Job Purpose
The Coding Manager will provide leadership to the Coding Department including supervision of staff, reviewing of processes, and providing recommendations for improvement of operations. Goal is to meet or exceed national coding KPI benchmarks and client specific KPI’s. Maintain or exceed team productivity and quality standards.
Duties and Responsibilities
Plan, organize and direct overall operations of the Coding Department as it relates to billing, payer and client policies and protocols
Oversee the coding of all surgeries to ensure accuracy and timeliness with our co-source
Ensure that team stays current with billing/coding regulations
Audit all new providers according to client needs
Ensure all federal and state audits are completed timely, such as Medicare prepayment, CERT and RAC audits
Ensure work queues are worked timely and accurately
Actively engage with and manage coding team, including routine productivity and quality reviews
Provide management and supervisory duties related to educating and training staff, evaluating staff performance and monitoring productivity
Interview, hire, train, evaluate, and develop subordinate staff, where applicable
Develop and maintain quality control programs, including in-depth and individual performance reviews
Orient new hires and provide in-services and training, continuing education, and development related to those functional areas of responsibility
Other duties as assigned
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Understand and comply with Information Security and HIPAA policies and procedures at all times
Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
Qualifications
Bachelor’s degree or equivalent combination of education and experience
CPC certification
5+ years’ experience managing and leading a physician business office/professional services coding department
Proficiency in Microsoft Office Suite
Strong interpersonal skills, ability to communicate well at all levels of the organization
Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity and dependability with a strong sense of urgency and results oriented
Excellent written and verbal communication skills required
Gracious and welcoming personality for customer service interaction
Working Conditions
Occasional travel to client locations
Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes
Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
Work Environment: The noise level in the work environment is usually minimal.
Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.