About Us
McLaren Health Care is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan and Indiana. The McLaren system includes 13 hospitals in Michigan, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 53 National Cancer Institute-designated comprehensive cancer centers in the U.S.
Regional Director Coding
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.
- Bachelor’s Degree required in Accounting, Business Management or closely related field in order to understand the impact of the revenue cycle on the performance of the health system.
- Fifteen (15) years’ experience in a progressively more responsible leadership role in Health Information Management/Coding and/or Revenue Cycle with demonstrated supervisory responsibility in health care.
- RHIT or RHIA
- MBA or MHA or MHIT
Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
Equal Opportunity Employer
McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.
