Medical Office Coding Manager
Quick Apply Full-time 2 hours ago Full Job Description The Medical Office Coding Manager serves as an essential leadership role on the IBJI Revenue Cycle Team.
The position is responsible for the office coding team.
The Manager ensures that accurate, coded data exists for optimal reimbursement by the organization, and assists with coordinating all quality and compliance monitoring of assignments for professional services.
Supervisory
Responsibilities:
Oversees the daily operations of the coding unit including workload and staffing; hiring, disciplining, and performance appraisals; training; and monitoring quality of work.
Develops long-range and short-term goals, objectives, plans, and programs and ensures they are implemented.
Assists in planning, developing, and controlling the budget, including staffing costs, capital equipment, and operations of the coding unit.
Duties/
Responsibilities:
Evaluates the impact of innovations and changes in programs, policies, and procedures for the coding unit.
Designs and implements systems and methods to improve data accessibility.
Identifies, assesses, and resolves problems.
Prepares administrative reports.
Monitors and maintains acceptable accounts receivables associated with un-coded charts.
Oversees and monitors the coding compliance program.
Develops and coordinates educational and training programs regarding elements of the coding compliance program such as appropriate documentation and accurate coding to all appropriate staff including coding staff, physicians, billing staff, and ancillary departments.
Ensures the appropriate dissemination and communication of regulatory, policy, and guideline changes.
Conducts and oversees coding audit efforts and coordinates monitoring of coding accuracy and documentation adequacy.
Reports noncompliance issues detected through auditing and monitoring, the nature of corrective action plans, and the results of follow-up audits to the directors of hospital and the compliance officer.
Conducts trend analyses to identify patterns and variations in coding practices and case-mix-index.
Compares coding and reimbursement profile with national and regional norms to identify variations requiring further investigation.
Reviews claim denials and rejections pertaining to coding and medical necessity issues and, when necessary, implements corrective action plan (such as educational programs) to prevent similar denials and rejections from recurring.
Interacts with a variety of people who impact the success of coding compliance program, and functions as a facilitator, liaison, and/or motivator.
Required Skills/Abilities:
Extensive knowledge of coding principles and guidelines.
Extensive knowledge of professional services reimbursement systems.
Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing for professional and technical services.
Strong managerial, leadership, and interpersonal skills.
Excellent written and oral communication skills.
Excellent analytical skills.
Education and
Experience:
CPC or CCS-P certification required.
RHIT or RHIA preferred.
Extensive knowledge of ICD-10-CM, CPT, and HCPCS code sets and official guidelines for coding and reporting required.
Eight years of professional coding (out- patient) experience required.
Four years managing a coding team, preferably for large multi-specialty or orthopedic provider.
Advanced knowledge of anatomy, physiology, and medical terminology required.
Proficiency in Microsoft Word and Excel required.
Experience with EPIC Hyperspace strongly preferred.
Job Type:
Full-time
Benefits:
401(k) Dental insurance Disability insurance Employee assistance program Flexible spending account Health insurance Life insurance Paid time off Vision insurance Schedule:
8 hour shift Monday to Friday Ability to commute/relocate:
Park Ridge, IL 60068:
Reliably commute or planning to relocate before starting work (Required)
Experience:
Medical billing:
1 year (Preferred) Work Location:
Hybrid remote in Park Ridge, IL 60068 Quick Apply.
Estimated Salary: $20 to $28 per hour based on qualifications.
The position is responsible for the office coding team.
The Manager ensures that accurate, coded data exists for optimal reimbursement by the organization, and assists with coordinating all quality and compliance monitoring of assignments for professional services.
Supervisory
Responsibilities:
Oversees the daily operations of the coding unit including workload and staffing; hiring, disciplining, and performance appraisals; training; and monitoring quality of work.
Develops long-range and short-term goals, objectives, plans, and programs and ensures they are implemented.
Assists in planning, developing, and controlling the budget, including staffing costs, capital equipment, and operations of the coding unit.
Duties/
Responsibilities:
Evaluates the impact of innovations and changes in programs, policies, and procedures for the coding unit.
Designs and implements systems and methods to improve data accessibility.
Identifies, assesses, and resolves problems.
Prepares administrative reports.
Monitors and maintains acceptable accounts receivables associated with un-coded charts.
Oversees and monitors the coding compliance program.
Develops and coordinates educational and training programs regarding elements of the coding compliance program such as appropriate documentation and accurate coding to all appropriate staff including coding staff, physicians, billing staff, and ancillary departments.
Ensures the appropriate dissemination and communication of regulatory, policy, and guideline changes.
Conducts and oversees coding audit efforts and coordinates monitoring of coding accuracy and documentation adequacy.
Reports noncompliance issues detected through auditing and monitoring, the nature of corrective action plans, and the results of follow-up audits to the directors of hospital and the compliance officer.
Conducts trend analyses to identify patterns and variations in coding practices and case-mix-index.
Compares coding and reimbursement profile with national and regional norms to identify variations requiring further investigation.
Reviews claim denials and rejections pertaining to coding and medical necessity issues and, when necessary, implements corrective action plan (such as educational programs) to prevent similar denials and rejections from recurring.
Interacts with a variety of people who impact the success of coding compliance program, and functions as a facilitator, liaison, and/or motivator.
Required Skills/Abilities:
Extensive knowledge of coding principles and guidelines.
Extensive knowledge of professional services reimbursement systems.
Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing for professional and technical services.
Strong managerial, leadership, and interpersonal skills.
Excellent written and oral communication skills.
Excellent analytical skills.
Education and
Experience:
CPC or CCS-P certification required.
RHIT or RHIA preferred.
Extensive knowledge of ICD-10-CM, CPT, and HCPCS code sets and official guidelines for coding and reporting required.
Eight years of professional coding (out- patient) experience required.
Four years managing a coding team, preferably for large multi-specialty or orthopedic provider.
Advanced knowledge of anatomy, physiology, and medical terminology required.
Proficiency in Microsoft Word and Excel required.
Experience with EPIC Hyperspace strongly preferred.
Job Type:
Full-time
Benefits:
401(k) Dental insurance Disability insurance Employee assistance program Flexible spending account Health insurance Life insurance Paid time off Vision insurance Schedule:
8 hour shift Monday to Friday Ability to commute/relocate:
Park Ridge, IL 60068:
Reliably commute or planning to relocate before starting work (Required)
Experience:
Medical billing:
1 year (Preferred) Work Location:
Hybrid remote in Park Ridge, IL 60068 Quick Apply.
Estimated Salary: $20 to $28 per hour based on qualifications.
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