Professional Coding Manager

Beth Israel Lahey Health

1d•$83,637 - $112,570•Onsite

About The Position

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Under the direction of the Director of Coding, the Professional Coding Manager will manage the Ancillary Coding staff for daily workflow, communication, and education of coding guidelines. The Professional Coding Manager will monitor and report on coding work for quality, productivity, and compliance. The Professional Coding Manager will work to ensure proper coding following CMS and appropriate regulatory coding guidelines for quality and compliance. The Professional Coding Manager will develop goals to meet the overall goals of Beth Israel Lahey Health (BILH) and its affiliates.

Requirements

Bachelor's Degree or Equivalent Required
Coding Certificate from College Level Coding Program (or equivalent), and CPC, CCS-P, CPC-H, or CCS required.
5+ years of management in a Healthcare Environment preferably in a Professional Coding and/or Billing environment for a large Group Practice.
CPT, HCPCS, and ICD-9 coding for Professional Coding
Computer skills including Microsoft Word, Excel, Access, Powerpoint, and other basic computer skills.
Excellent verbal and written communication skills are required.
Presentation Skills required.

Responsibilities

Manages staff to establish standards for quality and quantity of work performed.
Responsible for developing departmental goals and objectives in accordance with overall department and facility goals and objectives.
Works with staff to ensure compliance of, and proper coding technique as defined by CMS regulations, Local Medicare Review Policies (LMRPs), Local Carrier Determinations (LCDs), the AMA, any applicable BILH compliance policies, and/or any relevant accrediting organizations.
Provides ongoing coding education as well as new coder education on proper coding and documentation.
Ensures that the Coding staff reviews and updates any paper encounter forms/billing forms/and/or codes used for billing through interfaces on a regular basis.
Ensures that Coding staff conducts physician coding audits and assists in communicating results and recommendations.
Ensures that Coding staff conducts new physician orientation and ongoing physician training as needed.
Works with Coding staff to analyze rejected claims and patient inquiries and recommends appropriate coding corrections.
Attends management meetings, interacts with other managers to resolve problems, and conducts regular staff meetings to ensure consistent communication of the Coding department as well as BILH policies, expectations, and goals.
Acts as a liaison for Revenue Cycle Teams as appropriate.
Documents problems and handles complaints from employees, physicians, and administration.
Keeps the Director informed of problems and challenges in the Coding Department.
Attends appropriate organizational and industry meetings to develop and maintain necessary Professional and Technical Coding knowledge as well as stays current will all billing regulations as they relate to coding.
Follows all CMS, AMA, AHA, CPT, ICD-9, HCPCS, coding and billing guideline