Manager-Physician Coding

LifePoint Health

• $80K — $95K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's Degree in Healthcare or related field (Preferred)
  • CPC certification required upon hire
  • CPMA certification preferred upon hire
  • 5+ years of professional coding experience required
  • Leadership or supervisory experience in coding preferred
  • Experience with multi-specialty physician practices preferred
  • Experience collaborating with operational leaders to enhance coding quality preferred

Responsibilities

  • Monitor coding operations for productivity, accuracy, and compliance.
  • Identify and resolve coding-related issues impacting reimbursement and workflow.
  • Audit charts and provide coaching and feedback to coding staff.
  • Educate team based on audit results to improve performance.
  • Assist with daily coding functions to manage workload effectively.
  • Review coding quality metrics and develop action plans with leadership.
  • Collaborate with Accounts Receivable on claim denials and implement corrective actions.

Benefits

  • Opportunities for professional development and education.
  • Support for coding standardization and regulatory updates.
  • Collaboration with various departments to enhance coding accuracy.
  • Potential for travel to market locations as needed.
Full Job Description
Job Summary - The Manager of Coding oversees the day-to-day operations of professional coding services to support organizational goals and ensure accurate coded data for appropriate reimbursement. The Manager is responsible for coding quality, productivity, compliance monitoring, staff development, and implementation of coding policies and procedures. Essential Function - Monitors coding operations to ensure productivity, accuracy, compliance, and timely completion of work. - Identifies, analyzes, and resolves coding-related issues affecting reimbursement, compliance, or workflow efficiency. - Audit completed charts and provide coaching, guidance, feedback, and development opportunities to coder. - Provide education based on audit results. - Assist team with daily coding functions to ensure team stays current with the workload. - Reviews coding quality metrics and productivity data and develops action plans in collaboration with Director of Coding, Audit and Education, to address performance gaps. - Collaborate with the Accounts Receivable teams to work on claim denials and rejections related to coding and medical necessity and implement corrective actions and educational initiatives as needed. - Collaborates with revenue cycle, compliance, clinical, and operational leaders to support coding accuracy and reimbursement objectives. - Supports coding standardization efforts to promote consistency in education, workflows, regulatory updates, and compliance practices. - Collaborates with Director of Coding, Audit and Education, to analyze coding performance and benchmark data to identify trends, opportunities for improvement, and potential revenue impact. - Ensures coding staff remain current on coding guidelines, payer requirements, and regulatory changes. Knowledge/Skills/Abilities/Expectation - Strong knowledge of coding principles, guidelines, and industry best practices. - Strong knowledge of professional services reimbursement methodologies. - Knowledge of federal, state, and payer-specific regulations related to documentation, coding, and billing. - Effective leadership, coaching, and team management skills. - Strong written and verbal communication skills. - Strong analytical, problem-solving, and organizational skills. - Ability to build effective working relationships across departments. - Ability to travel to market locations if needed. Qualifications Education - Bachelor's Degree in Healthcare or related field (Preferred) Licenses/Certification - Other: CPC certification Upon Hire (Required) - Other: CPMA Upon Hire (Preferred) Experience - 5+ years Professional coding experience (Required) - Prior Experience in leadership or a supervisory coding role (Preferred) - Prior Experience supporting multi-specialty physician practices or medical groups (Preferred) - Prior Experience working with operational leaders and providers to improve coding quality and performance (Preferred)

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