Coding Operations Manager

Gastro Health•Miami, FL

1d•Onsite

About The Position

Gastro Health is currently looking for an enthusiastic full-time Coding Operations Manager to join our team! This position provides hands-on leadership and oversight of all billing, coding, and revenue cycle management (RCM) functions, ensuring accuracy, timeliness, and compliance across systems, processes, and vendor relationships. Key responsibilities include preparing RCM reports, monitoring KPIs, reducing denials through workflow improvements and education, and maintaining up-to-date knowledge of coding guidelines.

Requirements

1 or more applicable Coding Certificates (CPC, COC, CRC, CPMA, CGIC)
More than 5 years’ experience/Seniority with healthcare billing
Experience with a large, growing healthcare organization support 100 or more providers
Experience with HR policies/Procedures/Payroll/Timesheet management for staff
Extensive knowledge of patient registration, coding, billing, regulatory requirements, billing compliance, business operations, financial systems and financial reporting

Nice To Haves

Bachelor’s Degree highly preferred but experience can be substituted for education

Responsibilities

Hands-on management of all billing programs, systems, processes, and third-party vendors to ensure accurate, timely and well-controlled activities related to coding departments
Prepares weekly and monthly RCM reporting metrics to remediate any items outside established KPI including status report of projects.
Effectively implement denial management reduction through process improvements, coordinating direct or indirectly, with internal team and offices to improve workflows and provide training and education.
Maintain understanding and communicates coding guideline changes across the markets
Meet with Care Center Managers for timely remediation of care center hold items
Formulate and execute policies and procedures to ensure the billing workflow is highly effective.
Daily reviews of the following programs: Incoming claim/denial volumes, daily billing, rejections, evaluate clean claim rates, and team workflow.
Develops quality control program to meet the company’s quality initiatives.
Ensure productivity goals are monitored and quickly re-mediates barriers to achieving those goals at the individual and/or team level.
Counsels and disciplines employees in accordance with department goals and policies.
Concentrated effort to develop and mentor team leads and Coding team members to allow for internal growth.
Maintain compliance with directives from all regulatory agencies and third parties.
Lead team meetings focused on collaboration and process improvement.