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Location: Greenville, Hybrid
Work Setting: Physician Office
Job Function: Coding Supervisor/Manager
Job Type: Full-Time
We are looking for an employee that can supervise coders and coding assistants of the Regulatory Services Department. Remote and onsite position. Candidate must be located in North Carolina.
Supervises remote and on-site coding personnel daily to ensure accurate and timely coding in accordance with state and federal regulations
Provides supervisory oversight to department administrative roles
Informs manager of revisions needed to encounter forms, EHR documentation system, or practice management billing and edit system impacting billable diagnoses or procedures
Remains current on all regulatory coding changes, payor specific requirements, and coding processes that affect reimbursement and contract allowable to ensure proper payment
Conducts and trains staff on coding service levels to ensure documentation supported the level of Evaluation and Management charged
Trains new coding staff
Serves as back up for coding if coding backlog charge day lag exceeds set goals
Assists manager with coder audits to assess productivity and accuracy
Completes analysis, charts, and spreadsheets to present coding and coding denial outcomes to manager
Educates physicians and employees on coding issues by specialty when coding or documentation issues are identified
Communicate with Regulatory Manager, Insurance Manager, Insurance Supervisor, Medicare and BCBS Team members regarding denial trends, problematic denials, reimbursement issues, appeals, and rebilling of claims
Research and correct claims to validate denial adjustments and ensure secondary claims are not held up due to coding issues
Reports all identified billing compliance issues or repetitive use of noncovered diagnoses or codes not paying according to contractual fees schedules to Regulatory Services Manager
Assists internal departments with third party payer coding rules and regulation questions
Shares information as necessary and provides other assistance to the Auditing, Coding and/or Insurance Department as directed by the Regulatory Services Manager
Reports all identified coding compliance audit issues to the Regulatory Services Manager
Maintains patient confidentiality
Coordinate’s student interns from H.I.T. and H.I.M. Programs completing PPE assignment
Prepares weekly student schedules, assignments, and relevant appointments
Attends meetings when required or industry changes mandate
Ability to work independently in a remote office environment
Associates degree or Bachelor’s degree in Health Information Management with RHIT/RHIA certification and 2-3 years of multi-specialty ICD-10, CPT/HCPCS coding experience, or
CPC/CCS-P certification and 4-6 years of multi-specialty ICD-10, CPT/HCPCS experience
3 plus years of Medicare and commercial coding/billing experience in a multi-specialty practice required
Must have strong keyboarding, software, analytical and organizational skills. Must possess strong understanding of customer service principles and have well-developed written and oral skills.
Some of the outstanding benefits you will enjoy at Physicians East!
- Comprehensive Medical and Prescription Drug Plan
- Reduced co-pays when utilizing Physicians East Medical Providers!
- Convenient onsite employee pharmacy that offers reduced co-pays!
- Dental insurance
- Vision insurance
- Critical illness, and other supplemental insurance plans available with payroll deduction!
- Employee assistance program at no cost to employee and covered dependents!
- Life insurance provided at no cost to the employee with options to purchase additional protection for you and your family!
- 401(k) with generous company matching contributions!
- Profit Sharing Program!
- Flex Spending program!
- Company Paid Short Term Disability Insurance*
- Company Paid Long Term Disability Insurance
- Generous PTO accrual that starts on your first day!
- 8 paid holidays in addition to accrued PTO!
- Convenient parking onsite and close to where you work!
- Employee Discounts Programs to save you money!
- Banking and Mortgage discount programs to help you with home ownership!
Instructions for Resume Submission
Please upload resume to the application link.
Apply Online: https://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=e7a83d37-7677-472d-bf97-7815a40985f6&ccId=19000101_000001&lang=en_US&jobId=464864
Posted: May 22, 2023 at 1:31 PM
Post ID: 78975