- Provide leadership to coding review and charge capture staff. Ensure that equity of workloads, productivity goals, and assignments are maintained. Assigns monthly benchmarks, weekly activities, and daily priorities as appropriate to ensure timely completion of duties
- Establish protocols to ensure Revenue Integrity
- Owner of the chargemaster, fee schedules, and RVU updates in EHR
- Plan and direct audits to evaluate the adequacy and accuracy of documentation in support of services billed, including CPT/ICD-10/HCPCS and other third-party payer codes, medical necessity of services, compliance with other documentation and coding and billing standards
- Lead the evaluation of the adequacy and effectiveness of internal and operational controls designed to ensure that processes and practices lead to the appropriate execution of regulatory requirements and guidelines related to coding and billing, federal and state regulations and guidelines, CMS, and other third-party payer billing rules, and OIG compliance standards.
- Establish and implement a physician education program to include documentation education
- Serve as a subject matter expert and authoritative resource on interpretation and application of documentation and coding rules and regulations, and conduct enterprise risk assessments of potential and detected compliance deficiencies
- Stay current on relevant coding and billing regulations and enforcement trends, specifically as they relate to provider-based coding and billing to include updates to key stakeholders
- Develop standards and guidelines for medical record documentation, including reporting on deficiencies and training to remediate
- Collaborate with Compliance Officer on compliance, coding documentation, and risk management when required
- Develop the annual compliance work plan sections relating to coding and billing
- Work closely with the company's physicians, Operations, and Revenue Cycle Leadership to validate controls and monitor high-risk areas
- Perform coding and billing documentation and charge audits according to best practices
- Responsible for coaching, professional development, and mentoring coding and data entry staff
- Develop documented policies and processes related to the management of coding and billing compliance matters
- Develop edits within claims scrubber EHR software, including testing and validation
- Prepare and provide coding education to organization physicians, providers, and staff
- Responsible for effective identification of staffing resources, recruitment, and allocation of resources
- Provide guidance and motivation to staff regarding the identification of activities/areas where performance can be improved
- Responsible for making recommendations and/or decisions for hiring, corrective actions, terminations, and performance evaluations
- Certified Professional Coder- AAPC Certifications
- Coding Compliance experience
- Bachelor's degree or equivalent work experience
- Physician practice and/or Surgery Center experience
- Advanced Knowledge of:
- Documentation, coding, and billing rules/guidelines
- CPT/ICD-10/HCPCS coding rules
- Medical Terminology and healthcare compliance audit requirements
- CMS regulations and guidelines
- Minimum of 3-5 years of management experience in a physician organization
- Ability to manage and direct others in a fast-paced, team-oriented environment
- Independent judgment; effective, team-oriented leadership skills.
- Excellent analytical, problem-solving, and decision-making skills
- Excellent communication skills (verbal, written & presentation)
- Excellent computer skills with strong proficiency in reporting, spreadsheet applications, and experience with Microsoft Office
- Certified Orthopedic Surgery Coder
-
Ldar Technician Ii
3 weeks ago
Clean Harbors Old Ocean, United States**HPC-Industrial, **powered by Clean Harbors, in **Sweeny, TX** is looking for an **LDAR Technician** to join their safety conscious team at the **Phillips 66 Refinery Site** The **LDAR Technician **is responsible for using an analyzer & electronic data recorder, is responsible f ...
-
Resident Coordinator
1 week ago
Urby Harrison, United StatesYou are the face of Urby From the moment new prospects and residents see you at the welcome desk or package room, they'll feel welcome and know they're in good hands. The RC team promotes our brand by exemplifying outstanding customer service at every interaction. · **Responsibil ...
-
Junior .NET programmer
4 days ago
Skyline Solutions Gautier, MS, United States Freelance**What can you expect?** · - As a software developer/programmer for .NET and C#, you will independently plan and implement software modules that are part of a larger solution in collaboration with the internal project manager. After a period of training, you will take responsibil ...
-
Early Career Developer
3 weeks ago
Gainwell Technologies LLC STENNIS SP CT, United StatesBe part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a compa ...
-
FusionWorks Moss Point, United StatesWhat can you expect? · You will be responsible for one of our product lines in the field of control and protection systems and coordinate, specify, and monitor product developments and innovations · You will establish product objectives based on customer needs, market requirement ...
-
Director of Rev Cycle Management
1 week ago
Bienville Orthopaedic Specialists Vancleave, United StatesEssential Job Duties: · Ensure departmental goals are met · Establishing and implementing workflows for the Rev dept · Conducts regular coaching sessions to enhance knowledge and accuracy, including planning the training process for onboarding employees · Identifies errors wi ...
-
Engineering and Integration Manager
1 week ago
Sev1Tech Vancleave, United StatesOverview/ Job Responsibilities · Sev1Tech is looking for an Engineering and Integration Manager to lead a pool of technical resources who support the development and deployment of a centralized Cloud Management Platform as well as Platform as a Service solutions; assist developm ...
-
patient financial counselor
1 week ago
Bienville Orthopaedic Specialists Vancleave, United StatesEssential Job Duties: · •Completing financial applications. · •Providing patients and health care providers with estimates. · •Assisting patients with financial applications and arrangements. · •Collecting estimated liabilities from patients. · •Establishing health insurance ...
-
Engineering and Integration Manager
2 weeks ago
Sev1Tech Vancleave, United StatesOverview/ Job Responsibilities · Sev1Tech is looking for an Engineering and Integration Manager to lead a pool of technical resources who support the development and deployment of a centralized Cloud Management Platform as well as Platform as a Service solutions; assist developm ...
