Manager, EHM Coding
Manager, EHM Coding
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Job Description
About Us
Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia emergency medicine hospital medicine pathology and radiology. Focused on Revenue Cycle Management Ventra partners with private practices hospitals health systems and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues enabling clinicians to focus on providing outstanding care to their patients and communities.
Job Summary
- We are currently seeking a skilled and experienced individual to lead our Medical Coding team as a US Healthcare Medical Manager Coding. This role requires a deep understanding of medical coding practices regulations and industry standards within the US healthcare system. The ideal candidate will possess strong leadership abilities exceptional organizational skills and a commitment to maintaining high standards of accuracy and compliance.
Essential Functions and Tasks
Team Leadership:
- Provide leadership and guidance to the medical coding team including assigning tasks setting goals and conducting performance evaluations. Foster a positive work environment that encourages collaboration innovation and professional growth.
Coding Operations:
- Oversee all aspects of the medical coding process ensuring accuracy completeness and compliance with relevant coding guidelines and regulations (e.g. CPT ICD-10 HCPCS). Implement best practices to optimize coding efficiency and productivity.
Compliance:
- Stay informed about changes and updates in coding regulations reimbursement policies and healthcare compliance requirements. Ensure that coding practices align with applicable laws regulations and industry standards including HIPAA and other privacy regulations.
Training and Development:
- Provide ongoing training and education to coding staff to keep them updated on changes in coding guidelines regulations and best practices. Mentor team members and support their professional development goals.
Collaboration:
- Work closely with other departments such as revenue cycle management clinical documentation improvement and compliance to ensure seamless integration of coding processes with overall revenue cycle operations. Collaborate with internal and external stakeholders to address coding-related issues and optimize revenue capture.
Performance Analysis:
- Monitor coding metrics and key performance indicators to track team performance and identify opportunities for process improvement. Develop reports and presentations to communicate coding trends challenges and achievements to senior management.
Education and Experience Requirements
- Bachelors degree in any related field. Masters degree preferred.
- Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification required.
- Minimum of 8 years of experience in medical coding with at least 3 years in a supervisory or managerial role.
Knowledge Skills and Abilities
- In-depth knowledge of CPT ICD-10 HCPCS coding systems as well as coding guidelines and regulations in the US healthcare industry.
- Strong leadership skills with the ability to motivate and inspire team members to achieve high performance standards.
- Excellent communication and interpersonal skills with the ability to collaborate effectively with diverse stakeholders.
- Proficiency in coding software and electronic health record (EHR) systems.
- Demonstrated experience in developing and implementing coding policies procedures and quality assurance programs.
- Experience with revenue cycle management processes and healthcare reimbursement methodologies.
- Familiarity with coding-related software tools and technology such as encoders grouper software and computer-assisted coding (CAC) systems.
- Knowledge of healthcare compliance regulations including HIPAA HITECH and Medicare billing rules.
Ventra Health
Equal Employment Opportunity (Applicable only in the US)
Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates and all qualified applicants will receive consideration for employment without regard to race color ethnicity religion sex age national origin disability sexual orientation gender identity and expression or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities as needed to assist them in performing essential job functions.
Recruitment Agencies
Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes.
Solicitation of Payment
Ventra Health does not solicit payment from our applicants and candidates for consideration or placement.
Attention Candidates
Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global scammers may attempt to conduct fake interviews solicit personal information and in some cases have sent fraudulent offer letters.
To protect yourself verify any communication you receive by contacting us directly through our official channels. If you have any doubts please contact us at to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on of Accessibility
Ventra Health is committed to making our digital experiences accessible to all users regardless of ability or assistive technology preferences. We continually work to enhance the user experience through ongoing improvements and adherence to accessibility standards. Please review at Experience:
Manager
Employment Type
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Key Skills
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