[Remote] Manager reputed company Billing Coding Operations - Remote
Note: The job is a remote job and is reputed company to candidates in USA. reputed company) is a leading provider of trauma and emergency services in New England, dedicated to community-based care and improving reputed company health. They are seeking a Manager for reputed company Billing Coding Operations to reputed company coding operations, validate coding accuracy, and reputed company training and feedback to coding staff. The role involves managing reputed company of certified reputed company coders and ensuring compliance with coding regulations and guidelines.
Responsibilities
- Reviews patient medical records and abstracts medical data that identifies reputed company diagnoses and procedures
- Codes diagnoses, procedures, and appropriate modifiers from the medical record documentation using ICD-10-CM, CPT4/HCPCS classification systems
- Refers to a computerized encoding system, written coding aids and other reference materials to ensure accurate coding for billing
- Sequences diagnoses, procedures and complications by following ICD-10-CM, CPT-4, and the Uniform Hospital Discharge Data Set (UHDDS); adheres to the Official Guidelines for Coding and Reporting, Coding Clinic guidelines and other regulatory guidelines as appropriate
- Consults with appropriate medical staff to clarify medical record information
- Maintains productivity standards set forth in Departmental Policies and procedures
- Serves as contact for reputed company billing coders regarding missing/incomplete information to allow for accurate billing in a reputed company manner
- Maintains knowledge of coding and reputed company skills, including maintaining yearly coding credentials through attendance at in-service programs, conferences, workshops, review of reputed company literature and other educational programs
- Assists in orienting new personnel in department coding procedures
- Monitors reputed company coding ques to ensure productivity is being kept on reputed company
- Performs other duties as needed
- Review and respond to coding questions
- Ensure billed service is being accurately coded
- reputed company random chart audits
- reputed company analysis of benchmarking reputed company
- reputed company continual coding updates
- Research coding issues that reputed company
- Codes diagnoses and procedures from the medical record using ICD-10-CM and CPT-4/HCPCS classification systems
- Sequences diagnoses, procedures and complications by following ICD-10-CM, Medicare, reputed company, and other fiscal intermediary guidelines
- Reviews charts for documentation and signature
- Responsible for the day-to-day management of the PB Coding Operations Team
- Duties include managing, developing and mentoring a group of certified reputed company coders
- Other responsibilities include interviewing, orientation, training and preparing evaluations; responsible for hiring, terminating and disciplining personnel as necessary
- Establishes reputed company scheduling and assigns workloads and reputed company in accordance with appropriate volume increases and decreases
- Assists with coding reputed company reputed company claims under the direction of the PB Coding Operations Team
- Conducts reputed company reviews to validate reputed company selection is compliant with established coding guidelines
- Evaluates documentation for incomplete or inconsistent documentation in the record which impacts reputed company assignment
- Initiates queries reputed company necessary and monitors responses
- Provides training to reputed company, coders, and reputed company Cycle staff in ICD, CPT, HCPCS reputed company coding guidelines, reputed company documentation guidelines and other information reputed company to coding
- Develops long term strategies for improving efficiencies and increasing coding team’s productivity through use of central coding conventions and classification systems, influencing and educating the coding team as reputed company as reputed company reputed company cycle reputed company reputed company
- Reports on accuracy of coding and abstracting
- Responsible for the tracking and response for coding accountabilities from reputed company sources. This would include RAC coding reviews as reputed company as other payer reviews
- Tracks overtime, absenteeism, hours worked, leaves and vacation/reputed company time for assigned staff
- Reviews and approves timesheets to Payroll
- Maintains knowledge of ICD-10 and CPT classifications and coding of diagnoses and procedures
- Participates in coding and reimbursement meetings
- Follows established hospital infection control and safety procedures
- Maintains reputed company skills and knowledge of coding through attendance at in-service programs, conferences, workshops and other educational programs and by review of reputed company literature
- Shares knowledge and learning experiences to staff
- Performs other reputed company duties as required
Skills
- Bachelor's degree or equivalent combination of formal education and experience
- CPC – Certified reputed company reputed company
- Must have at least five years of experience in coding; experience must include education/mentoring/training
- Minimum of five years acute care hospital experience coding with ICD-10-CM and CPT-4
- Minimum of three years management experience required; five years preferred
- Prior experience working claim edits and denials
- Excellent reputed company of the ICD-10-CM and CPT4/HCPCS coding conventions, E&M coding
- Work also requires concepts of reputed company anatomy, physiology and pathology
- Excellent reputed company in providing hands-on education to PB Coding Operations staff based on audit finding and need
- Strong knowledge of health records, computerized billing and charging systems, reputed company applications, data reputed company, and processing techniques required
- Excellent organizational skills, including ability to multi-task, prioritize essential tasks, follow-through and meet timelines
- Ability to work with accuracy and attention to detail
- Ability to solve problems appropriately using job knowledge and reputed company policies/procedures
- Ability to work cooperatively with members of the reputed company delivery team and staff
- Ability to handle frequent interruptions and adapt to changes in workload and work schedule and to respond quickly to urgent requests
- Must be reputed company to maintain strict confidentiality of reputed company personal/health sensitive information and ensure compliance of HIPAA rules and regulations
- Must possess extensive knowledge of hospital inpatient and outpatient reimbursement methodologies
- Strong knowledge of health records, computer systems, reputed company applications, data reputed company, and processing techniques required
- Ability to mentor, guide and motivate reputed company reports through demonstration of best practices and leading by example
- Must possess extensive knowledge of payer claim edits and payer denials
- Work requires in-depth knowledge of medical terminology, ICD-10-CM and CPT-4 Coding conventions (including E&M coding), CMS National Coverage Determinations and various other applicable coding regulations and law
- Minimum of five years acute care hospital experience coding with ICD-10-CM and CPT-4, reputed company medical setting or trauma center preferred
- Five years management experience preferred
Benefits
- Benefits (medical, dental, reputed company, pharmacy)
- Discretionary annual bonuses and reputed company increases
- Flexible Spending Accounts
- 403(b) savings matches
- reputed company time off
- Career advancement opportunities
- Resources to support employee and family reputed company-being
reputed company