Description:
Position Description
This position manages all administrative and daily functions that contribute to the coding, entry, and auditing of charges and medical documentation. The Coding and Charges Manager is responsible for overseeing the Coding and Charges Department including all personnel and functions. They oversee all of the daily operations for the department and implement quality control standards and audits to ensure that all coding is properly billed under the industry guidelines as set by the AAPC.
Position Duties
The position requires the following primary duties to be successful:
Supervising the Coding and Charges Department in various duties, such as medical documentation review, proper CPT and ICD-10 documentation and entry, timely entry of all charges, and performing of quality control audits
Implementing and managing a system to ensure that accurate billing information is entered into the billing system
Setting and meeting department goals and addressing immediately any deficiencies.
Managing staff performance by providing regular feedback, performance reviews, and one-on-one meetings
Overseeing the hiring and training of staff
Attendees monthly and/or quarterly AAPC seminars to assure all coding is aligned with the industry standard and changes
Planning and structuring the department workflow and staffing
Correctly coding diagnoses and procedures
Ensuring proper timely filing of all claims by implementing a timely standard of charge entry
Annually reviewing and updating of charge master
Collaborates professionally with clinical staff and all other departments to maintain unity and successful resolve outstanding request
Keeping updated records and tracking reports as required by management
Other duties as requested of the Revenue Cycle Manager that are consistent with and appropriate for this position title and role
Position Expectations
To perform the position successfully, an individual is expected to:
Provide proven experience as a manager of correct coding and documentation in the healthcare industry
Demonstrable experience with coding and charge entry
Knowledge of AAPC guidelines and industry correct coding standards
Sound knowledge of healthcare billing rules & regulations
Working knowledge of MS Office & Excel
Excellent communication and interpersonal skills
A strong analytical mindset
Outstanding organizational skills
Be passionate and professional
Be success-driven and metrics focused
Be smart; work smart
Have a positive attitude
Leadership by example
Be a positive agent for change/improvements within their department
Position Metrics
The execution of the position is quantifiably measured by the following:
Overall gross collections 100%
Position Requirements
Minimum Education Level: High School Diploma; college degree or college experience with a focus in healthcare management is beneficial
CPC certification required
Experience: 5 years of Experience in healthcare billing and coding
MS Office & Excel experience
EHR and PM software experience
Preferred: Ability to multi-task under time pressure. Strong communication and leadership skills
Be team oriented and able to work with various departments. Be able to make sound decisions while on the move in a fast-paced organization.
Position Miscellaneous
40 hours per week; extended work hours from time to time to meet deadlines
Setting goals, meeting deadlines and being compliant with departmental policies
Ability to interact, engage and communicate effectively with executive management, managers and clinic employees
Physical Demands: frequent sitting; limited lifting up to 10-15 pounds; frequent manipulation of documents; frequent typing or use of keyboard
Requirements:
Position Expectations
To perform the position successfully, an individual is expected to:
Provide proven experience as a manager of correct coding and documentation in the healthcare industry
Demonstrable experience with coding and charge entry
Knowledge of AAPC guidelines and industry correct coding standards
Sound knowledge of healthcare billing rules & regulations
Working knowledge of MS Office & Excel
Excellent communication and interpersonal skills
A strong analytical mindset
Outstanding organizational skills
Be passionate and professional
Be success-driven and metrics focused
Be smart; work smart
Have a positive attitude
Leadership by example
Be a positive agent for change/improvements within their department
Position Metrics
The execution of the position is quantifiably measured by the following:
Overall gross collections 100%
Position Requirements
Minimum Education Level: High School Diploma; college degree or college experience with a focus in healthcare management is beneficial
CPC certification required
Experience: 5 years of Experience in healthcare billing and coding
MS Office & Excel experience
EHR and PM software experience
Preferred: Ability to multi-task under time pressure. Strong communication and leadership skills
Be team oriented and able to work with various departments. Be able to make sound decisions while on the move in a fast-paced organization.
Position Miscellaneous
40 hours per week; extended work hours from time to time to meet deadlines
Setting goals, meeting deadlines and being compliant with departmental policies
Ability to interact, engage and communicate effectively with executive management, managers and clinic employees
Physical Demands: frequent sitting; limited lifting up to 10-15 pounds; frequent manipulation of documents; frequent typing or use of keyboard