AT A GLANCE

LOCATION: Remote / Work From Home
Full Time / Long Term
PAY: Hourly

Physician Coding Manager

Our client company seeking a Coding & Reimbursement Manager. This person will be responsible for day-to-day management of coding and reimbursement activities.  This position serves as a resource to all physicians and employees on coding and reimbursement issues.  Support needs may include policy, system and operational processes.  This position reports to the Director of Coding & Reimbursement.

This is a full-time position that will work from 8:30am-5:00pm.

EXPERIENCE

  • Experience with physician coding, billing and payment methodologies is highly preferred
  • At least three years of physician/ambulatory care coding and reimbursement experience

EDUCATION

  • Minimum Bachelor degree in Health Information Management or related field

CERTIFICATIONS

  • RHIT or RHIA registration
  • Current coding certification (CCS-P) and maintains certification

SKILLS

  • Physician coding and reimbursement rules. Knowledge of physician payment systems
  • Must have specific knowledge of diagnostic and procedural terminology, ICD and CPT/HCPCS coding systems, and billing rules.
  • Computer skills, including EHR principles and Microsoft Office suite of products
  • Customer Service – interacts positively with all customers and takes immediate action to meet customer needs.
  • Interpersonal/Communication/Relationships – builds effective working relationships and treats others with respect.
  • Information Management – accesses, uses and presents information as relevant to position; demonstrates knowledge of HIPAA privacy and security rules and uses medical information as appropriate to position.

RESPONSIBILITIES

  • Manage and direct activities related to Coding & Reimbursement functions and employees as assigned.
  • Monitor key revenue cycle functions and staff productivity standards to ensure optimal departmental performance.
  • Serve as a key member of the ICD-10 project team to support a successful organizational transition.
  • Lead or participate in cross-functional workgroups/committees as needed.
  • Assist with the development, implementation, and adherence to policies and procedures.
  • Review medical documentation to verify accurate and complete assignment of CPT/HCPCS and ICD codes following policies and procedures established.
  • Proactively and reactively research, analyze, and resolve coding and reimbursement issues within clinical, billing, and operations departments.
  • Develop reports and presentations on projects for senior management.
  • Ensure fee schedule(s) is maintained consistent with established methodology to ensure optimal reimbursement and appropriate pricing for services.
  • Keep abreast of current changes in coding and reimbursement requirements for government programs and other third party payers and assist in implementing and communicating the changes to physicians and staff.
  • Collaborate with various project teams and departments to ensure optimal performance of revenue cycle processes.

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