What are the responsibilities and job description for the Manager - Billing and Coding position at Confidential?
A multi-site cardiovascular healthcare organization is seeking an experienced Medical Billing and Coding Operations Manager to provide direction and leadership for its coding and billing functions. This position will oversee staff training, regulatory compliance, departmental performance, and the implementation of policies and procedures for the Billing and Coding department.
Major Duties and Responsibilities:
- Plan, develop, direct, and evaluate the daily activities and operations of the Coding and Billing Department.
- Maintain current, expert knowledge of CPT, ICD-10, and HCPCS coding systems and maintain required professional certifications.
- Stay current with third-party payer requirements, managed care contract provisions, provider credentialing requirements, and government regulations related to compliance and professional services billing.
- Provide training, mentoring, coaching, and performance feedback to coding, billing, and collections staff.
- Provide physicians with education and expert guidance regarding coding, compliance, documentation, and reimbursement processes.
- Establish departmental goals, objectives, production standards, and quality benchmarks.
- Coordinate and maintain electronic billing processes and systems in collaboration with IT/system administration team.
- Implement continuous improvement initiatives in response to evolving regulatory requirements and industry practices.
- Establish and maintain quality auditing processes to ensure billing and coding activities are captured accurately, consistently, comprehensively, and in a timely manner.
- Prepare monthly reports demonstrating achievement of departmental targets, KPIs, and regulatory compliance requirements.
Requirements:
- Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
- Professional certification in medical billing and/or coding.
- 5 years of progressively responsible coding and billing experience.
- Strong hands-on operational analysis and computer skills.
- Excellent written and verbal communication skills.
- Strong interpersonal, leadership, coaching, and motivational skills.
Position Highlights
- Competitive salary
- Comprehensive benefits
- Leadership opportunity within a multi-site healthcare organization
Pay: From $67,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Employee discount
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Referral program
- Vision insurance
Work Location: Hybrid remote in Orland Park, IL 60467
Salary : $67,000