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Medical Coding Manager Job in Santa Barbara, California

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Job Title: Medical Coding Manager

Employer:Sansum Clinic
Type:FULL TIME
Specialties:EDUCATION, EXPERIENCE AND LICENSURE: High School diploma or equivalent; some secondary (college) education desirable, and a AAPC is preferred, but not required.
Preferred Certifications:AAPC
Required Experience:3 to 4 years
Preferred Experience:8 to 10 years
Location: Santa Barbara 93101, CA, US
Date Posted:5/23/2019

GENERAL STATEMENT OF DUTIES: To ensure the optimal use of all the resources available to efficiently perform medical billing and collection functions. Clinic positions are dynamic. Job functions will be modified and improved as necessary to promote a team effort in support of the Sansum Mission Statement.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:  (This list may not include all of the responsibilities assigned.)

1.     Responsible for supervision of the medical coding staff.

2.     Assisting in the development of a Physician outreach program, which includes education, auditing, and revenue enhancement opportunities

3.     Reviews daily edits volume and communicates with staff to maintain proper timeliness 

4.     Reviews edit work files, and makes recommendations for changes, additions, and deletions. 

5.     Works closely with Director of RC and Billing Manager to develop prospective edits and education to reduce denials and payment delays.

6.     Maintains quality control of medical coders edits, to insure accuracy and adherence to system edits.

7.     Develop medical coder production standards

8.     Completes special projects as assigned.

9.     Works as a team player supporting a variety of staff.

10.  Displays a caring and responsive attitude and conducts all activities respecting patient, family and employee rights and expectations.

11.  Demonstrates sound cost containment techniques.

12.  Maintains certification and license requirements and submits required evidence of certification/licensure as needed.

13.  Adheres to all policies and procedures.

14.  Completes annual performance and competency evaluation process with management and participates in goal setting, performance improvement and educational training as needed.

15.  Participates in professional development activities and maintains professional affiliations.

16.  Attends required meetings and participates in committees as requested.

17.  Adheres to HIPAA regulations.

18.  Exercises discretion and maintains high level of confidentiality.

19.  Performs related work as required.

 

KNOWLEDGE, ABILITIES, AND SKILLS: Must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill and abilities of personnel placed in similar or the same positions.

  • Coding Knowledge: This position will have a combination of education and experience in Coding and will be certified with a CPC.
  • Billing Experience: Must have high knowledge of industry billing practices, and understand payment methods for all commercial and government insurance..
  • Office Skills: Ability to use standard office equipment including computer and telephone.

Ability to read, write and communicate effectively in English.  Ability to organize and prioritize work.  Ability to follow oral and written instructions.  Ability to reason and make sound judgments. Skill in identifying problems and recommending solutions. Skill in establishing and maintaining effective working relationships with co-workers, management, patients, medical staff, and the public. Skill in accepting constructive criticism and giving suggestions in a professional manner.

 

EDUCATION, EXPERIENCE AND LICENSURE: High School diploma or equivalent; some secondary (college) education desirable, and a AAPC is preferred, but not required.


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