Fee-For-Services Coding Manager - Lutz, United States - MyCare Medical Group

Description

Job Summary MyCare Medical Group is a primary care organization committed to providing the highest quality, most cost-effective care to our patients.

We are seeking a diligent and experienced Fee-for

• Service Coding Manager to join our team.

They will be responsible for all aspects of fee-for-service coding operations, including but not limited to ensuring compliance (following all guidelines and regulations to ensure high-industry standards), optimizing revenue cycles, managing and training medical coders and fostering a culture of continuous improvement. Job Responsibilities Manage and lead a team of fee-for-service coding specialists, providing guidance, support, and training as needed.

Develop and implement coding policies, procedures, and best practices to ensure accuracy and compliance with regulatory requirements (e.g., ICD-10, CPT, HCPCS).

Conduct regular audits and quality assurance checks to evaluate coding accuracy, identify areas for improvement, and mitigate compliance risks.

Collaborate with internal departments, including billing, revenue cycle management, compliance, and clinical teams, to streamline coding processes and optimize reimbursement.

Provide training for current and new providers, including developing coding resources such as documentation and training sessions. Stay current with changes in coding guidelines, regulations, and industry trends, and communicate updates to team members as necessary. Analyze coding-related data and metrics to monitor productivity, identify trends, and drive performance improvements. Serve as a subject matter expert on coding-related inquiries, providing guidance and support to internal stakeholders as needed. Ensure timely and accurate submission of coded claims to third-party payers, minimizing denials and optimizing revenue capture.

Develop and maintain effective relationships with external partners, such as payers and auditors, to facilitate communication and resolve coding-related issues.

Participate in strategic planning initiatives to support the organization's goals and objectives related to coding, billing, and revenue optimization. Job QualificationsBachelor's degree in Health Information Management, Medical Coding, Healthcare Administration, or related field. AAPC certification required.

Minimum of 5 years of experience in medical coding, with at least 3 years of supervisory or management experience in a healthcare setting.

Thorough knowledge of medical coding guidelines, regulations, and reimbursement methodologies (e.g., Medicare, Medicaid, commercial payers), specifically within a primary care practice.

Strong leadership skills with the ability to motivate and develop a team of coding specialists. Excellent analytical skills with the ability to interpret coding-related data and metrics. Effective communication and interpersonal skills, with the ability to collaborate with cross-functional teams. Proficiency in coding software, electronic health record (EHR) systems, and Microsoft Office Suite. Demonstrated commitment to accuracy, integrity, and compliance in coding practices.


Travel Requirement:
25%. Will be required to travel as needed to our practices across Florida and Texas. BENEFITSComprehensive benefits package, including Health, Vision, Dental, and Life insurancesFSA and Life Assistance Program (EAP)401(k) Retirement PlanHealth Advocacy, Travel Assistance, and My Secure AdvantagePTO Accrual and Holiday#ZIP #INDNP