Manager Coding

Manager Of Professional And Outpatient Coding Services

The Manager of Professional and Outpatient Coding Services will direct the daily activities of the professional and outpatient coding specialists, including scheduling, selecting staff, collaborating with outsource contract coding vendors, assigning work, and addressing client support needs. Additionally, the Manager will implement procedures to reasonably ensure compliance with Federal, State and Third Party Payer coding rules and regulations, including conducting coding reviews of staff's work.

The Manager will collaborate with peers in Health Information Services, EPS and Compliance, contracted vendors, as well Faculty Practice Administrators, Physicians, and other leadership positions. The Manager may also be an integral part of various Medical Center committees and workgroups and fill in for the Director in his/her absence.

Responsibilities

• Responsible for all key aspects of managing the internal and day to day operations of the Professional and Outpatient Coding Services Department. Including recruitment, selection, training, monitoring, counseling, evaluating, scheduling of, and assignment of work to staff as well as coordinating with any external contractors working with Department
• Ensures workload is distributed in such a way to result in accurate and timely billing
• Conducts quality assurance reviews on an acceptable sample of all coding performed by the staff within the department and arrange for education or corrective action based on results of the internal quality assurance reviews
• Collaborates with the Director to prepare policies and procedures for all aspects of the Department. Assists the Director in budget preparation and variance explanation
• Provides routine management reports to the Director and other departments or practices served that address the Department's ongoing performance
• Manages the daily reconciliation process to track the receipt of encounters requiring coding from clients and transfer of coded encounters to EPS and/or AHS
• Reviews billing denial reports related to coding to identify areas requiring process change and/or education to achieve coding and/or billing compliance. Implements education or other corrective action as indicated to reduce or eliminate coding related denials. Prepares and educates other on how to appeal of coding related denials as appropriate
• The Manager will collaborate with the Department's clients to facilitate accurate and timely submission of codes to EPS and/or AHS
• Routinely monitors staff's performance and assessing whether staff is meeting quality and productivity expectations. Conducts coaching, counseling and performance evaluation interviews based on the monitoring
• Maintains appropriate documentation for each staff member relative to their performance and any position related education
• Demonstrates proficiency in coding, coding compliance, and use of all systems required to perform the position effectively and efficiently
• Serves as a role model for the staff managed in terms of consistently demonstrating timely reporting to work, appropriate use of work time and resources, exceptional work ethic, collaborative teamwork, positive reinforcement, lifelong learning, and conducting oneself in a professional manner, especially when representing the Department and Medical Center
• All other duties and responsibilities as assigned by Director

Qualifications

Education:

Bachelor's degree in a relevant field preferred and/or equivalent in education and experience required.

Active CPC, CCS, or CCS-P required. CRC preferred.

Master's degree in a relevant management or healthcare field of study preferred.

Experience:

Minimum of four years of progressive experience in coding and coding management including a minimum of two years of professional coding and/or coding compliance experience required. Team leader or supervisory experience required. Recent experience with Medicare and Medicaid billing and coding regulations. Proficiency in ICD-10 CM must be demonstrated and measured by required testing and/or certification.

Skills:

Thorough knowledge of Medicare and Medicaid professional documentation requirements, CMS coding guidelines, Teaching Physician documentation requirements, and NCCI/OCE edits.

ICD-10CM, and CPT coding skills.

Good oral and written communication skills.

Good interpersonal skills.

Speaks, reads, and writes English to the extent required by the position.

Knowledge of a second language preferred.

Pay Range

USD $75,000.00 - USD $80,000.00 /Yr.

Maimonides Medical Center (MMC) is an equal opportunity employer.