Manager of Medical Coding for Revenue Cycle Management
Paramus, NJ
OVERVIEW:
The Coding Manager is responsible for the accurate and effective coding of all assigned clients. This role includes overseeing all coding staff, education, and educator positions including the auditing of their performance and productivity.
The Coding Manager will provide hands on support, represent the department at meetings, and provide physician education in interpretation, coding compliance, and documentation improvement. Works with external auditing companies engaged with MedicsRCM.
RESPONSIBILITIES:
- Perform training on coding and methods of coding with clients and Account Managers
- Monitor, measure, and audit performance for specific clients with coding needs
- Ensure compliance and/or oversee compliance with all policies and procedures
- Manage, identify, research, and resolve daily work issues, and collaborate with
- Account Managers and Directors to ensure successful results
- Make certain that tasks assigned to individual clients are completed
- Maintain payer relationships to ensure speedy coding processes
- Lead communication regarding clients’ credentialing needs
- Maintain and understand federal and state regulations
- Manage pre-claims scrubbing rules and client-specific rules within a client’s database
- Uphold strict patient confidentiality/HIPAA compliance
- Attend coding presentations/webinars to remain current with any and all payer changes and updates
- Track MAC, LCD, NCD policies in all regions and report changes as appropriate
- Provide excellent customer service to clients and patients on an as-needed basis
- Maintain thorough knowledge of insurance carriers and their claim guidelines / requirements
- Create competencies for coding staff
- Create audit coding process and verification
QUALIFICATIONS:
- High School or GED required; bachelor’s degree preferred
- Current CPC or CCS certification required
- CPMA and / or CCP preferred but not required
- Member in good standing with AHIMA and / or AAPC
To apply for this position, please complete the form on this page.
