CityMD

Coding Manager

US-NY-Uniondale (Long Island)
ID
2017-1545
Category
Billing

Overview

Job purpose

The Coding Manager manages the outsourced physician coding vendor(s), audits their work, and leverages an advanced coding knowledge that can ensure the medical billing conforms to legal and procedural requirements.

Responsibilities

The primary duties and responsibilities of a Coding Manager are:

  • Serves as primary point of contact to coding vendor and to physicians on documentation guidelines
  • Creates and enacts policies related to CityMD coding strategy
  • Audits coding vendor work to ensure that appropriate levels of service, CPT-4 procedure codes, and ICD-10 diagnosis codes are assigned to claims.
  • Communicates with compliance officer(s), clinical staff/leadership, scribes, operations, and revenue cycle leadership to ensure adequate
  • Leverages claims data to create/monitor benchmarks, evaluate coding vulnerabilities and make recommendations on improvement.
  • Report on audit results and set corrective action plans.
  • Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding, denials, and billable services.
  • Keep abreast of current changes in coding and compliance requirements for government programs and other third party payers.
  • Maintaining high levels of compassion and professionalism to everyone while adhering to company policy and protocol

Qualifications

A candidate’s qualifications will include:

  • High School Diploma, GED or Equivalent Required
  • Current CCS-P or CPC certificate required; and CPMA or other certifications preferred
  • 3 to 5 years of experience in physician coding
  • EClinicalWorks knowledge a plus
  • Expert knowledge of Evaluation and Management Coding (E/M) and familiarity with national Correct Coding Initiative (CCI) and Medicare Local Coverage Determination (LCD) guidelines
  • Proven analytical and organizational abilities.
  • Proven ability to work with minimal supervision at a high level of productivity.
  • Must be able to communicate verbally and in writing in a high professional manner.
  • Time management skills should include ability to prioritize, organize under fast paced and changing conditions to meet deadlines.
  • Detail oriented.
  • Strong interpersonal skills and team-oriented perspective

 

Additional Information

 

 

 

Physical requirements

This job may require, from time to time, repetitive tasks.

 

CityMD is an Equal Opportunity Employer

 

City MD cares about the safety of our employees and applicantsCity MD does not use chat rooms for job searches or communications. City MD will never request personal information via informal chat platforms or unsecure email. City MD will never ask for  money or an exchange of money, banking or other personal information prior to the an in-person interview. Be aware of potential scams while job seeking.  Interviews are conducted at select CITYMD locations during regular business hours only.   For information on job scams, visit, https://www.consumer.ftc.gov/JobScams or file a complaint at https://www.ftccomplaintassistant.gov/.

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