Qureos Mentor

SGMC Health

<div>Description
Location: SGMC Patient Financial Services 
Department: REVENUE CYCLE MEDICAL GROUP 
Schedule: Full Time, 8 HR Day Shift, 8-5
Job Summary:<ul><li>
Responsible for the management of all coding functions within the system for professional services.</li><li>
Conducts performance reviews.</li><li>
Monitors coding accuracy, performs monthly audits of both internal, and contract staff to ensure 95% accuracy maintained consistently.</li><li>
Reports noncompliance issues detected through auditing to Director.</li><li>
Develops and coordinates corrective action plans, follow-up audits, and ongoing monitoring.</li><li>
Analyzes and adjusts workflow to facilitate productivity and monitors productivity. Trains coding personnel.</li><li>
Maintains unbilled accounts due to coding at acceptable levels and works to remove barriers that delay coding and billing.</li><li>
Works with all practice managers and department leads to resolve billing problems. Also, coordinate with the Professional Billing Manager to resolve claims issues.</li><li>
Updates policy and procedure manuals. Stays up to date on coding conventions and billing compliance and educates staff on all updates and changes.</li><li>
Performs coding functions as necessary.</li><li>
Coordinates with the Director of Physician Revenue Cycle to meet all regulatory standards.</li><li>
Identifies trends, patterns, and variations in coding practices.</li><li>
Oversees and monitors coding compliance and education.</li><li>
Develops and coordinates education and training programs regarding evaluation and management, proper documentation, policy and regulation changes. Responsible to educate providers, practice managers, and billing staff as necessary.</li><li>
Interacts with a variety of people who influence the success of the coding program. Will function as a facilitator, liaison, and/or motivators.</li></ul>
Knowledge, Skills, &amp; Abilities:<ul><li>
Certified Professional Coding Certification required.</li><li>
Minimum 5 years&rsquo; experience directly related to duties and responsibilities specified.</li><li>
 At least 2 years management or supervisory experience preferred.</li><li>
Very strong customer relation skills is essential.</li><li>
Advanced communication skills both verbal and written are necessary.</li><li>
Ability to teach and mentor staff.</li><li>
Familiarity with professional coding societies and resources.</li><li>
Experience working with physicians regarding medical coding practices.</li><li>
Ability to share knowledge in such a way that it enhances learning.</li></ul>
WORKING CONDITIONS - ADA INFORMATION<ul><li>
Spends long hours sitting working at computer terminal.</li><li>
Must be able to see and read name, numbers, and colors.</li><li>
Must be able to hear and listen effectively in order to address issues and resolve problems</li><li>
Subject to high stress levels to meet goals and deadlines</li><li>
Must be able to manage multiple priorities, projects and deadlines</li><li>
Must be able to travel to local clinics to educate/ counsel physicians.</li></ul></div>

PROFESSIONAL CODING MANAGER, REVENUE CYCLE MEDICAL GROUP

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SGMC Health

ABOUT_COMPANY

PROFESSIONAL CODING MANAGER, REVENUE CYCLE MEDICAL GROUP