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Coding Operations Manager
Integrated Medical Partners

Location: Milwaukee, Wisconsin
Work Setting: Physician Office, Other
Job Function:
Coding Supervisor/Manager
Job Type:
Full-Time

Introduction

Position Summary: 

The Coding Operations Manager is responsible for the oversight of all coding functions related to day to day operations. The Coding Operations Manager ensures optimal workflow to ensure all productivity requirements are met and ensures timely submission of claims to third party payers, and also interacts with clients and physicians as necessary.  This position will aid the VP of Coding and Compliance by serving as a point of contact for questions and issues pertaining to coding. This position performs all coding functions as necessary, including the assignment of CPT-4and ICD-10-CM in accordance with acceptable coding guidelines of Centers for Medicare & Medicaid services (CMS) and other third party payers.

Job Description

Essential Functions and Responsibilities

 

Daily supervision of coding staff to ensure timely and accurate coding. Monitors productivity of staff to ensure production goals are achieved.

Distribute coding work for all procedures to coding staff in the U.S and abroad.

Report on all charges to ensure all services are accounted and entered within acceptable turnaround times as established by the organization.

Maintain a report on all charge entry activity via excel or other reporting tool(s) incorporating all locations.

Report on all work queues related to coding and prebilling functions to ensure the entry and submission of all charges.

Ensure work queues related to coding and prebilling functions are completed within established time frames.

Ensure the tracking system. Track-It, for internal inquiries and projects are up to date and answered within prescribed turn-around times.

Attend weekly coding meetings and present updated report on all coding and charge entry activities.

Work with the VP of Coding and VP of Revenue Cycle Operations to identify and address issues related to coding and charge entry in a timely manner.

Along with the VP of Coding, serve as a coding point of contact for questions and inquiries from various parties including but not limited to Clients, Customer Service Management, Accounts Resolution, Charge Entry, Payment Posting, and Training.

Through auditing, monitors coding accuracy and ensures all coding work is performed in a compliant manner as established by Medicare and or third party payers.

Effectively communicate with physicians as necessary regarding coding and documentation issues.

Develop and implement training and education programs for coders and physicians

Work on assigned coding projects to adjudicate claims in a timely basis that require investigation and interpretation of Medicare and other third party guidelines pertaining to coding.

Address daily queries from Off Shore Coding Team regarding reports and batches.

Monitor batches across all clients to ensure they are being closed and worked timely.

Appropriately escalates “hot” coding / compliance issues to VP Coding & Compliance.

Available evenings and weekends during critical installations or backlogs.

Additional duties may be assigned as needed.

Required Qualifications

Minimum Education/Credentials

CPC, CCS, CCS-P, and/or COC

RCC, CIRCC, RCCIR

 

Minimum Experience

Minimum 2-4 years NLP software user experience

Minimum 5-7 years medical coding experience.

Minimum preferred 3-5 years radiology coding experience.

Minimum 2-4 years preferred interventional radiology coding experience.

Minimum 2 years coding team lead/supervisor or operations manager experience

Education Qualifications

AS Health Information Technology (RHIT eligible) or BS Health Information Management (RHIA eligible)

Instructions for Resume Submission

Attn: Katherine Kuhn

katherine.kuhn@primevector.com

Posted: September 17, 2018 at 2:19 PM
Post ID: 30447

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