Coding Manager
Dallas, TX
Full Time
Information Technology
Manager/Supervisor
HYBRID POSITION
The Revenue Cycle Department at Exceptional Healthcare has an available
opportunity for a Coding Manager. The primary duties and responsibilities will include, but not
limited to the following.
JOB SUMMARY:
The Revenue Cycle Department at Exceptional Healthcare has an available
opportunity for a Coding Manager. The primary duties and responsibilities will include, but not
limited to the following.
JOB SUMMARY:
- Quality Audit Reviews:
- Maintain and track quality and productivity standards for team of coders, optimizing revenue streams and compliance.
- Coding Support:
- Support and guide the team in their coding concerns to identify, analyze, and resolve encounters for payer release.
- Training:
- Provide training for new hires and any new communicated coding changes and guidelines when needed, ensuring adherence to payer policy guidelines, and maximizing revenue.
- Coding Denials Management:
- Manage the submission, correction of claim edits and follow-up clinical denials related to coding, ensuring accurate and timely reimbursement.
- Patient Account Resolution Inquires:
- CRM reviews to address patient concerns regarding the billing and coding of services rendered
- Collaboration:
- Collaborating with internal teams to address issues and streamline processes and workflow
- Standard Operating Procedures:
- Establish new written policies and procedure for the Coding Department.
RESPONSIBILITIES:
- Initiative-taking and meticulous
- Overseeing critical components of the front-end revenue cycle coding process; including CD coding
- Preferred strong Hospital Fee coding.
- The ability to lead a team
- 5-9 direct reports when team is established
- Team Production and Quality Audit Reviews: Maintain and track quality and productivity standards for team of coders, optimizing revenue streams and compliance
- Supervises all coding specialists which includes hiring, onboarding, performance appraisals and disciplinary action
- Coordinates work schedules and tasks for optimal productivity and cross coverage
- Assures consistent/annual education training and certification of all staff members
- Performs accurate and timely review, coding and abstracting of Exceptional Healthcare accounts utilizing, ICD-10-CM, HCPCS, and CPT code sets as indicated and according to coding team procedures
- Performs coding activities in a manner that meets productivity and quality standards as established by the coding leadership
- Maintains current understanding of anatomy and physiology, medical terminology, disease processes, and coding guidelines and grows knowledge through participation in continuing education programs
- Maintains understanding of teaching physician documentation guidelines
- Maintains a thorough understanding of the intricacies of the various types of care provided at Exceptional Healthcare so work assignment adjustments can be made with little workflow disruption and coding coverage can be appropriately provided
- Assists in upholding coding team expectations, customer service standards, professionalism, operating procedures, processes and other team strategies and goals
- Assist in promoting a culture of support, continuous learning and team work
- Adheres to all Exceptional Healthcare and departmental goals
- Performs other duties as assigned
EXPERIENCE:
- EMR and Rev Cycle system experience is strongly preferred for this role. (EPIC, Athena, GOREV)
- A certification for Certified Professional Coder (CPC), Certified Coding Specialist Hospital-based (CCS-P), or Certified Coding Specialist (CCS) is highly preferred.
- Strong hospital Fee coding preferred.
SCHEDULE:
- 8-hour flex shift between 7am to 6pm Monday through Friday
- Work From Home (WFH): This is a hybrid position where the manager works two days in the office and three days from home. The applicant must live within a one (1) hour radius of Dallas/Fort Worth and be available to come to the office for equipment pickup exchange, office meetings, and training, etc. Additional details in regards to WFH shall be discussed as part of the interview process.
BENEFITS:
- Health insurance
- 401(k)
- Dental insurance
- Vision insurance
- Life insurance
- PTO
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