Job Summary
Responsible for coordinating the day-to-day functions for the assigned area. Assists in ensuring departmental goals are achieved, timelines are met, and service excellence is provided in all aspects of work. Serves as a subject matter expert.
Essential Functions
- Assigns work, plans and manages priorities, provides technical assistance, oversees staff schedules, monitors quality of work, and monitors team projects.
- Mentors staff, provides constructive feedback, oversees staff training, supports quality improvement, and provides leadership feedback on staff performance.
- Assists with goal setting for the team.
- Processes billing system claim edits and reviews CPT/ICD-10 coding and medical record documentation submitted by providers for accuracy prior to billing.
- Reviews claims denied due to coding issues and makes corrections or recommendations for corrections.
- Assists providers and PFS billing/reimbursement staff with coding questions.
- Researches coding and compliance issues using regulatory and medical information resources.
- Collaborates with coding reviewers by providing feedback on trends identified during the daily coding process and attends provider reviews as assigned.
- Facilitates coding huddles.
- Prioritizes coding functions as directed by coding leadership and organizes work assignments to complete tasks within established timeframes.
- Uses computer-assisted coding tools in accordance with established workflows.
- Conducts provider queries for documentation issues using EHR workflows.
- Participates in departmental, provider, clinical operations, and billing meetings virtually or in person as needed.
- Performs other duties as assigned.
Requirements & Qualifications
Qualifications
Education
- Accredited coding program required, or equivalent combination of education and experience that provides the knowledge, skills, and abilities needed to perform the job.
Experience
- Minimum 5 years of directly related experience in provider coding, billing, charge capture, or provider review/auditing.
- Knowledge of anatomy, physiology, medical terminology, diseases, procedures, and therapies required.
- Previous leadership or supervisory experience preferred.
Credentials
- One of the following required within 1 year:
- Certified Professional Coder (CPC)
- Certified Coding Specialist Physician (CCS-P)
- Registered Health Information Technician (RHIT)
- Registered Health Information Administrator (RHIA)
- Certified Outpatient Coder (COC)
- Certified Coding Specialist (CCS)
Skills
- Proficiency in coding professional inpatient and/or ambulatory care, emergency department, and outpatient medical records using ICD-10-CM and CPT4 classification systems.
- Expertise in one or more specialty areas.
- Proficient with MS Office applications including Excel and Word.
- Proficient in EMR, encoders, and coding resource tools.
- Ability to manage conflict effectively and professionally.
- Proficient in a Windows-based computer environment and coding software systems.
- Strong verbal and written communication skills.
- Critical thinking and problem-solving skills.
- Familiarity with medical billing software and electronic medical records.
Benefits & Perks
Benefits
- Full medical, dental, and vision coverage
- 403(b) retirement plan with employer base and matching contributions
- Paid time off
- Employer-paid life and disability insurance with additional buy-up options
- Tuition and continuing education reimbursement
- Wellness benefits
- Expanded EAP and mental health program
- Full-time benefits eligibility
Location
Washington, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
1 month ago