Current jobs related to Director, Medical Coding and Reconciliation - St Louis Park - RAYUS Radiology

  • Director of Radiology Coding and Compliance

    2 days ago

    Saint Louis Park, Minnesota, United States Center For Diagnostic Imaging Full time

    Job Title: Director, RCM Coding Process and ComplianceWe are seeking a highly skilled and experienced Director, RCM Coding Process and Compliance to join our team at Center for Diagnostic Imaging. As a key member of our leadership team, you will be responsible for leading and managing the coding process, including charge reconciliation, coding team members,...

  • Director of Radiology Coding and Compliance

    5 days ago

    Saint Louis Park, Minnesota, United States RAYUS Radiology Full time

    Job SummaryRAYUS Radiology is seeking a highly skilled Director, RCM Coding Process and Compliance to lead our coding team and ensure compliance with regulatory requirements. As a key member of our revenue cycle team, you will be responsible for the leadership and management of the coding process, including charge reconciliation, coding team members, and...

  • Director of Radiology Coding and Compliance

    1 week ago

    Saint Louis Park, Minnesota, United States Center For Diagnostic Imaging Full time

    Director, RCM Coding Process and ComplianceAt Center For Diagnostic Imaging, we are seeking a highly skilled and experienced Director to lead our Radiology Coding and Compliance team. As a key member of our leadership team, you will be responsible for ensuring the accuracy and integrity of our coding processes, while also driving compliance with regulatory...

  • Nurse Practitioner

    1 week ago

    St Louis, Missouri, United States Medical Director Services PC Full time

    About the RoleWe are seeking an experienced Nurse Practitioner to join our team at Medical Director Services PC. As a skilled nursing facility, we provide high-quality medical care to our residents, and we are looking for a dedicated professional to help us achieve our goals.Key ResponsibilitiesDeliver quality care services to patients in a respectful and...

  • Outpatient Coding Specialist

    5 days ago

    St Louis, Missouri, United States BJC Full time

    About the RoleBJC HealthCare is seeking a skilled Outpatient Coder to join our team. As a PRN certified coder, you will work independently to assign diagnosis, procedure codes, and modifiers for Ambulatory Surgery encounters while adhering to all regulatory guidelines.ResponsibilitiesThoroughly review and analyze patient encounters for compliant...

  • Inpatient Coding Specialist

    5 days ago

    St Louis, Missouri, United States BJC Full time

    About the RoleBJC HealthCare is seeking an experienced inpatient coder to contribute to our team.Key ResponsibilitiesAssign diagnosis and procedure codes for inpatient encounters, adhering to regulatory guidelines.Stay current on coding conventions, regulatory guidelines, and code updates.Review and analyze patient encounters for compliant coding, querying...

  • Inpatient Coding Specialist

    5 days ago

    St Louis, Missouri, United States BJC Full time

    About the RoleBJC HealthCare is seeking a skilled Inpatient Coder I to join our team. As a certified coder, you will play a crucial role in ensuring the accuracy and integrity of patient data.ResponsibilitiesAssign diagnosis and procedure codes for inpatient encounters, adhering to regulatory guidelines.Abstract data elements accurately and thoroughly review...

  • Physician Medical Director

    3 weeks ago

    St. Louis, United States Concentra Full time

    Overview:Concentra is actively recruiting a Physician Medical Director for our St. Louis, Missouri center to complement our team! In this role we are looking for experience with Occupational Medicine and/or Urgent Care, or an interest in making a career move to Occupational Medicine. We have an outstanding training program along with excellent leadership...

  • Inpatient Coding Specialist

    2 days ago

    St Louis, Missouri, United States BJC Full time

    About the RoleBJC HealthCare is seeking a skilled Inpatient Coder I to join our team. As a certified coder, you will play a crucial role in ensuring the accuracy and integrity of patient data.ResponsibilitiesAssign diagnosis and procedure codes for inpatient encounters, adhering to regulatory guidelines.Abstract data elements accurately and thoroughly review...

  • Medical Coding Specialist

    5 days ago

    Highland Park, Illinois, United States Premier Health Full time

    Medical Coding Specialist **Job Summary** We are seeking a skilled Medical Coding Specialist to join our team at Premier Health. As a Medical Coding Specialist, you will play a critical role in ensuring accurate and timely reimbursement for our patients. **Key Responsibilities** * Assign diagnosis and procedure codes according to official coding...

  • Nurse Practitioner

    3 months ago

    St. Louis, United States Medical Director Services PC Full time

    Nurse Practitioner (NP)Medical Director Services PC is looking to hire an experienced Nurse Practitioner (NP) to service a skilled nursing facility in St. Louis, MO.New Grads Welcome!!Excellent salary will be offered, commensurate with experience.DUTIES:Assuring delivery of quality care services to all patients in a respectful and professional...

  • Inpatient Coding Quality Coord.

    3 months ago

    St. