Coding and Documentation Manager - FT - Days (73394)

Hours: 8AM - 5PM

Days: Monday - Friday

JOB SUMMARY

Supervises operations and support functions for the physician services coding. Directly oversees staff members and is responsible for ensuring their work output is satisfactory and their concerns are resolved.  Oversees department operations to ensure high levels of patient satisfaction and coding accuracy.  Resolves and advises medical coders on answers to routine questions and problems and refers more complex issues to higher levels.  Collaborates with billing and insurance representatives on routine questions and problems, including proactively meeting with providers during onboarding to review common billing and coding questions and processes applicable for their area. Coordinates with billing staff in regards to any refiles Assists Director in routine management tasks such as productivity reporting and budget management. Collaborates with leadership on physician and APP coding education and compliance.  Conducts educational training workshops and/or webinars to employed providers and/or staff in alignment with CMS regulations. Identifies and communicates educational needs to providers and staff regarding coding and documentation.  Remains current on all changes in legislative regulations that impacts coding, documentation, and compliance.  Assists in developing and maintaining educational materials needed to achieve compliance with regulations.  Reports non-compliance issues detected through auditing and monitoring to the department Director and compliance.  Complies with all policies and procedures of the Corporate Compliance Program.  Assists with special projects.  Collaborates with Department Director and Compliance with third-party auditors.  Assist in all hiring and related personnel decisions.  Ability to make an independent decision, free from immediate direction or supervision, in interpreting, formulating and or implementing management policies or operating practices.

JOB QUALIFICATIONS

Education: Two years of college level courses, preferably in secretarial science or office administration, associate’s degree preferred

Licensure: None

Certification: HFMA CRCR, CPC, CCA, CPB required

Experience: 5 or more years’ experience in physician revenue cycle required.  Requires extensive, current knowledge of CPT, HCPCS, ICD-10 coding, medical terminology and AMA and CMS Documentation Guidelines. Possess a vast knowledge of current CPT, ICD-10-CM, and HCPCS coding and reimbursement issues for physician office’s and clinics.  Possess basic knowledge of Hierarchical Condition Category (HCC) coding and compliant physician queries.  Strong knowledge of current AMA and CMS Evaluation and Management Documentation guidelines.  Excellent understanding and comprehension of medical terminology. 

Skills: Proficient in typing, transcription and use of word processing software Additional computer experience preferred.  Use of other office equipment a must.  Knowledge of medical terminology necessary.  Job requires initiative, organizational ability, excellent communication and interpersonal skills.  Must be self-motivated and detail-oriented. 

PHYSICAL, MENTAL, ENVIRONMENTAL AND WORKING CONDITIONS

Typical office environment subject to constant interruptions and heavy work volume requirements.  Moderate amounts of physical activity, including stooping, loading, lifting.  Ability to handle high stress level and work under pressure.  Must be able to maintain confidentiality.

Full-Time Benefits

• 403(b) Matching (Retirement)

• Dental insurance

• Employee assistance program (EAP)

• Employee wellness program

• Employer paid Life and AD&D insurance

• Employer paid Short and Long-Term Disability

• Flexible Spending Ac