Coding Manager - Dallas, United States - Health Care Service Corporation

Description

HYBRID POSITION
The Revenue Cycle Department at Exceptional Healthcare has an available
opportunity for a

Coding Manager.

The primary duties and responsibilities will include, but not
limited to the following.


JOB SUMMARY:


Quality Audit Reviews:
Maintain and track quality and productivity standards for team of coders, optimizing revenue streams and compliance.


Coding Support:
Support and guide the team in their coding concerns to identify, analyze, and resolve encounters for payer release.


Training:

Provide training for new hires and any new communicated coding changes and guidelines when needed, ensuring adherence to payer policy guidelines, and maximizing revenue.

Coding Denials Management:
Manage the submission, correction of claim edits and follow-up clinical denials related to coding, ensuring accurate and timely reimbursement.


Patient Account Resolution Inquires:
CRM reviews to address patient concerns regarding the billing and coding of services rendered


Collaboration:
Collaborating with internal teams to address issues and streamline processes and workflow


Standard Operating Procedures:
Establish new written policies and procedure for the Coding Department.


RESPONSIBILITIES:
Initiative-taking and meticulous
Overseeing critical components of the front-end revenue cycle coding process; including CD coding
Preferred strong Hospital Fee coding.
The ability to lead a team
5-9 direct reports when team is established
Team Production and

Quality Audit Reviews:
Maintain and track quality and productivity standards for team of coders, optimizing revenue streams and compliance
Supervises all coding specialists which includes hiring, onboarding, performance appraisals and disciplinary action
Coordinates work schedules and tasks for optimal productivity and cross coverage
Assures consistent/annual education training and certification of all staff members
Performs accurate and timely review, coding and abstracting of Exceptional Healthcare accounts utilizing, ICD-10-CM, HCPCS, and CPT code sets as indicated and according to coding team procedures
Performs coding activities in a manner that meets productivity and quality standards as established by the coding leadership
Maintains current understanding of anatomy and physiology, medical terminology, disease processes, and coding guidelines and grows knowledge through participation in continuing education programs
Maintains understanding of teaching physician documentation guidelines
Maintains a thorough understanding of the intricacies of the various types of care provided at Exceptional Healthcare so work assignment adjustments can be made with little workflow disruption and coding coverage can be appropriately provided
Assists in upholding coding team expectations, customer service standards, professionalism, operating procedures, processes and other team strategies and goals
Assist in promoting a culture of support, continuous learning and team work
Adheres to all Exceptional Healthcare and departmental goals
Performs other duties as assigned


EXPERIENCE:
EMR and Rev Cycle system experience is strongly preferred for this role. (EPIC, Athena, GOREV)

A certification for Certified Professional Coder (CPC), Certified Coding Specialist Hospital-based (CCS-P), or Certified Coding Specialist (CCS) is highly preferred.

Strong hospital Fee coding preferred.


SCHEDULE:
8-hour flex shift between 7am to 6pm Monday through Friday
Work From Home (WFH): This is a

hybrid

position where the manager works two days in the officeand three days from home.

The applicant must live within a one (1) hour radius of Dallas/Fort Worth and be available to come to the office for equipment pickup exchange, office meetings, and training, etc.

Additional details in regards to WFH shall be discussed as part of the interview process.


BENEFITS:
Health insurance
401(k)
Dental insurance
Vision insurance
Life insurance

PTO
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