Coding Operations Manager
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Job Description
Coding Operations Manager managing billing and coding oversight at Gastro Health. Leading productivity and compliance initiatives while mentoring team members.
Responsibilities:
- Hands-on management of all billing programs, systems, processes, and third-party vendors to ensure accurate, timely and well-controlled activities related to coding departments
- Prepares weekly and monthly RCM reporting metrics to remediate any items outside established KPI including status report of projects.
- Effectively implement denial management reduction through process improvements, coordinating direct or indirectly, with internal team and offices to improve workflows and provide training and education.
- Maintain understanding and communicates coding guideline changes across the markets
- Meet with Care Center Managers for timely remediation of care center hold items
- Formulate and execute policies and procedures to ensure the billing workflow is highly effective.
- Daily reviews of the following programs: Incoming claim/denial volumes, daily billing, rejections, evaluate clean claim rates, and team workflow.
- Develops quality control program to meet the company’s quality initiatives.
- Ensure productivity goals are monitored and quickly re-mediates barriers to achieving those goals at the individual and/or team level.
- Counsels and disciplines employees in accordance with department goals and policies.
- Concentrated effort to develop and mentor team leads and Coding team members to allow for internal growth.
- Maintain compliance with directives from all regulatory agencies and third parties.
- Lead team meetings focused on collaboration and process improvement.
Requirements:
- Bachelor’s Degree highly preferred but experience can be substituted for education
- 1 or more applicable Coding Certificates (CPC, COC, CRC, CPMA, CGIC)
- More than 5 years’ experience/Seniority with healthcare billing
- Experience with a large, growing healthcare organization supporting 100 or more providers
- Experience with HR policies/Procedures/Payroll/Timesheet management for staff
- Extensive knowledge of patient registration, coding, billing, regulatory requirements, billing compliance, business operations, financial systems and financial reporting.
Benefits:
- Competitive compensation
- 401(k) retirement plans
- Profit-Sharing
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
- Disability insurance
- Pet insurance
- Comprehensive benefits package including Cigna healthcare, dental, vision, life insurance, 401k, profit-sharing, short & long-term disability, HSA, FSA, and PTO plus 7 paid holidays.
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