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Job Ref.: 5106

Job Title: Coding Manager

Role: Accounting / Finance / Billing / Collections

Relocation Available: Yes, location is Cincinnati area

Industry: Healthcare

Location: Kentucky

Town / City: Crescent Springs

Job Type: Permanent full-time

Job description:

Position Summary: Responsible for the leadership, day to day operations, and strategic growth of the Billing and Coding Department.
General Purpose: Operations and Service Delivery Leadership; employee and client relations; problem resolution; critical thinking; auditing; relationship and team building
Essential Duties and Responsibilities:
•           Deliver value in the form of stable, predictable, and impactful business results by supporting the identification and collection of underpayment revenue opportunities
•           Lead service delivery efforts to provide billing, coding, and compliance reviews on issues referred by other internal operations teams
•           Establish workflows and controls for monitoring key metrics associated with the department’s operations performance, efficiency, and effectiveness
•           Partner with and provide consultative support to other operations leaders and departments
•           Independently source and pursue opportunities for process improvement, efficiencies, and optimization of service delivery capabilities
•           Provide subject matter expertise to the organization on billing, coding, and compliance related issues
•           Onboard, engage, and motivate key talent in support of your goals and in compliance with policies, procedures, and standards
•           Scale process and workflows to meet growing demands of the business
•           Ensure team successfully achieves quality, productivity and collection goals
•           Monitor regulatory updates and ensure all relevant information is communicated and incorporated in to departmental and company procedures
•           Maintain regular contact with necessary parties regarding claim or project status including carriers, clients, managers and other personnel
•           Investigate various issues with carriers and their contracts, respond to questions and resolve problems
•           Prepare and submit correspondence such as letters, emails, online inquiries, appeals, adjustments, reports and payment posting
•           Perform duties of analyst, lead analyst or supervisor as needed
•           Organize, prepare and/or attend department, client and company meetings
•           Comply with federal and state laws, company policies and procedures
Essential Skills and Experience:
•           Minimum 10 years of relevant and progressively responsible work experience with a
•           Minimum 5 years in a Management role
•           Must have and maintain coding certificate; CPC or equivalent
•           Demonstrated skills in planning, organizing, delegating and supervising
•           Business process and workflow mapping skills
•           Articulate, well-spoken, and thoughtful
•           Demonstrated effectiveness in time management skills to complete tasks on time
•           Advanced proficiency with desktop applications including strong working knowledge of MS Excel, Word and Outlook
•           Advanced Analytical and problem solving skills, including the ability to define problems, collect data, establish facts and draw valid conclusions
•           Ability to read and interpret an extensive variety of documents such as contracts, claims, instructions, policies and procedures in written (in English) and diagram form
•           Ability to write routine correspondence (in English)
•           Strong customer service orientation
•           Excellent interpersonal and communication skills
•           Strong team player
•           Commitment to company values

Bottom Line Requirements:

1. 10+ years of healthcare coding work experience including 5+ years in a Management role.
2. Coding certificate; CPC or equivalent (CPC, CIC, COC or CCA).
3. Demonstrated skills in planning, organizing, delegating and supervising.
4. Business process and workflow mapping skills.

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