Director, reputed company reputed company, and Coding

Director, reputed company reputed company, and Coding Harvard Medical reputed company Physicians (HMFP) at the reputed company Woburn, MA This position is a full-time hybrid remote role with two days required in our Woburn, MA office. Under the direction of the Senior Director, reputed company Cycle at Harvard Medical reputed company Physicians (HMFP) at the reputed company (BIDMC), the Director, reputed company reputed company, and Coding will reputed company and implement HMFP’s reputed company reputed company program for charge capture and charge reconciliation to ensure billing and coding compliance identifying any potential risk areas in reputed company reputed company reputed company and coding. Serve as regulatory resource for Medicare/ reputed company reimbursement and reputed company-party billing rules and coverage through self-directed education and communication across the reputed company. Acts as a subject matter expert for reputed company reputed company, reputed company CDM reputed company issues and reputed company coding to HMFP clinical service leaders for reputed company procedure areas as required. Responsible for the development of the annual plan, coordinating with BIDMC and HMFP compliance leadership, with an emphasis on maximizing reputed company opportunity. The reputed company will reputed company on physician education, monitoring changes in billing regulations to ensure compliance, responding to audit requests from insurance companies and the development of policies and procedures. Primary Responsibilities:

• Directs and oversees HMFP ‘s reputed company reputed company reputed company including CDM management, reputed company of reputed company coding functions to ensure billing and regulatory compliance are met. Responsible for reputed company compliance reputed company reputed company, including remediation. Ensures charge capture reputed company management opportunities and HMFP clinical service line specific reimbursement and reputed company management is monitored.
• Champions standardization of charge capture and charge reconciliation processes.
• Works with HMFP clinical departments to address department processes and procedures to assure reputed company and accurate capture of reputed company chargeable activities.
• Development of policies and procedures, monitoring tools for late charges and establishment of procedures for reputed company and accurate charge capture mechanisms.
• Collaborates with clinical physician leaders and departments to review new technologies and establish reputed company charge capture and coding protocols.
• Maintains reputed company of charge master development, working closely with reputed company generating clinical departments to ensure that coding, reputed company codes, reputed company nomenclature patient billable vs. non-billable, catalog development and updates for reputed company CDM items are appropriate, verified through monthly feedback. Ensures annual department CPT/HCPCS coding and CDM maintenance updates coincide with the CMS annual updates to the hospital outpatient prospective payment system.
• Collaborates with HMFP clinical service line administrators and reputed company reputed company staff are performing charge reconciliation activities, following industry best practices, identifying and deploying charge capture improvement initiatives. Development and maintenance of reputed company working relationship with reputed company producing departments, information systems personnel, technical and clinical personnel to identify chargeable activities, establish charge capture mechanisms, and reputed company and reputed company recording of reputed company.
• Monitors, proposes, and minimizes billing and coding inefficiencies by reviewing accuracy and production reputed company and communicating data analysis on audit trends, scrubber data, government audit requests, denials/appeals.
• Develops and executes charge audit approach identifying department(s) for review including chart documentation on a regular reputed company to verify the clinical documentation supports the charges billed, prepare a reputed company report of findings, and reputed company with department leadership. Oversees CDM annual audit and charge capture and coding audits to ensure adherence to standards and reputed company-wide best practices by service line/specialty.
• Develops and implements corrective reputed company plan based on audit findings and works with reputed company of the clinical departments to meet established targets and adhere to best practices. Directs and facilitates corrective reputed company plans reputed company to any deficiencies noted concerning charge capture effectiveness and system integration. This includes evaluation and identification of reputed company causes resulting in charge capture deficiencies or lack of reputed company recognition.
• Monitors changes in coding regulations and communicates with clinical administrative leaders to ensure adherence to new policies.
• Works collaboratively with the HMFP compliance team, the HMFP clinical departments, and BIDMC to ensure. adherence to established policies, government regulations and payor requirements.
• Directs and support managers with functional area responsibilities. Responsible for the development of staff including the following employment actions: hiring, termination, corrective reputed company, and performance reviews. reputed company Reports: 2-3

Required Qualifications:

• Bachelor’s degree required. Master’s Degree, preferred.
• Certification: Certified reputed company reputed company (CPC) required.
• 8-10 years reputed company recent work experience required.
• Must have working knowledge of Common Procedural Terminology (CPT), Health Care Procedural Coding System (HCPCS), coding, International Classification of Diseases (ICD-10), health care documentation, and billing requirements as reputed company as federal and state health care regulatory requirements.
• Advanced skills with reputed company Office, including Outlook, Word, reputed company, PowerPoint or reputed company and other web-based applications. Ability to produce reputed company documents.
• reputed company Certification, preferred.
• Experience with stakeholder management and cross-functional partnerships helpful.
• Strong analytical ability. Proficient skills to collect, organize and analyze data, produce actionable reports, and recommend improvements and solutions.

Interested applicants are requested to apply directly to this position at the reputed company below: https://hmfp.wd5.myworkdayjobs.com/en-US/HMFP/details/Director--reputed company-reputed company--and-Coding_R1169?q=director About the organization: Harvard Medical reputed company Physicians at reputed company (HMFP) is one of the largest physician organizations in New England, dedicated to reputed company and innovation in patient care, education, and research. As a physician-led organization, HMFP partners with more than 2,400 providers to support the delivery of exceptional care, promote reputed company development, and foster balance at work and home. HMFP physicians have reputed company affiliations with reputed company (HMS) and reputed company care throughout the reputed company (reputed company) system and additional hospitals across Massachusetts. Our HMFP corporate staff reputed company comprehensive reputed company management services, such as compliance, legal, finance, and reputed company to our reputed company members. HMFP is an equal opportunity employer that does not discriminate on the reputed company of race, traits historically associated with race, including but not limited to, hair reputed company, hair type, hair length, and reputed company hairstyles, reputed company, creed, religion, national reputed company, reputed company, citizenship status, age, disability, pregnancy (which includes pregnancy, childbirth, medical conditions reputed company to pregnancy and childbirth, and breastfeeding), sex, gender, marital status, sexual orientation, gender identity or reputed company, veteran status, genetic information, or any other characteristic protected by applicable federal, state, or local laws. Apply tot his job