Manager - Coding

UHS•Tredyffrin Township, PA

17h

About The Position

Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve. The Coding Manager is responsible for driving consistency across IPM, related to medical record documentation and the correct use of CPT-4 and ICD-10 codes to ensure adherence to established Government and third-party billing guidelines, AMA, AAP, CMS, and coding policies. This role contributes to the development of medical coding and documentation plans and materials and works with the Markets to enhance documents and templates to enhance the coding and charge entry process. The manager ensures timeliness and accuracy of charges submitted, meets regularly and develops positive business relations with the Markets to provide ongoing training and education for employees and providers. They work with CBO Leadership to identify coding-related revenue cycle problems, research/analyze data to resolve issues, identify and select alternatives to address outstanding issues and implement solutions for improvement. The Coding Manager coaches, counsels and mentors all coding staff, and is responsible for driving consistency across IPM related to clinical documentation and the correct use of CPT-4 and ICD-10 codes to ensure adherence to established Government and third-party billing guidelines, AMA, AAP, CMS, and coding policies. They also develop workflows and education plans and materials and review and recommend updates, as needed, to enhance the overall coding and charge entry process.

Requirements

5-8 years' minimum working in a healthcare (professional) billing, health insurance, coding or equivalent operations work environment.
Minimum 5 years of direct supervisory experience managerial or administrative experience required.
Knowledge of Healthcare (professional) billing, CPT/ICD-10 coding, government, government sponsored and commercial follow-up requirements as well as appeals processes and requirements.
Thorough understanding of the revenue cycle and how the various components work together.
Maintain an expanded knowledge base of medical terminology, standard medical abbreviations, anatomy and disease processes, CPT-4, and ICD-10, and abstracting of clinical documentation to meet regulatory and compliance requirements.
Demonstrate excellent initiative and judgement.
Work independently applying effective approaches to task prioritization, time management, delegation of tasks and meeting deadlines.
Exhibit outstanding decision making and customer service.
AAPC CPC Certification required.

Nice To Haves

Bachelor's degree
Mainframe billing software (e.g., Cerner, Epic, IDX) experience highly desirable

Responsibilities

Driving consistency across IPM, related to medical record documentation and the correct use of CPT-4 and ICD-10 codes to ensure adherence to established Government and third-party billing guidelines, AMA, AAP, CMS, and coding policies.
Contributing to the development of medical coding and documentation plans and materials.
Working with the Markets to enhance documents and templates to enhance the coding and charge entry process.
Ensuring timeliness and accuracy of charges submitted.
Meeting regularly and developing positive business relations with the Markets to provide ongoing training and education for employees and providers.
Working with CBO Leadership to identify coding-related revenue cycle problems, research/analyze data to resolve issues, identify and select alternatives to address outstanding issues and implement solutions for improvement.
Coaching, counseling and mentoring all coding staff.
Developing workflows and education plans and materials and reviewing and recommending updates, as needed, to enhance the overall coding and charge entry process.
Perform ongoing review and feedback on the correct use of CPT-4 and ICD-10 codes and to ensure adherence to established Government and third-party billing guidelines, AMA, AAP, CMS, and coding policies.
Meet regularly with Market leadership and Regional Coding/Charge Supervisors to discuss opportunities for improvement, impact to the revenue cycle, and ongoing training and education for providers and employees.
Promote a work environment of accountability and ownership.
Set appropriate standards of performance and communicate clear expectations to the team.
Conduct one-on-one meetings with direct reports to provide a structured time to provide coaching, discuss accomplishments and review the status of revenue cycle operations within their scope of responsibility.
Discuss areas of professional development as well as goal tracking/reporting, projects, and other pertinent topics.
Maintain comprehensive and concise documentation of the one-on-one meetings, next steps, and expectations.
Manage the employment hiring process for the Coding and Charge Entry Department.
Prepare well thought-out and meaningful performance appraisals for direct reports summarizing performance as well as focusing on opportunities for improvement and recognizing performance that exceeds expectations.