-
Engineering and Integration Manager
2 weeks ago
Sev1Tech Vancleave, United StatesOverview/ Job Responsibilities · Sev1Tech is looking for an Engineering and Integration Manager to lead a pool of technical resources who support the development and deployment of a centralized Cloud Management Platform as well as Platform as a Service solutions; assist developm ...
-
SWIMLANE/SOAR Engineer
1 week ago
Sev1Tech Vancleave, United StatesOverview/ Job Responsibilities · Sev1Tech has a need for a Security Orchestration Automation and Response (SOAR) Engineer working in a cross-functional capacity to identify, propose, design, develop, implement, integrate, and maintain security. The SOAR Engineer must be a cybers ...
-
Deli Bakery Clerk
3 days ago
Greer's Markets Vancleave, United States Part timeDeli Bakery Clerk · SIGNIFICANT JOB RESPONSIBILITIES: · To greet all customers, respond to customer questions/requests and explain store policies in a courteous manner. · To sell, select, wrap/package the products customers want to purchase. · To write down customer's special ord ...
-
Product Owner/ Product Manager
3 weeks ago
Aurora Ventures Pascagoula, United StatesThe transportation company DSW21 is a strong part of Dortmund. We provide climate-friendly transportation for people to school, work, and from A to B. In the 21 Group, we take care of electricity, gas, water, and heat. We provide affordable housing and infrastructure for modern c ...
-
Deli Bakery Department Manager
3 weeks ago
Greer's Markets Vancleave, United States Full timeDELI BAKERY DEPARTMENT MANAGER · SIGNIFICANT JOB RESPONSIBILITIES: · To initiate and/or make recommendation regarding the hiring, firing, discipline, promotion and evaluation of all Deli Bakery Department personnel. · To orient and train all new Deli Bakery Department associates ...
-
Arbeitender Student
4 days ago
Matrix Dynamics D'Iberville, MS, United States FreelanceAnalog Devices (ADI) is a global company with offices worldwide, including D'Iberville, MS. With over $9 billion in revenue, ADI is a leader in designing and manufacturing analog, mixed signal, power management, and DSP integrated circuits. Our company is dedicated to helping our ...
-
Store Manager
3 days ago
Eclipse Enterprises Harrison, United StatesJoin the ba&sh family: Choose a brilliant career with Harrison. · As a store manager, you will lead, supervise, and develop a dynamic sales team. · You will represent the company and take on the following key responsibilities:Managing the store · Team management · Developing sa ...
-
Clerk (m/f/d) Integration Measures In
4 days ago
Eclipse Technologies Benndale, MS, United States FreelanceThe city of Bottrop is an innovative major city in the northern Ruhr area on the edge of Münsterland, offering a high quality of life and numerous leisure and cultural activities. The city administration of Bottrop is a modern service company that puts people at the center of its ...
-
Food Cashier/host
6 days ago
IP Biloxi Biloxi, United StatesPosition Description: · Greet and escort guests to their table. Accept and process payments from restaurant guests utilizing a computerized cash register and maintain an accurate bank. · Job Functions · - Provide menus to guests and inform them of specials. · - Circulate through ...
-
Assistant Manager
6 days ago
Popeyes Gulfport, United States**Now Hiring Assistant Restaurant Managers · **The Assistant Restaurant Manager has the overall responsibility for: · - Controlling day to day operations by scheduling labor, ordering food and supplies, and developing the restaurant team · - Ensuring that OSHA, local health and s ...
-
Primary Care Nurse Practitioner
3 weeks ago
Fast Pace Health Gautier, United States Full timePosting Title: Primary Care Nurse Practitioner Overview: Fast Pace Health strives to provide a best in class patient experience in every interaction. We are seeking a highly-skilled, experienced Primary Care Provider to join our growing team. Our ideal candidate will be deeply co ...
Coding Manager - Vancleave, United States - Bienville Orthopaedic Specialists
Description
Please COPY & PASTE and APPLY through this USOP LINK:Job Summary: The Coding Manager at BOS is responsible for the oversight of daily operations of the Coding/Charge-Entry Department. The position manages coding review and data entry functions necessary for accurate and timely coding and input of daily charges. Ensures coding services meet productivity and quality standards to support the organization's financial goals. Responsible for identifying and evaluating regulatory questions or issues related to the coding and billing of patient claims and services. This role will support the comprehensive strategy and growth plans to ensure that the coding team has a robust and proactive compliance program.
Essential Duties:
Please COPY & PASTE and APPLY through this USOP LINK:
About Bienville Orthopaedic Specialists:
Bienville Orthopaedic Specialists is the largest Orthopaedic group in Mississippi. Founded in 1981, Bienville Orthopaedics has now grown to 18 physicians who have admitting privileges at five local hospitals and over 300 employees,. Our physicians offer the most up-to-date technology while maintaining personalized care. Our dedicated staff, at all five of our locations, work hard to create a comforting atmosphere and an environment conducive to healing.
A history of excellence by a renowned team of physicians has made Bienville Orthopaedic Specialists the largest and most TRUSTED provider of orthopaedic care in Mississippi.
Bienville Orthopaedic Specialists delivers personalized care using the most advanced technology available with a compassionate understanding of our patient's individual needs. Our success lies in the dedication of our employees as each one is selected for their commitment to our values, a strong focus on service, and a passion for the care of our patients.
Bienville Orthopaedic Specialists is an Equal Opportunity Employer and reports to E-Verify for proof of work eligibility and the State Directory of new hires.
We will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS) with information from each new employee's Form I-9 to confirm work authorization.
BIENVILLE OFFERS:
*Excellent benefits package
*Competitive salary, health, dental and vision coverage
*Paid vacation, sick time and holidays
*Flexible schedules
*Long-term and short-term disability
*Life insurance
*401(k)
*Profit-sharing plan
*And much more
