Director - Clinical ICD Coding & Revenue Cycle Management

OPEN POSITION: 
Director of Clinical ICD Coding & Revenue Cycle Management


SCHEDULE: 
- Full-Time
- 40 Hours per Week
- Monday to Friday


COMPENSATION: 
- $100,000 to $160,000 Base Salary, dependent on experience
- Health Insurance
- Paid Vacation Time
- Paid Sick Time
- Paid Holidays
- 401k w/ 3% Match


LOCATION:
- Buford, Georgia
- on-site position


COMPANY PROFILE: 
This private practice provides a full scope of all-ages primary care services to residents of the greater Atlanta area.  They currently have 5 clinic locations (with more in progress) and employ a dedicated team of 15 healthcare providers, along with a full complement of clinical and administrative staff members.  This is a newly-created position over the coding and revenue cycle functions of the Buford office.


POSITION DESCRIPTION: 
The new Director of Clinical ICD Coding & Revenue Cycle Management reports to the Chief Operating Officer and other members of the clinic leadership team.  The Buford office currently employs three (3) physicians and four (4) advanced practice providers.

The Director has ultimate responsibility for overseeing and optimizing all aspects of the Bufod clinic's revenue cycle functions. This includes:

- value-based care metrics capture
- financial clearance
- charge capture
- billing
- charting and coding
- follow-ups
- denial management
- customer service

The role also involves developing ongoing relationships with clinic leadership, standardizing billing policies, and collaborating with clinical and administrative staff to streamline operations and improve patient experiences. 

The Director is responsible for supervising staff in the coding and billing department, managing employee performance, ensuring compliance with all federal / state / local regulations related to billing and revenue cycle management, and implementing strategies to maximize revenue.

The specific duties of the role include, but are not limited to:

- maximize CPT utilization by creating expected services based on relevant data points
- leverage all available and compliant CPT codes to maximize revenue
- initiatives such as super bills, template creation, patient questionnaires, and more
- identify and implement new CPT opportunities on a quarterly basis
- keep company CPT database up-to-date
- prepare monthly reports on new CPT opportunities and oversee their implementation
- prepare monthly reports on CPT utilization and opportunities
- oversee the status of every claim, ensuring reasons for rejections are addressed
- ensure proper attribution of revenue for each patient and claim
- ensure an efficient and compliant ICD coding and chart review step
- implement corrective actions for rejections on a monthly basis to prevent future rejections
- oversee the generation of monthly aging reports, ensuring every claim is accounted for
- maintain credentialing on a monthly basis, including provider licensing and compliance
- standardize and document billing policies and procedures on a quarterly basis
- monitor and analyze revenue cycle performance metrics to ensure KPIs are met or exceeded
- prepare reports / analyses reflecting progress, adverse trends, and recommendations
- prepare charting review reports quarterly for provider education and management review
- implement CPT II codes and other items for care gap closure for value-based care initiatives
- build strong procedural work-ups to improve charting quality
- act as a liaison between external customers/stakeholders and patient financial services

The practice uses the MDLand EHR system.


REQUIREMENTS:
- Bachelor’s Degree in Healthcare Administration, Business, Finance, or a related field
- Master’s Degree preferred
- certification in medical coding (CPC, CCS, etc.)
- 7+ years experience in revenue cycle management
- 5+ years supervisory experience (director-level preferred)
- thorough knowledge of ICD coding systems
- extensive experience in clinical ICD coding, billing, and revenue cycle in a healthcare setting
- proven track record of meeting or exceeding revenue cycle KPIs
- proven track record of implementing revenue maximization strategies



HOW TO APPLY:
To apply for this position, please send your CV to Jenn Kunkel at [email protected] or call (773) 998-1272.

Please visit www.chsrecruiting.com/jobs to view all available positions through CHS Recruiting.