Description
Role & responsibilities
As a Manager - Medical Coding you will be Leading your team in assigning ICD and CPT codes based on the medical records provided following ICD and federal/Payor guidelines and client requirements for Evaluation and Management services/Emergency Department services
What you'll do
Responsible for managing the coding functions.
The coding manager is responsible for planning, implementing, and educating coding staff and other departments to ensure coding quality and timely reimbursement.
Attend client calls.
Primary contact for coding questions relating to Client services and Operations.
Review reports to identify specific issues, investigate and correct as per the coding guidelines, and implement solutions.
Strong analytical skills, including the ability to manage multiple tasks and create solutions from available information.
Establishes and monitors the quality of the departments aligned with coding to support accurate patient information, compliant coding aligned with billing regulations and minimized corrections and re-work.
Educate and train coding staff, acts as a professional subject matter expert and mentor to the staff.
Assists in the department budget and identifies and recommends opportunities to decrease cost and improve services.
Keeps abreast of new technology in coding and coding guidelines, stays informed about future issues impacting the coding functions, and acts as a liaison for other departments regarding coding questions.
Manage the coding workflow for efficiency.
Handles special projects as requested by leadership/Client.
Participate in audits of coded data to validate documentation support services rendered for reimbursement and clinical documentation improvement program.
Consistently demonstrates attention to detail and accuracy in work product by meeting or exceeding productivity standards and maintaining a company standard of accuracy.
Preferred candidate profile
Education: Bachelor's Degree
Licences/Certifications: CPC/COC/CRC/CCS/CIC
Interpersonal skills necessary to provide effective leadership to departmental personnel
E&M, Anesthesia and Surgery Coding knowledge
Pain Management experience preferred but not required
Versed on how to interpret payer guidelines for coding
Denial Management
8+ years experience in multispecialty E&M and surgery procedures
4+ years experience in managing coding team
Previous leadership or supervisory experience that includes conducting coaching/training of coding staff