“Mehemea ka moemoeā ahau Ko au anake Mehemea ka moemoeā e tātou, Ka taea e tātou”

Waikato District Health Board Position Description Job Title:

Manager Clinical Coding & Casemix

Reports to:

Executive Director – Operations and Performance

Professional links to:

Nil

Delegation:

5

Responsible for:

30

“If I am to dream I dream alone If we all dream together Then we will achieve.” Te Puea Herangi

(Total number of staff) Budget:

$498,430

Job Purpose:

Responsible for the service delivery, leadership and management of the Clinical Coding & Casemix

Direct Reports:

8

Date:

25/1/2017

Vision (Te Matakite) Healthy People. Excellent care. Mission (Te Whakatakanga) Enable us all to manage our health and wellbeing. Provide excellent care through smarter, innovative delivery Values Theme “People at Heart” – Te iwi Ngakaunui Give and earn respect - Whakamana Listen to me; talk to me – Whakarongo Fair play – Mauri Pai Growing the good – Whakapakari Stronger together – Kotahitanga Code of Conduct The Waikato DHB’s code of conduct incorporates the State Services standards of integrity and conduct and sets expectations relating to behaviour in the workplace.

INDIVIDUAL ACCOUNTABILITIES Authorised to deliver the accountabilities required of the Manager Clinical Coding & Casemix including meeting the key performance indicators (KPIs) established annually with the line Manager. Managing the Team  Accountable for day to day leadership and operational management of Clinical Coding and Casemix  Recruitment, orientation, performance management, development and mentoring of team members.   

Strategic plans are implemented and met Ensure National Ministry of Health timeliness and data quality KPI obligations are met Working with team to ensure operational targets are being met and daily tasks are coordinated, completed and understood.

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Managing staffing levels, including leave, to ensure service provision.

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Creating a team culture which reflects the organisations values.

Clinical Coding & Casemix  Provides strategic direction for the clinical coding team  Ensures Ministry of Health coding deadlines are achieved and operational requirements met

Data Quality and Performance  Ensures a robust data quality framework is implemented and maintained  Ensures that the end to end data collection process follows DHB and MOH guidelines  Oversee Quality Coding Auditing Relationship Management and Communication  Provides professional support to the team and the wider organisation relating to classification and inpatient reporting professional issues  Supports the health services to identify accountability of coding data quality processes  External Coding and Audits Service Development  Drive service change to adapt to evolving business requirements  Use insight, intelligence and analytics to improve service provision

TEAM RESPONSIBILITIES Quality and Patient Safety collective responsibilities  Support the strategic quality objectives within their area of responsibility  Ensure care is safe, effective, compassionate and dignified.  Foster a culture of openness and improvement, with patient and whanau at the centre  Develop good multidisciplinary team working and networks to ensure delivery of good quality care.  Ensure the team work to up to date policies and guidelines  Ensure an annual clinical audit plan is implemented to provide evidence of improvement and good patient outcome  Ensure that clinical teams have active and effective mortality and morbidity reviews

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Identify and manage risks to the quality of care Review and monitor progress through the use of key quality indicators / performance indicators and take action to improve as needed Receive patient feedback – national inpatient survey, complaints, feedback cards, compliments and act on areas where improvement required

ORGANISATIONAL RESPONSIBILITIES        

Understand the Waikato DHB strategy. Being accountable for own work and provide a high quality service, and contributes to quality improvement and risk minimisation activities. Complies with the Waikato DHB Corporate Records Management policy requirement to create and maintain full and accurate records Knows department emergency response plan, able to initiate an emergency response and participate in response as applicable to the role. Service implements strategies to provide accessible, equitable and culturally responsive services for Māori patients and whānau to improve health experience and outcomes and reduce health inequities To participate in and comply with the requirements of the Health and Safety at Work Act 2015 and associated Waikato DHB policies. Leads by example and ensures compliance with the established Health and Safety frameworks and systems for achieving best practice in hazard management within own service. Communicating to staff through orientation, meetings, training, policy and documentation usage, their role with hazard management in the work place

FINANCIAL RESPONSIBILITIES

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Accountable for reviewing the financials of their managers and explaining any variance, understand and accountable for the content of their capital and operating budgets, monitoring and managing spend, including staff and non people costs, and complying with financial rules Accountable for identification and explanations of variances against budgets Accountable for their forecasts for the capital spend and operating costs for the balance of the financial year and into rolling forecasts once these are in place Accountable for planning and undertaking aspects related to compliance with approval requirements with sufficient lead time Reads and utilises financial information and reports and takes action, escalates to their manager any adverse financial event or risk, and discloses incorrect financial matters Reads and utilises quantitative (volume/price/relative weighting) information and reports and takes action. Escalates to their manager any adverse quantitative event or risk, and discloses incorrect quantitative matters Responsible for ensuring their direct reports comply with their financial accountabilities where relevant

