The Medical Coder Manager oversees the daily operations and delivery of physician office and professional fee coding services, ensuring adherence to established coding guidelines and compliance with regulatory requirements. This role is responsible for managing the coordination of accurate and compliant professional services coding, including the assignment of codes and compliance with industry standards. Additionally, the manager participates in audit projects, identifies training needs, and provides education to the professional services coding team based on audit findings.
Job Requirements:Education/Experience:
Equivalent to a Bachelor’s Degree in Health Information Management or a related field.
Minimum of five (5) years of coding/auditing experience in an acute care setting, including inpatient, outpatient, and ambulatory surgery.
At least three (3) years of experience in a supervisory or management role.
Licensing/Certification Requirements:
Must hold at least one of the following certifications issued by the American Health Information Management Association (AHIMA):
Certified Coding Specialist (CCS)
Registered Health Information Technician (RHIT)
Registered Health Information Administrator (RHIA)
Knowledge, Skills, Abilities, and Physical Requirements:Knowledge of:
Federal, state, and county laws and regulations governing medical coding.
Effective supervisory principles and practices.
Coding guidelines and principles, including ICD-10-CM/PCS, CPT/E&M, and HCPCS.
Documentation and billing regulations related to Medicare, Medicaid, and commercial insurance.
Revenue cycle workflows, including charge capture, charge master, code edits, auditing, denials management, and documentation improvement.
Budget principles and financial management.
Information management principles, confidentiality laws, and patient rights.
Data collection and analysis techniques.
Electronic health records (EHR) and related software applications.
Department and hospital safety procedures, infection control policies, and emergency response protocols.
Skills in:
Effectively managing and leading assigned staff.
Conflict resolution and performance management.
Budget planning and cost control.
Statistical and medical data interpretation and evaluation.
Problem-solving and implementing performance improvement strategies.
Utilizing electronic health record systems, including 3M 360 or similar computer-assisted coding systems.
Communicating effectively with diverse populations and stakeholders.
Building and maintaining effective working relationships within the organization.
Ensuring efficient, effective, and safe use of coding-related equipment and tools.
This position offers an opportunity to lead a team in a fast-paced healthcare environment while ensuring compliance with industry standards and improving coding accuracy.
Job Type: Full-time
Pay: $80,000.00 - $124,633.00 per year
Benefits:
401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance
Schedule:
8 hour shift
Day shift
Monday to Friday
Ability to Commute:
NV 89102, United States (Required)
Ability to Relocate:
NV 89102, United States: Relocate before starting work (Required)
Work Location: In person