PROFESSIONAL CODING MANAGER

Description

Location: SGMC Patient Financial Services
Department: REVENUE CYCLE MEDICAL GROUP
Schedule: Full Time, 8 HR Day Shift, 8-5

SUMMARY

Job Summary: 

• Responsible for the management of all coding functions within the system for professional services. 
• Conducts performance reviews.
• Monitors coding accuracy, performs monthly audits of both internal, and contract staff to ensure 95% accuracy maintained consistently. 
• Reports noncompliance issues detected through auditing to Director. 
• Develops and coordinates corrective action plans, follow-up audits, and ongoing monitoring. 
• Analyzes and adjusts workflow to facilitate productivity and monitors productivity. Trains coding personnel. 
• Maintains unbilled accounts due to coding at acceptable levels and works to remove barriers that delay coding and billing. 
• Works with all practice managers and department leads to resolve billing problems. Also, coordinate with the Professional Billing Manager to resolve claims issues. 
• Updates policy and procedure manuals. Stays up to date on coding conventions and billing compliance and educates staff on all updates and changes. 
• Performs coding functions as necessary. 
• Coordinates with the Director of Physician Revenue Cycle to meet all regulatory standards. 
• Identifies trends, patterns, and variations in coding practices. 
• Oversees and monitors coding compliance and education. 
• Develops and coordinates education and training programs regarding evaluation and management, proper documentation, policy and regulation changes. Responsible to educate providers, practice managers, and billing staff as necessary. 
• Interacts with a variety of people who influence the success of the coding program. Will function as a facilitator, liaison, and/or motivators.

Knowledge, Skills, & Abilities:

• Certified Professional Coding Certification required. 
• Minimum 5 years’ experience directly related to duties and responsibilities specified.
•  At least 2 years management or supervisory experience preferred. 
• Very strong customer relation skills is essential.
• Advanced communication skills both verbal and written are necessary.
• Ability to teach and mentor staff.
• Familiarity with professional coding societies and resources.
• Experience working with physicians regarding medical coding practices. 
• Ability to share knowledge in such a way that it enhances learning.