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Manager Prof Medical Coding

Cape Cod Healthcare

Hyannis, MA
Job Code:
  • Healthcare
  • Management
  • Financial Services
Cape Cod Healthcare
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Job Details

Manager Prof Medical Coding-180413-50007678
Manages professional coding function and corresponding staff. Manages auditing and quality control and improvement initiatives, ensures compliance with internal policies and procedures and governing agencies, and works with HIM/Coding Director to assist with departmental needs and planning.
  • Ensure compliant coding operations quality coding and abstraction of clinical data in accordance with compliance with established policies, regulations, procedures and standards.
  • Manages staff performance as related to coding, communication with practices and resolution of claim edits, denials, procedures and standards as related to Physician Coding.
  • Confirm supervisory staffs are consistently performing performance-monitoring processes.
  • Define, implement, and monitor strategies for improving documentation.
  • Develop physician education strategies in conjunction with Clinical Documentation Improvement to promote complete and accurate clinical documentation.
  • Develop and report performance measures to the medical staff and other departments of physician specific information regarding documentation compliance.
  • Collaborate extensively with physicians, nursing staff and other patient caregivers to improve quality and completeness of documentation of care provided and coded.
  • Oversees the daily operations of the Physician Coding Department
  • Administers education and training necessary, evaluating the effectiveness of the education plan or performance improvement plans, providing feedback to Director.
  • Work collaboratively with HIM/Coding Management and Practice Management staff to assess the strengths of practitioners and staff involved in the coding process and make recommendations for improvements.
  • Serve as a resource to physician practices and staff for ongoing educational needs related to coding. Respond to practitioners and management questions regarding coding and reimbursement, researching as necessary to find answers and make recommendations.
  • Assist in the development, implement and evaluate educational programs for Coding applications and processes.
  • Provides input to Coding Management for employee evaluations.
  • Maintains current working knowledge of all coding and reimbursement rules, regulations, trends and new developments. Responsible for providing knowledge to staff as related.
  • Makes sound judgments; strong organizational, independent, problem solving and analytical skills.
  • Performs other job related duties and assignments as requested.

Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects Cape Cod Healthcare’s commitment to CARES: compassion, accountability, respect, excellence and service.

  • Bachelor’s degree required or equivalent combination of education and experience. Master’s degree preferred.
  • Current CCS (AHIMA Certified Coding Specialist) or CPC (AAPC Certified Professional Coder) required.
  • Minimum of five years of previous experience in Professional Coding including experience in auditing and/or management. Possess strong working knowledge of medical terminology, anatomy and physiology, reimbursement requirements.
  • One to two years supervisory experience of professional coding staff.
  • Requires comprehensive understanding of Evaluation and Management Coding and Specialty coding.
  • Specialty in E&M (CEMC), Certified Evaluation and Management Coder through the AAPC, or CPMA, Certified Professional Medical Auditor through the AAPC preferred.
  • An understanding of the psychology of complex corporate relationships, and an ability to influence within such an environment.
  • Demonstrated ability to use PC based office productivity tools (e.g. Microsoft Office) is required.
  • Demonstrated goal-oriented thinking, operational and organizational skills.
  • Demonstrated ability to create training materials and deliver training in area of expertise including large group presentations.
  • Ability to communicate with and present to a wide variety of CCHC and external users, including senior management and physicians, as well as outside vendors and consultants.
  • Ability to work under pressure and manage multiple initiatives concurrently; must be able to work independently, set own priorities and meet deadlines.

Schedule Details: Full-time, 40 hours per week, 8a-4p Monday-Friday.
Organization: Cape Cod Healthcare, Inc.
Primary Location: Hyannis
Department: HCI-Physician Billing MACC
Employee Classification: Regular-Regular
Shift: Day
Weekend Shifts: None
Holiday Shifts: None
Posting Start Date: Apr 17, 2018
Posting End Date: Ongoing
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