Coding Manager

Job Description

Description:

Job Purpose: The Coding Manager is responsible for planning, implementing, and educating coding staff, physicians, nurses, and other departments to ensure coding quality and timely reimbursement.

PRIMARY DUTIES INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING

· Provides advice and assistance to senior management in the planning, implementation, and evaluation of modifications to medical coding.

· Oversees and directs medical coding staff.

· Performs audits on a quarterly basis and meets with staff 1:1 to review and provide coaching as needed.

· Develops, coordinates, and participates in multifaceted educational and training presentations.

· Serves as principal liaison with providers, administrators, and practice managers of assigned clinical departments related to the day-to-day medical coding activities.

· Ensures all medical coding analysts comply with Federal, State, and third party billing rules and regulations.

· Identifies and coordinates compliance/coding questions to Federal, State and third party payers when clarification is necessary for billing practices.

· Performs miscellaneous job-related duties as assigned.Requirements:

MINIMUM QUALIFICATIIONS

Education: Bachelor’s degree in related area required

License/Certifications: Certified Professional Coder (CPC) required.

Experience: A minimum of five (5) years related experience with at least three (3) years supervisory/management progressive leadership experience. Pain management or ASC experience preferred.

WORKING CONDITIONS

Environmental Conditions: Medical Office environment

Physical Conditions:

· Must be able to work as scheduled – typically from 8:00 – 5:00 M-F

· Must be able to sit and/or stand for prolonged periods of time

· Must be able to bend, stoop and stretch

· Must be able to lift and move boxes and other items weighing up to 30 pounds.

· Requires eye-hand coordination and manual dexterity sufficient to operate office equipment, etc.

KNOWLEDGE, SKILLS AND ABILITIES:

Ability to foster a cooperative work environment.

Skill in examining and re-engineering operations and procedures, formulating policy, and developing and implementing new strategies and procedures.

Extensive knowledge of Federal, State, and third party payer rules and regulations regarding medical coding compliance.

Ability to interpret, adapt, and apply Federal, State, and third party payer rules and regulations to coding practices.

Ability to gather and analyze medical records and billing data to generate and interpret reports.

Ability to use independent judgment and to manage and impart confidential information.

Employee development and performance management skills.

Ability to communicate effectively with practicing physicians, mid-level providers, clinical and department management, and clinical technical staff.

Knowledge of organization structure, workflow, and operating procedures within a high volume multi-specialty medical billing department.

Advanced knowledge and understanding of medical billing and/or coding systems, as appropriate to the position.

Ability to develop and deliver effective training materials and make presentations to faculty and staff within areas of professional specialties.

Skill in the use of computers, preferably in a PC Windows-based operating environment.