You Matter Here!
Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter!
Hours: 40-Hours, Days, Monday - Friday, Hybrid
We are committed to equitable and transparent compensation practices. The salary range for this position reflects our good-faith estimate of base pay at the time of posting. Final compensation will be determined based on a variety of factors, including relevant experience, skills, qualifications, and internal equity. We regularly review our compensation structures to ensure fairness and consistency.
Responsibilities:
- Maintain and oversee the efficient operation of the coding unit including contract and vendor coders.
- Coordinate and support activities of Coding specialists and assist with coding/charge entry processes.
- Conduct on the job training for coding team members to ensure understanding of responsibilities, policies, and procedures.
- Serve as liaison between HIM Coding and other departments.
- Lead or participate in cross-functional workgroups/committees representing coding and billing issues.
- Collaborate with Coding Specialists to assess workflow needs and assist with coding as needed.
- Review medical records for accurate coding of diagnoses and procedures using current guidelines.
- Monitor Coding Vendor services to ensure timely coding and billing.
- Work SSI Coding Edits and serve as liaison for Patient Accounting.
- Maintain Coding credentials through AAPC or AHIMA and stay updated on technology, guidelines, and regulations.
- Monitor remote coding staff schedules, attendance, and earned time off; may perform payroll functions.
- Share knowledge to improve performance and provide education and support.
- Conduct system testing, provide feedback, and support implementations related to coding.
- Prioritize projects and tasks to meet deadlines.
- Monitor quality, productivity, and performance by conducting coding validation audits.
- Communicate with management, staff, and hospital personnel regarding clinical and reimbursement issues.
- Maintain 3M Encoder, perform updates, troubleshoot issues, and liaise with IT.
- Monitor Medicare and other payor bulletins and communicate summaries to coding/CDI staff.
- Run reports to identify unbilled accounts and support DNFB/DNFC and A/R monitoring.
- Resolve issues and concerns with Coding Staff for smooth operations.
- Maintain communication with physicians and HIM staff to ensure accurate, timely coding.
- Maintain knowledge of coding and billing requirements based on third-party payers and ensure compliance with federal and state regulations.
Physical Requirements:
- Prolonged sitting using keyboard and mouse.
- Occasional exertion of up to 20 pounds of force.
- Frequent reaching and handling tasks.
Behavioral Attributes: Achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking, and information seeking.
Qualifications:
- Coding credential from AHIMA (CCA, CCS, CCS-P) or AAPC (CPC, CIC, COC, CRC) required.
- 3-5 years coding and billing experience.
- 2+ years supervisory experience preferred.
- Experienced in ICD-10-CM/PCS, CPT4, HCPCS, E/M coding.
- Knowledge of Medicare billing rules (LCD/NCD, CCI, Medical Necessity, ABN) is a plus.
- Experience with 3M Encoder required.
- Experience with Meditech Expanse EMR preferred.
- Strong analytical, attention to detail, critical thinking, and research skills.
- Coding credential from AHIMA or AAPC (CCA, CCS, CCS-P, CPC, CIC, COC, CRC) required.
- Minimum 3-5 years coding and billing experience.
- Minimum 2 years supervisory experience preferred.
- Knowledge of multiple coding methodologies including ICD-10-CM/PCS, CPT4, HCPCS, E/M.
- Experience with 3M Encoder required.
- Preferred experience with Meditech Expanse EMR.
- Understanding of Medicare billing rules advantageous.
- Strong analytical and critical thinking skills.
- Ability to interpret medical documentation accurately.
Competitive wages, great benefits, generous earned time off, equitable and transparent compensation practices.
Location
Massachusetts, US
Employment Type
Full-time
Experience Level
Manager
Remote work allowed
Yes
Posted
3 weeks ago