Description:
Job Purpose: The Coding Manager is responsible for planning, implementing, and educating coding staff, physicians, nurses, and other departments to ensure coding quality and timely reimbursement.
- Provides advice and assistance to senior management in the planning, implementation, and evaluation of modifications to medical coding.
- Oversees and directs medical coding staff.
- Performs audits on a quarterly basis and meets with staff 1:1 to review and provide coaching as needed.
- Develops, coordinates, and participates in multifaceted educational and training presentations.
- Serves as principal liaison with providers, administrators, and practice managers of assigned clinical departments related to the day-to-day medical coding activities.
- Ensures all medical coding analysts comply with Federal, State, and third party billing rules and regulations.
- Identifies and coordinates compliance/coding questions to Federal, State and third party payers when clarification is necessary for billing practices.
- Performs miscellaneous job-related duties as assigned.
Requirements:
MINIMUM QUALIFICATIIONS
Education: NA; 3-4 years of coding experience required.
License/Certifications: Certified Professional Coder (CPC) required.
Experience: A minimum of five (5) years related experience with at least three (3) years supervisory/management progressive leadership experience. Pain management or ASC experience preferred.
Environmental Conditions: Medical Office environment
Physical Conditions:
- Must be able to work as scheduled – typically from 8:00 – 5:00 M-F
- Must be able to sit and/or stand for prolonged periods of time
- Must be able to bend, stoop and stretch
- Must be able to lift and move boxes and other items weighing up to 30 pounds.
- Requires eye-hand coordination and manual dexterity sufficient to operate office equipment, etc.
KNOWLEDGE, SKILLS AND ABILITIES:
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Ability to foster a cooperative work environment.
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Skill in examining and re-engineering operations and procedures, formulating policy, and developing and implementing new strategies and procedures.
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Extensive knowledge of Federal, State, and third party payer rules and regulations regarding medical coding compliance.
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Ability to interpret, adapt, and apply Federal, State, and third party payer rules and regulations to coding practices.
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Ability to gather and analyze medical records and billing data to generate and interpret reports.
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Ability to use independent judgment and to manage and impart confidential information.
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Employee development and performance management skills.
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Ability to communicate effectively with practicing physicians, mid-level providers, clinical and department management, and clinical technical staff.
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Knowledge of organization structure, workflow, and operating procedures within a high volume multi-specialty medical billing department.
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Advanced knowledge and understanding of medical billing and/or coding systems, as appropriate to the position.
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Ability to develop and deliver effective training materials and make presentations to faculty and staff within areas of professional specialties.
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Skill in the use of computers, preferably in a PC Windows-based operating environment.
