Director of Coding Operations

Gastro Health•Miami, FL

1d•Onsite

About The Position

Gastro Health is seeking a Full-Time Director of Coding Operations to join our team! Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours. The Director of Coding Operations is responsible for the oversight of the day to day operations of the Coding Department. This role is responsible for ensuring accurate, compliant and timely coding practices that support the Organization’s revenue cycle and operational goals. The Director is responsible for continuously ensuring operational benchmarks are met, continuous process improvement, and oversight of all technologies that support Coding Operations.

Requirements

Extensive knowledge of patient registration, coding guidelines, regulatory requirements and billing compliance
Ability to work in multiple systems and reconcile all systems to ensure charge capture
Ability to investigate and determine issues among disparate systems in order to solve problems to ensure charge capture
Ability to collaborate with Interface, Systems and HIM team members to provide SME for process improvement, resolution of issues, troubleshooting.
Associates or Bachelor’s Degree highly preferred; experience may be substituted for education
Greater than 5 years’ progressive experience in Healthcare Coding and Billing; at least 1 year of people management
Applicable Coding certifications (e.g. CPC, COC, CRC, CPMA)
Experience with a large and growing healthcare organization, supporting a large number of team members

Responsibilities

Directly oversees and manages day to day operations Coding Department
Work closely with management team to prioritize, assess, and re-prioritize daily workflows to ensure timely execution of Coding and meeting/exceeding goals/KPI.
Evaluate opportunities for creation of front-end scrubs/edits based on coding guidelines and denial management review.
Evaluate and implement streamlined improvement initiatives to ensure the team is highly effective
Implement and maintain strong new hire training process
Evaluate, document, and implement appropriate policy/procedures for coding workflow.
Ensure audits of team members completed to ensure quality initiatives are being met and exceeded.
Identify trends in underpayments, denials, aging receivable that compromise the ability of the Coding team to meet established goals and implement resolutions
Strong analytical skills to prepare project data with external payors and partners.
Systems expert for all Coding systems used so that the department can maintain a highly efficient and productive team
Establish weekly/monthly goals, ensure Coding team members are utilizing all resources and meeting and/or surpassing weekly/monthly KPI’s and productivity expectations
Prepare weekly and monthly RCM reporting metrics to remediate any items outside established KPI including status report of projects.
Research and maintain understanding of policy changes across the RCM markets.
Daily oversight of the following: Incoming claim/denial volumes, daily billing, rejections, evaluate clean claim rates, and team workflows.
Preparation for team meetings focused on collaboration and process improvement
Understanding of complex interfaces and workflows and ability to quickly identify issues and correct them
Prepare and report to senior leadership on coding status/KPIs on a weekly basis

Benefits

401(k) retirement plans with employer Safe Harbor Non-Elective Contributions of 3%
Discretionary profit-sharing contributions of up to 4%
Health insurance
Employer contributions to HSAs and HRAs
Dental insurance
Vision insurance
Flexible spending accounts
Voluntary life insurance
Voluntary disability insurance
Accident insurance
Hospital indemnity insurance
Critical illness insurance
Identity theft insurance
Legal insurance
Paid time off
Discounts at local fitness clubs
Discounts at AT&T
Tickets at Work program that provides discounts on concerts, travel, movies, and more.