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Coding Mgr

Florence, SC
TRACKING CODE

4170

JOB DESCRIPTION

Essential Job Responsibilities/Expectations

Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with McLeod Health’s Service   Excellence and Core Values Standards.

Serve as an expert in E/M and surgical coding and documentation guidelines for multiple specialties with responsibility to educate coding staff, managers, practice   administrators, and providers

Responsible for maintaining current knowledge of coding guidelines and payor regulations through the use of CPT, HCPCS, ICD10, and other pertinent materials.

Manage and set productivity standards to ensure coding is within departmental goal.

Assist billing department with coding denials received from various payors to ensure optimum reimbursement for documented services.

Assist and work closely with compliance department with coding audits and review of coding audit activities including RAC Audits, CMS Cert requests, external vendor and/or payor audits for documentation requests.

Assist and perform internal audits within department to ensure compliance with CMS, HIPAA, OIG, and other governmental and regulatory agencies

Train new employees and provide continuing education to Coders so that employee performance and customer service is maximized.

Work closely with practice personnel particularly providers to review coding and documentation workflows and any outstanding issues that may have an impact on   the practice coding/billing KPI’s.   

Prepare and maintain detail analysis and reports of coding activity and results, including performance matrices based on departmental goal.

Manage and maintains subscriptions to coding resource tools such as EncoderPro and corporate membership to AAPC.

Assist with the development and maintenance of departmental coding policy and procedures.

Mentor employees, conduct performance evaluations, counsel and provide disciplinary actions to assigned personnel, and works to facilitate individual and team  development that drive positive results. Responsible for daily review and timely completion of MPA assigned personnel attendance and payroll process.

Demonstration of effective Leadership and Teamwork with participation in ongoing education opportunities on these virtues.

Travel to satellite offices and/or practices within the Network service area 

Qualifications /Training:

A minimum of 3-5 years of coding and billing experience required in multi-specialties. Supervisory experience preferred.  Related experience with a healthcare practice management software is needed.  Strong computer background in Microsoft Excel/Office and possess excellent oral and written communication skills as well as strong analytical skills.

Licenses/Certifications/Registrations/Education:

CPC Certification thru the AAPC or other nationally recognized coding credentialing is required. Stipulation for other nationally recognized credentialing must receive AAPC certification within 1 year of hire.

 

WORK SCHEDULE

Full time

JOB LOCATION

Florence, SC, United States

POSITION TYPE

Full time

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