Coding Manager - EM

Core Clinical PartnersAtlanta, GA

About The Position

Core Clinical Partners stands at the forefront of Emergency and Hospital Medicine, delivering unparalleled services through a model that emphasizes patient-centric care and operational excellence. Our corporate values – Genuine, Accountable, Dynamic, Respectful, and Fun – are the pillars that uphold our commitment to revolutionize healthcare delivery. The Coding Manager oversees the medical coding department, ensuring accurate and compliant coding practices that optimize revenue cycle performance.

Requirements

  • Bachelor’s degree or equivalent is required
  • EHR/EMR (Electronic Health Record/Electronic Medical Record) experience required.
  • Chart Auditing/Optimization experience is a must

Nice To Haves

  • RHIA, CDI, CPC, CCS, CCS-P
  • 3-5 years’ experience in Hospital or Physician practice environment desired.
  • Experience with Evaluation & Management coding; hospital medicine background preferred.

Responsibilities

  • Lead, mentor, and manage a team of medical coders (Emergency Medicine and/or Hospital Medicine)
  • Monitor Emergency Medicine and Hospitalist auditing department to ensure quality and productivity goals are met.
  • Monitor facility and clinician acuity to ensure quality standards are maintained.
  • Ensure coding compliance with CMS, AMA, AHA, and payer-specific guidelines.
  • Oversee the coding of diagnoses, procedures, and services using ICD-10-CM, CPT, and HCPCS codes.
  • Review coding audits and implement corrective actions when necessary.
  • Review Medical Records for inconsistent coding practices and offer remediation solutions.
  • Analyze and streamline coding workflows for efficiency and accuracy.
  • Utilize data analytics and reporting to identify trends, discrepancies, or training needs.
  • Participate in company-wide initiatives related to clinical documentation improvement.
  • Liaise with physicians, clinical staff, billing, and revenue cycle teams to clarify documentation and resolve coding-related issues.
  • Support accurate clinical documentation improvement (CDI) efforts.
  • Perform ongoing outreach/education for new and existing clinicians for Emergency Medicine and/or Hospital Medicine documentation requirements using a variety of formats.
  • Advise and educate internal operations teams on documentation coding by participating in Monthly Facility/Team Meeting group sessions.
  • Participate in provider Electronic Medical Record (EMR) training and provide feedback/clarification on documentation and coding workflow concepts.
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