|Employer:||SVA Healthcare, a GetixHealth Company
|Required Certifications:||CCS,RHIT Certification,CPC
|Required Experience:||3 to 4 years
The functions described in this position will be responsible for management of Coding Staff, Including Auditing and education, and workflow process.
The Medical Coding Manager responsibilities include; expertise in coding process in multiple specialties and in multiple types of electronic health records, oversight of all coding functions related to day to day operations, ensures optimal workflows and productivity requirements, assuring the quality of the coding product while simultaneously meeting the needs of the client and business. The manager must have the ability to screen, plan, staff and execute workflow for new engagements as required. The Manager also facilitates and coordinates the training of existing and new professional coding staff.
The desired candidate will demonstrate good people skills and be able to describe good customer service. A minimum of 4-5 years of abstract coding experience is a requirement of the position. The ideal candidate will have previously managed coding staff and/or projects. Successful candidates will also have experience with Medicare reimbursement policies and procedures.
Daily supervision of coding staff to ensure timely and accurate coding. Monitor productivity to ensure production goals are achieved.
Distribute and manage workflows for all coding staff.
Report on all work queues/charges to ensure all services are coded within acceptable turnaround times as established by the firm.
Ensure all work queues, prebilling edits and coding denials are completed within established guidelines keeping management abreast of status and any potential issues.
Along with the VP and Client Services staff, serve as a point of contact for questions and inquiries from various parties such as clients, staff, payers, etc.
Work with the VP and other Managers to identify and address issues related to coding, coding denials, trends, etc.
Manage the auditing and monitoring process for coding accuracy and ensure all coding work performed in a compliant manner as established by Medicare, Medicaid and other third-party payers.
Effectively communicate with physicians, administrators, staff, etc. as needed regarding coding and documentation issues, year-end coding changes, denial trends, CMS policy changes, etc.
If needed, accurately and efficiently code and audit records across multiple specialties including Surgery, Evaluation and Management, Radiation Oncology and facility coding as well as the ability to provide education and feedback to clients and/or coding staff.
Maintain an understanding of Revenue Cycle Management processes.
Keeps up to date on changes in Federal Policy (CMS) for coding, auditing and billing, including MACRA/MIPS, etc.
Proficient in use of various electronic health record navigation and coding resource products.
Abides by standard medical professional code of conduct.
Understands and follows all federal, state, and local coding coverage decisions.
Education and Experience
Four to five years industry experience in coding is required
CPC, CCS, RHIT Certification
Excellent written and oral communication skills
Ability to work independently
Ability to exercise judgement
Demonstrated ability to perform work in alignment with company mission and values
Proven PC proficiency in MS Office Suite Applications