Job Description:Role Summary:The
Sr. Manager, Medical Coding is responsible for the primary oversight of the Coding and Charge Capture Specialists, process flow and timely submission of charges. The Senior Coding Manager will provide leadership and resource management for the coding department and collaborate with the compliance department and providers for their assigned practice pod.
Responsibilities: - Oversee the workload of the COE coding pods in order to to meet monthly goals.
- Review KPI's and benchmarks for coding teams. Adjust productivity metrics as needed to support practice goals.
- Serve as Coding SME to the production coders and other members of the One Oncology team.
- Collaborate with RCM Leadership on any issues impacting the practice, OneOncology or staff keeping open lines of communication.
- Collaborate with practice executive level leadership regarding documentation and charge capture deficits.
- Design workflows for optimal efficiency while maintaining accuracy.
- Monitor and evaluate key processes to identify opportunities for improvement
- Investigate coding requirements for new procedures or drugs. Act as the point of escalation for coding queries.
- Assist with development of templates, claims scrubbing edits and other software associated with charge capture and claim scrubbing,
- Responsible for ensuring proper training for all new employees and ongoing training for current staff members.
- Serve as a resource for team members and provide direction in resolving operational issues.
- Oversee the practice management claim rules engine.
- Manage month end close process including the completion of required reports in a timely and accurate manner.
- Develop and maintain policy and procedures impacting the coding teams.
- Directly supervise managers and team leads within the Coding COE practice pods.
- Conduct regular staff meetings to communicate new ideas, resolve problems, obtain feedback and maintain the overall effectiveness of the staff.
- Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer.
Required or Preferred Qualifications:- Must have a Professional coding certification
- Bachelor's degree required. Equivalent experience could be substituted.
- Minimum of 6 years coding experience preferred
- Minimum of 5 years supervisory experience required.
- Knowledge of Medical Oncology/Radiation /Sugery coding highly preferred
- Must be willing and able to travel when necessary.
Essential Competencies:- Attendance is an essential job function.
- Excellent communication and organizational skills
- Knowledge of government programs, i.e., Medicare and Medicaid.
- Knowledge of insurance company's policies and procedures.
- Knowledge of CPT, ICD-9, HCPCS coding.
- Knowledge of anatomy and medical terminology.
- Ability to prioritize work and manage time efficiently.
- Creative thinking skills, hands-on problem-solving skills, and ability to analyze and respond to data.
- Effective communication skills at all levels within the organization and excellent customer service skills.
This job description does not contain a full listing of activities, duties or responsibilities required of this role. Duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice.
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