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Manager Coding

Expired Job

Unitypoint Health Johnston , IA 50131

Posted 2 months ago


Operations Coding Manager

Unity Point Clinic - Johnston, IA

Monday- Friday, Days, 8a-5p (Flex Schedule)

Full-Time Benefits, 40 Hours/ Week

ResponsibilitiesProvide leadership within the coding department in order to ensure effective, efficient audit and training operations, optimizing performance and continually improving quality of care in a vastly changing health care environment.Create a culture of innovation, learning, teamwork and professional practice,consistent with the mission, vision and values of the organization.Oversee the day-to-day management of the coding department including thecoordination of coding audits, establishment of work schedules, review ofaudit results and the supervision and training of staff in good customerrelations and department policies and procedures.Establish effective mechanisms of communication with staff, providers, andthe organization management team to foster an environment of openness,trust, teamwork and staff development.Responsible for the interview and hiring process including completion ofemployment forms in an accurate and timely manner and coordinatingorientation and training programs for new staff members.Prepare and submit accurate biweekly payroll reports in a timely fashion.Monitor ongoing site analyses of the status of coding and documentationsystems for each regional clinic to assure accurate coding and billing of allservices including:Appropriate documentation supports services billedCPT and ICD-9 codes justify provider services

Use of appropriate modifiers

Compliance with third party payers guidelines

Serve as internal coding consultant for the organization.Meet regularly with individual providers to review audit results addressing any noted deficiencies.Develop and oversee implementation of appropriate initial and ongoing training programs for providers and staff related to proper coding and reimbursement guidelines.Report audit findings or coding suggestions/enhancements to supervisor, regional medical directors and, as necessary, the Director of Billing.Conduct clinic site visits to ensure uniform application of coding/reimbursement guidelines.Gather information and prepare initial response to external agency compliance inquiries and audits according to statewide guidelines for review by supervisor.Provide assistance in researching and answering coding questions.Research claim denials and provide suggestions for coding appropriateness.Work with supervisor to develop and manage departmental budget.Be aware of what is happening in clinic/department and the organization by attending clinic/department meetings, reading emails and regularly checking information on the organization's intranet site.Maintain compliance with CLIA, OSHA, Safety and Risk Management guidelines.Maintain regular and consistent attendance at work.Maintain compliance with Personnel policies and procedures.Monitor environmental conditions in order to secure protected health information.Behave in a manner consistent with all Compliance and HIPAA policies and procedures.Demonstrate initiative to improve quality and customer service by striving to exceed customer expectations.Balance team and individual responsibilities; be open and objective to other's views; give and welcome feedback; contribute to positive team goals; and put the success of the team above own interests.Perform other duties as requested by the management team

QualificationsA.A.S. degree in Health Information Management and/or certification as RHIT or RHIA and minimum of five years' experience coding diagnoses and procedures with ICD-9-CM and CPT or equivalent combination of education and experience.Knowledge of medical terminology, anatomy and physiology.Strong supervisory and leadership skills.Strong verbal and written communication skills.Ability to take initiative and exercise independent judgment, decision making and problem-solving expertise.Previous computerized practice management/billing system experience.Knowledge of diagnostic and procedural coding requirements in conjunction with submission of insurance claims to third party payers.Ability to work as a team member.Ability to understand and apply guidelines, policies and procedures.Knowledge and experience with medical billing, third party fee profiles and reimbursement policies and procedures.Knowledge and experience with CQI processes.Strong interpersonal skills.Strong computer skills.

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Manager Coding

Expired Job

Unitypoint Health