Manager Coding
Manager Coding
Posted on :
09-04-2025
Employer Active
1 Vacancy
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Monthly Salary
Not Disclosed
Salary Not Disclosed
Vacancy
1 Vacancy
Posted on :
09-04-2025
Job Description
Massachusetts General Hospital is an Equal Opportunity Employer. By embracing diverse skills perspectives and ideas we choose to lead. Applications fromprotected veterans and individuals with disabilities are strongly encouraged.
QUALIFICATIONS:
Bachelors degree in medical business or related field with five years of experience in a medical or related field; or
Two years of college including at least twelve semester hours in medical or related field and six to eight years progressively responsible experience as described above.
Coding certification or willingness to obtain certification within two years of assuming position.
Working knowledge of MS Word MS Excel MS Access and MS PowerPoint applications.
SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
This position requires demonstrated leadership qualities. A working knowledge of ICD9 and CPT4 coding for professional fee services is required. Course work in business anatomy and physiology medical terminology and insurance reimbursement policies and regulations is preferred. Good written and verbal communication skills and the ability to prioritize and organize work to meet strict deadlines is required.
WORKING CONDITIONS:
The Professional Billing Office is located in the Charlestown Navy Yard campus. Remote work is an option with Management approval.
SUPERVISORY RESPONSIBILITY:
Responsible for direct supervision of FTEs comprised of coding specialist and coding specialist assistant staff.
FISCAL RESPONSIBILITY:
Responsible for controlling expenditures of the coding unit to ensure that budget is not exceeded.
The above is intended to describe the general contents and requirements of work being performed by people assigned to this classification. It is not intended to be construed as an exhaustive statement of all duties responsibilities or skills of personnel so classified.
MASSACHUSETTS GENERAL HOSPITAL
GENERAL SUMMARY/ OVERVIEW STATEMENT:
The Coding Manager reports to the Professional Billing Office Associate Director of Coding & QA Services and is responsible for directing coding unit activities to ensure correct coding of professional services in a timely manner.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
The Coding Manager required to:
Coordinate efforts of coding coordinators and staff to meet unit objectives. Expected to be onsite and available during critical business needs (e.g. fiscal year end close of month etc..
Direct and monitor coding coordinator activities to ensure effective coding procedures are in place to enable the unit to be in compliance with third party payor requirements and to ensure revenue is optimized.
Develop and maintain coding unit procedures. Conduct annual review of all procedures and revise accordingly in response to indicators of poor performance or policy changes. Coding unit procedures encompass coding process flows human resource procedures and general unit procedures.
Identify key performance indicators define parameters of success and develop action plan for indicators of poor performance. Monitor key indicators on a daily basis and adjust operations accordingly to meet unit objectives. Create and maintain reports of key operational measures. Communicate measures and response to indicators of poor performance to the senior management team at established intervals and on an ad hoc basis. Authorized to reprioritize staff to meet daily production requirements.
In conjunction with the quality assurance unit responsible for the overall quality of the coding product. Revise procedures in response to indicators of poor quality to ensure compliance with third party payor and governmental requirements.
Understand and implement use of key coding tools (TES/Ingenix) to improve the quality of the coding product. Working with the quality assurance unit communicate monitor and maintain coding edits based third party payor regulations.
Coordinate recruiting and hiring efforts for new unit staff. Complete annual performance reviews for coding specialists and coordinator staff. Provide regular feedback to staff to ensure their success. Notify senior management team of ongoing nonperformance issues. Maintain unit personnel records.
Act as technical expert coding resource to coding staff and the units customers. Participate in coding research initiatives as requested. Maintain competency in professional fee coding and compliance including CPT ICD9 modifier compliance and third party payor guidelines.
Complete special projects as assigned by the senior management team which require defining problems determining work sequences summarizing findings and implementing required changes.
Maintain certification in physician coding (CPC preferred).
Required Experience:
Manager
Employment Type
Full-Time
Key Skills
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