepare and analyze and transmit data

  • Generally works in an office environment

Navigant Cymetrix is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information or any other basis protected by law, ordinance, or regulation.

Navigant will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.