Manager Medical Group Coding

Virtua Health

1d • Remote

About The Position

At Virtua Health, we exist for one reason – to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between – we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics.

Requirements

• Expert knowledge of professional fee coding required (ICD-10, CPT, HCPCS, and other reimbursement methodologies), including compliance and audit requirements.
• 2 years of supervisory experience preferred or 5-7 years of coding experience.
• Excellent organizational, communication, and customer service skills.
• Ability to utilize Information Systems, including electronic health records, effectively
• Ability to make sound decisions independently and provide guidance.
• Bachelor’s or Associate’s degree in Health Information Management/other related field, or 5-7 years of relevant experience.
• Certification as a CPC and/or CCS-P required.

Responsibilities

• Plans and manages daily functions of the VMG Coders.
• Ensures compliance with federal, state, and payer requirements.
• Ensures ethical and accurate coding, as well as review of provider assigned codes.
• Responsible to maintain A/R at an acceptable level and determine remediation plans for backlogs or workload increases.
• Responsible for implementing use of vendor services when departmental needs warrant additional staffing.
• Maintains quality, productivity, and workflow standards within VMG’s coding department.
• Identifies opportunities for enhancement of coding processes and develops workflow to support improvements.
• Ensures appropriate use of technology to support best practices.
• Ensures adherence to VMG, Government and Payor policies by management, coding staff and clinicians.
• Human resource management: Interviews, hires, trains, coaches, counsels, disciplines, terminates, evaluates, recognizes, and mentors coders. Performs payroll and associated functions. Maintains staff schedules.
• Develops and implements training plans for coding staff and ensures proficiency. Provides clear instruction and ensures staff accountability and adherence to established standards.
• Establishes and maintains productive relationships and communication with all providers and clinicians, as well as practice management and billing department. Offers suggestions for recommendations for resolution of problems and open issues.
• Collaborates with external colleagues to learn best practice and ensure Virtua is at the forefront for coding practice.
• Responsible for departmental adherence to budgetary guidelines and is able to justify and explain variances.
• Communicates with leadership regarding revenue improvement opportunities determined through course of documentation review.

Benefits

• Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees