Manager - Coding; REMOTE

Coding Manager

The Coding Manager is responsible for driving consistency across Independence Physician Management, related to medical record documentation and the correct use of CPT-4 and ICD-10 codes to ensure adherence to established Government and third-party billing guidelines, AMA, AAP, CMS, and coding policies. Contributes to the development of medical coding and documentation plans and materials and works with the Markets to enhance documents and templates to enhance the coding and charge entry process.

Ensure timeliness and accuracy of charges submitted. Meets regularly and develops positive business relations with the Markets to provide ongoing training and education for employees and providers. Works with CBO Leadership to identify coding-related revenue cycle problems, research/analyze data to resolve issues, identify and select alternatives to address outstanding issues and implement solutions for improvement. The Coding Manager coaches, counsels and mentors all coding.

Qualifications:

Bachelor's degree preferred with 5-8 years' minimum working in a healthcare (professional) billing, health insurance, coding or equivalent operations work environment with a minimum 5 years of direct supervisory experience managerial or administrative experience required. Healthcare (professional) billing, knowledge of CPT/ICD-10 coding, government, government sponsored and commercial follow-up requirements as well as appeals processes and requirements Thorough understanding of the revenue cycle and how the various components work together Perform ongoing review and feedback on the correct use of CPT-4 and ICD-10 codes and to ensure adherence to established Government and third-party billing guidelines, AMA, AAP, CMS, and coding policies.

Meet regularly with Market leadership and Regional Coding/Charge Supervisors to discuss opportunities for improvement, impact to the revenue cycle, and ongoing training and education for providers and employees. Maintain an expanded knowledge base of medical terminology, standard medical abbreviations, anatomy and disease processes, CPT-4, and ICD-10, and abstracting of clinical documentation to meet regulatory and compliance requirements. Demonstrate excellent initiative and judgement.

Works independently applying effective approaches to task prioritization, time management, delegation of tasks and meeting deadlines. Exhibits outstanding decision making and customer service. Promote a work environment of accountability and ownership. Sets appropriate standards of performance and communicates clear expectations to the team. Shows direct and tangible evidence of coaching, mentoring and professional development. Conduct one-on-one meetings with direct reports to provide a structured time to provide coaching, discuss accomplishments and review the status of revenue cycle operations within their scope of responsibility.

Discuss areas of professional development as well as goal tracking/reporting, projects, and other pertinent topics. Maintains comprehensive and concise documentation of the one-on-one meetings, next steps, and expectations. Manage the employment hiring process for the Coding and Charge Entry Department. Prepares well thought-out and meaningful performance appraisals for direct reports summarizing performance as well as focusing on opportunities for improvement and recognizing performance that exceeds expectations AAPC CPC Certification required Mainframe billing software (e.g., Cerner, Epic, IDX) experience highly desirable