Coding Manager

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: Bachelor’s degree in related area 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:

• Ability to foster a cooperative work environment.
• Skill in examining and re-engineering operations and procedures, formulating policy, and developing and implementing new strategies and procedures.
• Extensive knowledge of Federal, State, and third party payer rules and regulations regarding medical coding compliance.
• Ability to interpret, adapt, and apply Federal, State, and third party payer rules and regulations to coding practices.
• Ability to gather and analyze medical records and billing data to generate and interpret reports.
• Ability to use independent judgment and to manage and impart confidential information.
• Employee development and performance management skills.
• Ability to communicate effectively with practicing physicians, mid-level providers, clinical and department management, and clinical technical staff.
• Knowledge of organization structure, workflow, and operating procedures within a high volume multi-specialty medical billing department.
• Advanced knowledge and understanding of medical billing and/or coding systems, as appropriate to the position.
• Ability to develop and deliver effective training materials and make presentations to faculty and staff within areas of professional specialties.
• Skill in the use of computers, preferably in a PC Windows-based operating environment.