Manager of Medical Coding - Remote
Employment Type:
Full time
Shift:
Description:
Manager of Medical Coding
Summary
We are seeking a leader and certified coder with expert knowledge of professional coding (CPT-4, HCC, and ICD-10-CM) to manage a team of remote coders responsible for TogetherCare Epic coder work queues. St. Peter’s Health Partners Medical Associates. P.C. (a member of Trinity Health), is the leading provider of healthcare in the NYS Capital Region with over 900 billing providers.
We are looking for a candidate with strong Interpersonal skills include verbal and nonverbal communication, the ability to handle conflict, teamwork, empathy, listening, and a positive attitude with kindness. Being flexible and positive, able to listen, and communicating well are important criteria for this remote position. Strong analytical/ critical thinking skills; detail oriented; proficiency with computers (Epic experience preferred); and the ability to multi-task are critical. The position reports to the SPHPMA Director of Compliance and will work closely with the Compliance team.
The Manager of Coding is responsible for the centralized oversight of SPHPMA professional coding. The incumbent will perform all job functions in a courteous and professional manner consistent with the mission and goals of St Peter’s Health Partners Medical Associates.
Skills
Expert knowledge of billing, reimbursement, CPT-4 and ICD-10-CM coding; strong written and verbal communication skills; strong analytical/critical thinking skills; detail oriented; proficiency with computers; multi-tasking skills required.
Job Duties and Responsibilities
Oversight of all SPHPMA professional services coding staff to ensure the accurate and optimal coding of medical records utilizing ICD-10-CM, CPT-4 Procedure Codes, the use of Correct Coding Initiative (CCI) edits and the 3M software tool as well as payer and industry standards.
Oversight of all internal coding training throughout SPHPMA, including coders imbedded in practice offices.
Develops and implements systems/methodologies to monitor the quality and effectiveness of coding practices in support of the SPHPMA Compliance Plan.
Is responsible for managing coder work queues ensuring balanced coder responsibilities and monitoring Epic coding dashboards.
Is responsible for periodic assessment, monitoring and auditing of quality and accuracy of all coder’s work.
Develops coder skills, sets task completion expectations and assigns coders to code specific specialty areas of expertise.
Collaborates with Revenue Integrity to recommend and implement changes to ensure documentation integrity and optimal reimbursement for services.
Collaborates with relevant committees and EPFS on denial prevention.
Participates in Trinity-wide work groups, training, and other efforts to address appropriate coding and documentation.
Maintains an awareness of laws and regulations, keeping abreast of current changes that may affect health care systems through personal initiative, seminars, training programs and peer contact.
Participates in and/or provides guidance in developing analytics for tracking and trending ensuring a proactive approach to identifying and correcting coding deficiencies.
Maintains professional certified coder status (CPC or CCS).
Maintains patient confidentiality and adheres to HIPAA/Privacy and Security regulations as appropriate.
This description is intended to only provide basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve. These responsibilities are subject to change at any time.
Qualifications
Certified Professional Coder (AAPC) or Certified Coding Specialist (AHIMA)
Hierarchical Condition Coding (HCC) experience preferred
Member American Health Information Management Association (AHIMA)
Demonstrated coding / compliance experience (10+ years)
10+year work experience may be substituted for a college degree (bachelors and/or masters)
Proficiency with Microsoft Office including Teams
Excellent attention to detail and organization
Commitment to confidentiality and respect
Solid judgement to escalate issues appropriately
Demonstrated ability to handle multiple priorities in a deadline-driven environment
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
EOE including disability/veteran