Job Description - Coding Education Manager

Description
Responsible for the daily operations, planning, organizing, staffing, directing, and controlling all functions of the Coding, Auditing and Compliance programs.

Responsibilities
  • Manages coding education by preparing and completing materials for internal and external audits, regulatory changes, and other changes in medical advancements.
  • Produces clinical data and statistical reports for clinicians, researchers, financial and business planning, and clinical quality support services.
  • Manages, oversees, and monitors the audit process for the coding and billing operations.
  • Conducts charge review and compliance audits of departments, and conducts training of personnel to ensure accurate and timely coding.
  • Directs, supports, and educates the physicians and other professional and support staff to ensure quality and consistency of ICD-10, CPT, and documentation guidelines.
  • Oversees accurate billing of charges to Medicare, Medicaid, and other third party payers according to insurance regulations and guidelines of each state where business is conducted.
  • Develops and maintains systems to insure efficient work flow and compliance to ensure data quality resulting in optimum reimbursement allowable under the federal and state payment systems.
  • Develops, implements and monitors policies and procedures, guidelines, and coding compliance plan for personnel in order to ensure compliance.
  • Provides direct supervision over the coding staff to ensure the timeliness and accuracy of coding and data collection activities.
  • Performs all other duties as assigned.


Qualifications

Education: Bachelors degree is required. 

  • Demonstrated ability to teach and present educational topics required.
  • Strong knowledge of CPT and ICD-10 coding principles, governmental regulations, protocols and Electronic Medical Records (EMR) system.
  • Ability to apply judgment and making informed decisions.
  • Proven ability to manage a multitude of responsibilities while meeting objectives and working with teams.
  • Strong written, verbal and interpersonal communication skills.
  • Strong leadership skills.
  • Strong organization and time management skills.
  • Detail-oriented.


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