Manager of Coding

Location: South Chandler, AZ
Date Posted: 08-01-2018
CareNational
Manager of Coding – Health System
South Chandler, AZ
 
Manager of Coding Job Summary:
 
  • Directs, manages and supervises daily administrative operations of the areas by monitoring quality and effectiveness of workflow, problem resolution and trouble-shooting issues and/or processes to ensure compliance with established licensing, regulatory and governmental standards.
  • Manages and supervises coding and billing activities for adherence to established quality and quantity standards by monitoring coding efficiency, claims edits, claim submissions activities and EDI rejections.
  • Collaborates with providers to train and update with correct coding information.
  • Evaluates, develops and implements policies and procedures to ensure compliance with all federal and state licensing and regulatory requirements and practices.
  • Maintains and updates Charge Master to ensure all changes are reflected in service fees accurately and efficiently.
  • Works cooperatively with payers to discuss, identify and resolve reimbursement issues: performs research and provides source documentation as required/requested to facilitate payment of billed charges.
  • Reviews recommendations for coding and billed charges; refers requests above signature authority to Director for review and approval.
  • Manages acquisition and maintenance of equipment and inventory level of stock items and supplies to ensure efficient operation of area.
  • Plans, develops and manages departmental operational budgets to ensure provision of services consistent with desired objectives delivered responsibly.
  • May perform any and all staff functions as needed to ensure achievement of established goals
 
Manager of Coding Background:
 
  • Advanced certifications preferred, such as: CPC, CDEO, CPMA, CEMC, or CPC-1
  • Must have at least 3 years previous hospital-based or physician practice third party billing and collection experience; medical terminology prior Medicare, AHCCCS, RPMS and NextGen experience preferred
  • Knowledge of 3M Coding Reimbursement applications required
  • Around 3-5 years of previous supervisory experience is required
  • EHR knowledge and management
  • Strong clearinghouse knowledge
  • Knowledge of the practices, procedures and methods of claims processing, billing and collections
  • Knowledge of appropriate tribal, state and federal regulations for medical records including, but not limited to The Joint Commission, HIPPAA and Medicare
  • Strong knowledge of ICD-9 and ICD-10 and CPT coding standards and requirements associated with production ofUB92 and 1500 claims
  • Ability to speak in front of large and small groups and hold one-on-one discussions with providers and other clinical professionals
  • Skills to utilize effective communication and problem solving to efficiently identify issues, concerns and interests and provide effective solutions
 

#ADMIN
 
STEVE THORNLEY
CHIEF EXECUTIVE OFFICER 
CareNational
steve@carenational.com
480.336.2526 (CALL – TEXT – FAX)
CareNational.com
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