System Professional Coding Provider Review and Education Manager

RWJBarnabas Health-posted 5 months ago
$110,681 - $156,337/Yr
Full-time • Manager
Oceanport, NJ
1,001-5,000 employees
Hospitals
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The System Professional Coding Provider Review and Education Manager is responsible for onboarding, educating, and reviewing medical record documentation and coding processes of the Medical Group physicians, APNs and other billing providers across all medical centers within the RWJBH enterprise. This includes onboarding education, medical record reviews, targeted education to physician groups and individual physicians, annual and quarterly updates, and ongoing scheduled education sessions as determined in collaboration with coding and physician management. Education will be available in both live on-site and remote presentation formats.

  • Manages staff of educators to ensure quality and accuracy of education trainings and provides or initiates appropriate additional education as needed.
  • Tracks staff productivity and ensures equitable distribution of work effort.
  • Prepares materials and conducts employed provider coding documentation and billing education as needed and determined by the RWJBH Medical Group Coding Steering Committee and Coding Management.
  • Utilizes appropriate federal, state and/or coding guidelines to format educational materials.
  • Responsible for creating and delivering annual and/or quarterly CPT, HCPCS and ICD-10 updates to providers.
  • Responsible for creating and maintaining education schedules in collaboration with physician leads.
  • Ensures accuracy and integrity of ICD-10-CM and CPT procedure coding for professional fee accounts.
  • Keeps current with relevant coding guidelines and Federal and State regulations.
  • Maintains a shared organizational repository with appropriate guidelines and regulations regarding physician medical record documentation practices.
  • Delivers education and training delivery either remote or in person.
  • Maintains attendance records in a singular database.
  • Works collaboratively with Physician Billing Reviewers to present coding education to providers.
  • Prepares and maintains detailed reports of educational activities.
  • Maintains and staff internal 'Coding Hotline' with knowledgeable staff.
  • Effectively communicates coding recommendations and reasoning to medical staff members and others.
  • Corresponds with the AMA and other relevant organizations as necessary.
  • Has effective collaborations with clinicians, health care providers, Revenue Cycle and Coding leadership.
  • Supervises and supports Provider Education and Coding Staff.
  • Performs other duties as assigned.
  • CPC, COC, or CPC-I (aka AAPC approved instructor) required, with at least 8-10 years of combined coding, teaching and auditing experience.
  • CPC-I and CPMA, in addition, are strongly preferred.
  • Associate's Degree or equivalent experience required.
  • Minimum three to five years of experience in a managerial position.
  • Must have advanced coding education and training with strong foundation in E/M coding.
  • Prior experience in teaching and auditing E/M coding for physicians is required.
  • Supervisory experience in a healthcare or coding environment strongly preferred.
  • Must have extensive knowledge of CPT, HCPCS, and ICD-10-CM Official Coding Guidelines.
  • Must have in-depth knowledge of coding processes, workflow management, and electronic health record (EHR) systems.
  • Must be proactive and work independently to prioritize multiple tasks and changes in work assignment to meet established deadlines.
  • Must be able to work in a fast-paced healthcare environment, work well under pressure and have the ability to adapt to a constantly changing environment.
  • Must possess organizational and planning skills, excellent verbal and written communication skills, and excellent interpersonal relationship skills.
  • Proficiency in Microsoft Office Suite (Excel, PowerPoint, Word) and coding software platforms (e.g., 3M, EncoderPro, Epic) preferred.
  • Must maintain active certification(s) and participate in continuing education as required by credentialing bodies.
  • Some travel may be required for on-site education or audits across RWJBH medical centers.
  • Paid Time Off (PTO)
  • Medical and Prescription Drug Insurance
  • Dental and Vision Insurance
  • Retirement Plans
  • Short & Long Term Disability
  • Life & Accidental Death Insurance
  • Tuition Reimbursement
  • Health Care/Dependent Care Flexible Spending Accounts
  • Wellness Programs
  • Voluntary Benefits (e.g., Pet Insurance)
  • Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!
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