|Employer:||Millennium Physician Group
|Required Certifications:||CPMA,CPC or CCS-P
|Required Experience:||3 to 4 years
|Preferred Experience:||5 to 7 years
|Location:||2675 Wilker Ave, Suite 490,Fort Myers 33912, FL, US
The Compliance Coding Audit Manager is responsible for
coordinating the day-to-day operations of the coding auditor staff. Accurately
follows all applicable federal, state and local guidelines for the processing
of patient information. Recommends individuals for hire or termination; completes
evaluations, commendations and counseling of direct reports; and oversees the
work of all employees within span of control.
Coordinates with the Chief Compliance, Ethics & Risk Officer to
ensure sufficient staffing to maintain consistent, efficient and effective
functions of the department. Manages
documentation of the employee training process; orients new staff to the
department and ensures that all employee files are maintained in accordance
with organizational policies. Conducts ongoing
quality reviews and system maintenance of data/reports generated and reported
from systems used within area of responsibility. Assists the Chief Compliance,
Ethics & Risk Officer with the development of quality, performance and
productivity standards for department, assists with ensuring all functions/work
are reviewed on a regular, ongoing basis and reported to management. Coordinates with the Coding Education Manager
on audit trends to enable appropriate identification of educational needs for
both providers and internal teams.
Duties and Responsibilities include
the following. Other duties may be assigned.
and performs a wide range of activities pertaining to the review and
coding/billing of inpatient and outpatient medical record information for
Millennium’s healthcare providers and patients.
the daily performance of the Compliance Coding Auditors in all assigned duties.
with the Chief
Compliance, Ethics & Risk Officer to ensure organizational,
departmental and individual benchmarks are met.
with the Coding Educator on all data to ensure appropriate education is
identified for providers and internal teams.
the continuous evaluations of the quality of clinical documentation to identify
incomplete or inconsistent documents for inpatient and/or outpatient encounters
that impact the code selection and resulting APC/DRG groups and payment; brings
concerns to the attention of the Coding Manager.
knowledge of current and required coding certifications as appropriate; may
perform the most technical complex and difficult coding and abstraction work.
- Selects, assigns, and trains subordinate
coding and clerical staff; directs, monitors and evaluates work; reviews and
makes decisions regarding leave requests; initiates and implements disciplinary
action as needed; assists with and promotes the recruitment and retention of
qualified staff as assigned.
by the Standards of Ethical Coding as set forth by the American Health
Information Management Association; reports areas of concern to the Compliance
- Assists the Coding Manager by serving as a
department representative by attending coding and reimbursement workshops and
bringing back information as appropriate; communicates any updates published in
third-party payer newsletters, bulletins and/or provider manuals; shares
information with facility staff as directed.
- Stays informed about transaction code sets,
Health Insurance Portability and Accountability Act (HIPAA) requirements and
other future issues impacting health information management functions; keeps
abreast of new technology in coding and abstracting software and other forms of
- Demonstrates and maintains competency in the
use of computer applications.
unbilled account reports, hold lists etc.; for claims awaiting coder review and
facilitates the delegation of work in an effort to reduce accounts receivable
days for these claims.
- In partnership with appropriate personnel,
recommends opportunities for standardized, organization-wide coding guidelines
and documentation requirements (Coding Alerts).
management of multiple initiatives with ability to prioritize and meet
concise and professional communication to varying audiences dependent on the
project and its goals.
management, meetings, travel and deadlines may require hours outside standard 40-hour
Directly supervises assigned
employees in the Compliance Department. carries out Manager responsibilities in
accordance with the organization's policies and applicable laws.
Responsibilities include interviewing, hiring, and training employees;
planning, assigning, and directing work; appraising performance; rewarding and
disciplining employees; addressing complaints and resolving problems.
Please see full description and apply here: