Coding and Documentation Manager

Title: Coding and Documentation Manager

Employee Classification: Revenue Cycle Manager

Campus: University of North Texas Health at Fort Worth

Division: HSC-Health Systems

SubDivision-Department: HSC-Health Systems & Clinical Aff

Department: HSC-HSC Health Administration-335001

Job Location: Fort Worth

Salary: Salary Commensurate with Experience

FTE: 1.000000

Retirement Eligibility: TRS Eligible

About Us - Values Overview

Department Summary

UNT Health Clinical Practice Group is the academic clinical practice for UNT Health. Focused on improving health outcomes to build a healthier community. Clinical Practice Group primary and multispecialty care clinics are located on the UNT Health campus in Fort Worth. Our care teams extend to local hospitals, surgery centers, long-term and continuing care centers, and mobile and in-home care. The Clinical Practice Group's interprofessional teams work collaboratively to achieve an optimized treatment plan tailored to the individual patient. Physicians, nurse practitioners, physician assistants, physical therapists, pharmacists, social workers, psychologists, specialized technicians, and nurses work together while intentionally integrating health care students, residents, and fellows to deliver care to our community.

Position Overview

This position is responsible for managing the coding team, coding training, provide audit reviews, and clinician documentation training. This role will help make the clinician practice more successful and make this easier for the clinicians and reduce audit risk.

Minimum Qualifications

Bachelor's degree and four (4) years related experience; or any equivalent combination of education and experience.

Knowledge, Skills and Abilities

• Knowledge of revenue cycle processes, including patient access, coding, claims creation, and filing procedures.
• Familiarity with insurance payer requirements, regulations, and compliance standards for provider billing.
• Understanding of financial management principles as they relate to optimizing cash flow and revenue cycle performance.
• Excellent communication skills to liaise with outside vendors, insurance representatives, and internal teams to resolve claims issues and improve processes.
• Proficiency in claims management software and financial reporting tools to track and analyze revenue cycle metrics.
• Ability to oversee and optimize revenue cycle processes to ensure maximum efficiency and financial performance.
• Strong problem-solving skills to address and resolve claims issues, denials, and billing discrepancies.
• Ability to maintain compliance with evolving regulations and payer requirements to minimize financial risk.

Preferred Qualifications

The preferred candidate will possess the following additional qualifications:

• 5 years of professional coding experience in with exposure to multiple specialties.
• Have an additional certification: Certified Professional Medical Auditor (CPMA) or Certified Documentation Expert Outpatient (CDEO)
• Nextgen Experience

Required License/Registration/Certifications

CPC

Job Duties

• Provides direct supervision over the coding staff to ensure the timeliness and accuracy of coding and data collection activities.
• Perform frequent audits to make sure everything is documented and billed correctly.
• Provide documentation trainings to clinicians to maximize on their billing efforts.
• Collaborate with other departments to ensure coding accuracy and resolve coding-related issues.
• Monitor coding productivity and quality, implementing process improvements as necessary.
• Strong knowledge of CPT and ICD-10 coding principles, governmental regulations, protocols, and Electronic Medical Records (EMR) system. Keeps abreast of changing industry and regulatory requirements and communicates changes to impacted clinicians, staff, and provides training.
• Oversees accurate billing of charges to Medicare, Medicaid, and other third-party payers according to insurance regulations and guidelines.
• Develops, implements and monitors policies and procedures, guidelines, and coding compliance plan for personnel in order to ensure compliance.
• Strong leadership, analytical, problem-solving, written, verbal, and interpersonal communication skills.

Physical Requirements

• Repeating motions that may include the wrists, hands and/or fingers.
• Sedentary work that primarily involves sitting/standing.
• Moving about to accomplish tasks or moving from one worksite to another.
• Moving self in various positions to perform tasks in tight and confined spaces.
• Lifting and Moving objects up to 20 pounds.
• Communicating with others to exchange information.

Environmental Hazards

• No adverse environmental conditions expected.

Work Schedule

M-F 8-5

Driving University Vehicle

No

Security Sensitive

This is a Security Sensitive Position.

Special Instructions

Applicants must submit a minimum of two professional references as part of their application. If needed, additional references can be added after the application has been submitted.

Benefits

For information regarding our Benefits, click here.

EEO Statement

The University of North Texas System is firmly committed to equal opportunity and does not permit -and takes actions to prevent - discrimination, harassment (including sexual violence, domestic violence, dating violence and stalking), and retaliation on the basis of race, color, religion, national origin, sex, age, disability, genetic information, or veteran status in its application, employment practices, and facilities; nor permits race, color, national origin, religion, age, disability, veteran status, or sex discrimination and harassment in its admissions processes, and educational programs and activities. UNT System Administration promptly investigates complaints of discrimination, harassment, and related retaliation and takes remedial action when appropriate. System Administration also takes actions to prevent retaliation against individuals who oppose any form of harassment or discriminatory practice, file a charge or report, or testify, assist, or participate in a related investigation or proceeding.