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Coding Manager - 5106

Company:
Absolute Opportunities
Location:
Crescent Springs, KY, 41017
Posted:
November 19, 2019

Description:

Coding Manager - 5106

Role: Accounting / Finance / Billing / Collections

Relocation Available: Yes, location is Cincinnati area

Industry: Healthcare

Location: Kentucky

Town / City: Crescent Springs

Job Type: Permanent full-time

Job description:

Position Summary: Responsible for the leadership, day to day operations, and strategic growth of the Billing and Coding Department.

General Purpose: Operations and Service Delivery Leadership; employee and client relations; problem resolution; critical thinking; auditing; relationship and team building

Essential Duties and Responsibilities:

• Deliver value in the form of stable, predictable, and impactful business results by supporting the identification and collection of underpayment revenue opportunities

• Lead service delivery efforts to provide billing, coding, and compliance reviews on issues referred by other internal operations teams

• Establish workflows and controls for monitoring key metrics associated with the department’s operations performance, efficiency, and effectiveness

• Partner with and provide consultative support to other operations leaders and departments

• Independently source and pursue opportunities for process improvement, efficiencies, and optimization of service delivery capabilities

• Provide subject matter expertise to the organization on billing, coding, and compliance related issues

• Onboard, engage, and motivate key talent in support of your goals and in compliance with policies, procedures, and standards

• Scale process and workflows to meet growing demands of the business

• Ensure team successfully achieves quality, productivity and collection goals

• Monitor regulatory updates and ensure all relevant information is communicated and incorporated in to departmental and company procedures

• Maintain regular contact with necessary parties regarding claim or project status including carriers, clients, managers and other personnel

• Investigate various issues with carriers and their contracts, respond to questions and resolve problems

• Prepare and submit correspondence such as letters, emails, online inquiries, appeals, adjustments, reports and payment posting

• Perform duties of analyst, lead analyst or supervisor as needed

• Organize, prepare and/or attend department, client and company meetings

• Comply with federal and state laws, company policies and procedures

Essential Skills and Experience:

• Minimum 10 years of relevant and progressively responsible work experience with a

• Minimum 5 years in a Management role

• Must have and maintain coding certificate; CPC or equivalent

• Demonstrated skills in planning, organizing, delegating and supervising

• Business process and workflow mapping skills

• Articulate, well-spoken, and thoughtful

• Demonstrated effectiveness in time management skills to complete tasks on time

• Advanced proficiency with desktop applications including strong working knowledge of MS Excel, Word and Outlook

• Advanced Analytical and problem solving skills, including the ability to define problems, collect data, establish facts and draw valid conclusions

• Ability to read and interpret an extensive variety of documents such as contracts, claims, instructions, policies and procedures in written (in English) and diagram form

• Ability to write routine correspondence (in English)

• Strong customer service orientation

• Excellent interpersonal and communication skills

• Strong team player

• Commitment to company values

Bottom Line Requirements:

1. 10+ years of healthcare coding work experience including 5+ years in a Management role.

2. Coding certificate; CPC or equivalent (CPC, CIC, COC or CCA).

3. Demonstrated skills in planning, organizing, delegating and supervising.

4. Business process and workflow mapping skills.