About Coding Specialist PositionDo you love to care for patients in a warm and welcoming environment?This position provides hands-on leadership and oversight of all billing, coding, and revenue cycle management (RCM) functions, ensuring accuracy, timeliness, and compliance across systems, processes, and vendor relationships. Key responsibilities include preparing RCM reports, monitoring KPIs, reducing denials through workflow improvements and education, and maintaining up-to-date knowledge of coding guidelines.Job Description- Hands-on management of all billing programs, systems, processes, and third-party vendors to ensure accurate, timely and well-controlled activities related to coding departments
- Prepares weekly and monthly RCM reporting metrics to remediate any items outside established KPI including status report of projects.
• Effectively implement denial management reduction through process improvements, coordinating direct or indirectly, with internal team and offices to improve workflows and provide training and education.
• Maintain understanding and communicates coding guideline changes across the markets
• Meet with Care Center Managers for timely remediation of care center hold items
• Formulate and execute policies and procedures to ensure the billing workflow is highly effective.
• Daily reviews of the following programs: Incoming claim/denial volumes, daily billing, rejections, evaluate clean claim rates, and team workflow.
• Develops quality control program to meet the company's quality initiatives.
• Ensure productivity goals are monitored and quickly re-mediates barriers to achieving those goals at the individual and/or team level.
• Counsels and disciplines employees in accordance with department goals and policies.
• Concentrated effort to develop and mentor team leads and Coding team members to allow for internal growth.
• Maintain compliance with directives from all regulatory agencies and third parties.
• Lead team meetings focused on collaboration and process improvement.
Minimum Requirements- Bachelor's Degree highly preferred but experience can be substituted for education
• 1 or more applicable Coding Certificates (CPC, COC, CRC, CPMA, CGIC)- Experience (Type of work experience, min. number of years):
• More than 5 years' experience/Seniority with healthcare billing
• Experience with a large, growing healthcare organization support 100 or more providers
• Experience with HR policies/Procedures/Payroll/Timesheet management for staff
- Technical or Administrative Knowledge:
• Extensive knowledge of patient registration, coding, billing, regulatory requirements, billing compliance, business operations, financial systems and financial reporting
This position offers a great work/life balance!
We are growing rapidly and support internal advancement
We offer competitive compensation
401(k) retirement plans
Profit-Sharing
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance
Disability insurance
Pet insurance
We offer a comprehensive benefits package to our eligible employees, which includes: Cigna healthcare, dental, vision, life insurance, 401k, profit-sharing, short & long-term disability, HSA, FSA, and PTO plus 7 paid holidays.
