Director of Coding Operations

Gastro Health is seeking a Full-Time Director of Coding Operations to join our team!

Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours.

The Director of Coding Operations is responsible for the oversight of the day to day operations of the Coding Department. This role is responsible for ensuring accurate, compliant and timely coding practices that support the Organization’s revenue cycle and operational goals. The Director is responsible for continuously ensuring operational benchmarks are met, continuous process improvement, and oversight of all technologies that support Coding Operations.

This role offers:

• A great work/life balance
• No weekends or evenings – Monday thru Friday
• Paid holidays and paid time off
• Rapidity growing team with opportunities for advancement
• Competitive compensation
• Benefits package

Duties you will be responsible for:

• •Directly oversees and manages day to day operations Coding Department
  •Work closely with management team to prioritize, assess, and re-prioritize daily workflows to ensure timely execution of Coding and meeting/exceeding goals/KPI.
  •Evaluate opportunities for creation of front-end scrubs/edits based on coding guidelines and denial management review.
  •Evaluate and implement streamlined improvement initiatives to ensure the team is highly effective
  •Implement and maintain strong new hire training process
  •Evaluate, document, and implement appropriate policy/procedures for coding workflow.
  •Ensure audits of team members completed to ensure quality initiatives are being met and exceeded.
  •Identify trends in underpayments, denials, aging receivable that compromise the ability of the Coding team to meet established goals and implement resolutions
  •Strong analytical skills to prepare project data with external payors and partners.
  •Systems expert for all Coding systems used so that the department can maintain a highly efficient and productive team
  •Establish weekly/monthly goals, ensure Coding team members are utilizing all resources and meeting and/or surpassing weekly/monthly KPI’s and productivity expectations
  •Prepare weekly and monthly RCM reporting metrics to remediate any items outside established KPI including status report of projects.
  •Research and maintain understanding of policy changes across the RCM markets.
  •Daily oversight of the following: Incoming claim/denial volumes, daily billing, rejections, evaluate clean claim rates, and team workflows.
  •Preparation for team meetings focused on collaboration and process improvement
  •Understanding of complex interfaces and workflows and ability to quickly identify issues and correct them
  •Prepare and report to senior leadership on coding status/KPIs on a weekly basis

Knowledge & Skills:

• •Extensive knowledge of patient registration, coding guidelines, regulatory requirements and billing compliance
  •Ability to work in multiple systems and reconcile all systems to ensure charge capture
  •Ability to investigate and determine issues among disparate systems in order to solve problems to ensure charge capture
  •Ability to collaborate with Interface, Systems and HIM team members to provide SME for process improvement, resolution of issues, troubleshooting.

Minimum requirements:

• Associates or Bachelor’s Degree highly preferred; experience may be substituted for education
• Greater than 5 years’ progressive experience in Healthcare Coding and Billing; at least 1 year of people management
• Applicable Coding certifications (e.g. CPC, COC, CRC, CPMA)
• Experience with a large and growing healthcare organization, supporting a large number of team members

We offer a comprehensive benefits package to our eligible employees:

• 401(k) retirement plans with employer Safe Harbor Non-Elective Contributions of 3%
• Discretionary profit-sharing contributions of up to 4%
• Health insurance
• Employer contributions to HSAs and HRAs
• Dental insurance
• Vision insurance
• Flexible spending accounts
• Voluntary life insurance
• Voluntary disability insurance
• Accident insurance
• Hospital indemnity insurance
• Critical illness insurance
• Identity theft insurance
• Legal insurance
• Paid time off
• Discounts at local fitness clubs
• Discounts at AT&T

Additionally, Gastro Health participates in a program called Tickets at Work that provides discounts on concerts, travel, movies, and more.

Gastro Health is the one of the largest gastroenterology multi-specialty groups in the United States, with over 130 locations throughout the country. Our team is composed of the finest gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals. We are always looking for individuals that share our mission to provide outstanding medical care and an exceptional healthcare experience. We offer a comprehensive benefits package to our eligible employees.

Gastro Health is proud to be an Equal Opportunity Employer. We do not discriminate based on race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender

identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

We thank you for your interest in joining our growing Gastro Health team!

Salary : $1 - $5