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Coding Manager
This position is: Full Time
Position Location: Lake Charles, LA

FLSA STATUS: Exempt

Essential Function:† The Coding Manager responsibilities will be to provide oversight of all the Coding/Charge Capture activities and management of all Coding Specialists. The Coding Specialists activities include but are not limited to Charge Entry, Medical Chart Documentation translation of services, procedures and diagnosis into appropriate medical codes for Claim Submission, Code Research, and Clinical Denial Appeals. The Coding Manager will be responsible for ensuring that all Coding Specialists are trained and are performing as required to meet the overall financial goals and operational expectations of the organization.

Supervision: Revenue Cycle Director

Job Responsibilities:

  1. Directly manages the Coding Specialists and all coding/charge capture workflow processes that are included in the correct and timely assignment of medical codes for maximum reimbursement for the organization.
  2. Ensures that all coding functions are compliant, accurate and supported by medical documentation in the patient records.
  3. Develops and maintains processes and procedures to comply with and adapt to changes in regulatory requirements and organizational revenue cycle workflows.
  4. Provides information to healthcare providers as requested and facilitates all internal audit requests.
  5. Reviews medical records for compliance with state, federal and private insurance guidelines.
  6. Responsible for facilitating the correction of all claims that are returned/denied for clinical and coding-related reasons in a timely manner.
  7. Establishes goals and outcomes for the Coding Specialists as it relates to the Coding/Charge Capture functions.
  8. Monitors and trends Key Performance Indicators (KPIs) for Coding Activities and reports finding to the Revenue Cycle Director.
  9. Responsible for assigning tasks, setting priorities, and monitoring overall efforts of the medical coding team as it relates to the duties listed above.
  10. Exercises independent judgment in the hiring, coaching/development, performance evaluation and termination of assigned employees.
  11. Responsible for all set up and maintenance of the CPT/HCPCS codes/charges in the Practice Management System.
  12. Responsible for coordinating and scheduling continued educational workshops for the medical coding team.
  13. Other duties as assigned

Qualifications:

Knowledge of:

†††††††† Healthcare Billing practices and Clinic policies and procedures

†††††††† Coding and clinic operating policies; legal aspects/confidentiality

†††††††† Medicare, Medicaid, Commercial and state/ federal regulations governing health information records

†††††††† Disease processes and medical procedures

Ability to:†

  • work independently, effectively and with minimal supervision
  • utilize the computer to accomplish medical record services
  • work effectively with personnel at all levels and promote teamwork

Skilled in:

  • planning, prioritizing and organizing work assignments and department functions
  • keeping updated on medical record documentation practices and licensure requirements
  • Must possess excellent discretionary judgment and good organizational skills as well as excellent verbal and written communication skills.
  • Must be able to work with sensitive information in a professional and confidential manner. Must be able to relay information accurately in telephone conversations, messages, email, and other forms of communication. †

KNOWLEDGE, SKILLS & ABILITIES:

  • Microsoft Office:† Must be proficient in Word and Excel
  • Proficient skills in typing and 10 key by touch.

Requirements:

EDUCATION REQUIREMENTS:††

†Certification in Medical Coding is required and a Bachelorís degree in Business related field is preferred.

EXPERIENCE:

  • Minimum of 3 years of Medical Coding experience in a medical office/facility setting
  • Minimum of 2 years of Supervisory/Management experience in a professional office setting

 

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