Coding Operations Manager
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Job Location:
Miamisburg, OH - USA
Monthly Salary:
Not Disclosed
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Position: Coding Operations Manager
Reports To: Executive Leadership Team / Board of Directors
Exempt/Non: Exempt Full-Time
Education: Certified Professional Coder (CPC minimum) or Certified Emergency Department Coder (CEDC preferred)
Experience: Equivalent of an Associates degree and two to three years ofrelevant emergency department or general medical coding experience.
Coding Operations Manager is responsible for overseeing the medical coding team and ensuring the accurate and efficient coding of patient records for billing compliance and reimbursement purposes. Oversees insurance verification department. Needs to have skills with operational leadership compliance oversight team management and process improvement within the healthcare revenue cycle.
JOB RESPONSIBILITIES
CODING OPERATIONS & OVERSIGHT
Oversees day-to-day operations of the medical coding team ensuring timely and accurate coding of diagnoses procedures and services.
Ensure that all codes (ICD-10 CPT HCPCS etc.) are applied correctly and consistently according to official coding guidelines.
Distribute work evenly among coders based on volume complexity or specialty.
Manage team schedules collaborate with HR regarding time-off requests and ensure adequate coverage.
COMPLIANCE & QUALITY ASSURANCE
Conduct regular internal/external audits to ensure compliance with federal regulations (e.g. CMS HIPAA) and payer requirements address issues discovered.
Stay current with updates/coding changes and educate staff on changes as needed train new coding staff members.
Research and Development of Compliance and Coding Standards.
Assist in ensuring that the coding guidelines and processes for new clients adhere to all legal and regulatory requirements specific to the medical industry creating a seamless integration for new contracts.
TEAM LEADERSHIP & DEVELOPMENT
Provide training for new hires and ongoing education for existing staff.
REPORTING & METRICS
Track coding productivity and quality metrics (e.g. charts coded per day accuracy rates).
Prepare reports for upper management regarding coding efficiency denial trends audit outcomes etc.
Identify trends issues or bottlenecks through performance data and propose process improvements.
CROSS-FUNCTIONAL COLLABORATION
Work in collaboration with the RCM team to resolve any coding/insurance verification related issues by working closely with team members and other departments to implement solutions.
Collaborate with providers to clarify documentation and coding queries. New physician and APP education.
Work with the Operations Director to monitor the financial health of the company.
PHYSICAL REQUIREMENTS
Must be able to lift up to 15 lbs at times.
Prolonged periods of sitting at a desk on a computer.
Prolonged periods of sitting at a desk on a computer.
Required Experience:
Manager
Key Skills
- Six Sigma
- Lean
- Management Experience
- Process Improvement
- Microsoft Outlook
- Analysis Skills
- Warehouse Management System
- Operations Management
- Kaizen
- Leadership Experience
- Supervising Experience
- Retail Management
About Company
Prestige Billing Services is a Southwestern, Ohio based physician billing organization providing coding, billing and account receivable management.