QUALIFICATIONS AND EXPERIENCE Qualifications:  Appropriate professional qualification or experience in Diploma / degree in management, health service management or other related area,

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Australian (HIMAA) Certificate of Coder Accreditation, Australian (La Trobe University) Certificate of External & Internal Clinical Coding Auditing Leadership or Management Qualification

Desirable  Clinical qualification  Medical terminology in anatomy and physiology certificate

Experience:  Proven experience in similar senior administration role together with a high level of professional competence in Coding & Casemix  Experience in Clinical Coding, Casemix and Auditing  People management in a healthcare organisation. Desirable  Clinical experience

Skills:  Advanced proficiency in MS Office productivity tools  Proficient in 3M Grouper and a variety of clinical and non-clinical IT systems  Fluent in written and spoken English language  Budget Management  Highly developed communications skills with the proven ability to strongly lead, influence and challenge.  Excellent presentational skills with the ability to present complex issues with clarity and provide appropriate solutions to issues and problems.  Ability to build a positive and influential relationship with stakeholder partners

Desirable  Understanding of SNOMED and its usage and implementation.

Health leadership capabilities and competencies –manage and or lead others who manage and or lead, delegation of authority level 5. The numbers in brackets denote a competency from the leadership resources adopted at the DHB, such as the For Your Improvement (FYI) book. Waikato DHB values are included as a drop down with competency (65). Maximising contribution (national leadership framework be a values leader)  

Models, articulates and shares the vision, values, and code of conduct (65) DHB Values Leads a service that provides safe and quality service delivery for patients/clients/customers (15)

Developing self and others (national leadership framework engage others)  

Actively works to improve and develop own skills (54) Develops direct reports and others, deals with issues, and provides actionable feedback (19)

Building relationships (national leadership framework develop coalitions) 

Develops relationships with peers, is direct, respectful, inclusive and honest, and creates a

Health leadership capabilities and competencies –manage and or lead others who manage and or lead, delegation of authority level 5. The numbers in brackets denote a competency from the leadership resources adopted at the DHB, such as the For Your Improvement (FYI) book. Waikato DHB values are included as a drop down with competency (65). 

climate where people strive to do their best (42) Establishes effective relationships with patients/clients/ customers, and translates requirements into effective service delivery improvements (63)

Achieving results (national leadership framework leading care)   

Planning incorporates accurate alignment and monitoring of objectives, tasks, goals and resources to achieve results (47) Organises multiple processes and makes decisions to get things done (39) Works out the processes to enable effective and efficient use of resources (52)

Leading change (national leadership framework mobilise system improvements)  

Uses creativity and effective presentation skills to articulate and lead the implementation of their strategic vision (58) Able to relate to and understand the requirements of more senior managers to enable quality improvements to occur (8)

SCOPE OF POSITION Relationships Internal  Executive Directors, Clinical Director, Directors (divisional executives)  Other directors and managers  Professional leads  Staff within the DHB. External  Health Workforce Advisory Committee  Communities and agencies  Vendors and suppliers  Staff at other DHBs  Ministry of Health  Australia New Zealand Coding Authority  New Zealand Health Information Service  Other DHBs and providers  Private healthcare facilities  ACC

WORK ENVIRONMENT AND WORK FUNCTION / ACTIVITY

Work environment:  Employees generally work in an indoor office environment which may range from large corporatetype head offices down to smaller sole-charge offices.  Works predominantly at computer workstations.  Usually works in adequately heated and ventilated spaces  Work function/activity:  Sedentary role.  Employees constantly sit at workstations operating computers and other related equipment.  Occasionally stands and walks about the office.  Stretching, twisting, climbing is not a significant component of the job.

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Lifting is not a significant component of the job. Bending, squatting or crouching is not a significant component of the job. Repetitive arm hand and finger movements are constantly required when carrying out wordprocessing or data entry tasks. Driving is not likely to be part of required work activities. Use of hand-held objects such as pens, calculators and staplers, as well as telephones will also be occasional to frequent. Employees will also need to operate printers, copiers and a range of other office equipment and refill paper trays and ink supplies. Mental activities necessary include high level of concentration, accuracy and organisation, planning, communication and decision-making Source: www.acc.co.nz

DECLARATION I certify that I have read this position description and reasonably believe that I understand the requirements of the position. I understand that: a)

this position description may be amended by the employer following reasonable notice to me

b)

I may be asked to perform other duties as reasonably required by the employer in accordance with the conditions of the position.

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