PROFESSIONAL CODING MANAGER, REVENUE CYCLE MEDICAL GROUP

Description

Location: SGMC Patient Financial Services
Department: REVENUE CYCLE MEDICAL GROUP
Schedule: Full Time, 8 HR Day Shift, 8-5

Job Summary:

• Responsible for the management of all coding functions within the system for professional services.
• Conducts performance reviews.
• Monitors coding accuracy, performs monthly audits of both internal, and contract staff to ensure 95% accuracy maintained consistently.
• Reports noncompliance issues detected through auditing to Director.
• Develops and coordinates corrective action plans, follow-up audits, and ongoing monitoring.
• Analyzes and adjusts workflow to facilitate productivity and monitors productivity. Trains coding personnel.
• Maintains unbilled accounts due to coding at acceptable levels and works to remove barriers that delay coding and billing.
• Works with all practice managers and department leads to resolve billing problems. Also, coordinate with the Professional Billing Manager to resolve claims issues.
• Updates policy and procedure manuals. Stays up to date on coding conventions and billing compliance and educates staff on all updates and changes.
• Performs coding functions as necessary.
• Coordinates with the Director of Physician Revenue Cycle to meet all regulatory standards.
• Identifies trends, patterns, and variations in coding practices.
• Oversees and monitors coding compliance and education.
• 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.
• Interacts with a variety of people who influence the success of the coding program. Will function as a facilitator, liaison, and/or motivators.

Knowledge, Skills, & Abilities:

• Certified Professional Coding Certification required.
• Minimum 5 years’ experience directly related to duties and responsibilities specified.
• At least 2 years management or supervisory experience preferred.
• Very strong customer relation skills is essential.
• Advanced communication skills both verbal and written are necessary.
• Ability to teach and mentor staff.
• Familiarity with professional coding societies and resources.
• Experience working with physicians regarding medical coding practices.
• Ability to share knowledge in such a way that it enhances learning.

WORKING CONDITIONS - ADA INFORMATION

• Spends long hours sitting working at computer terminal.
• Must be able to see and read name, numbers, and colors.
• Must be able to hear and listen effectively in order to address issues and resolve problems
• Subject to high stress levels to meet goals and deadlines
• Must be able to manage multiple priorities, projects and deadlines
• Must be able to travel to local clinics to educate/ counsel physicians.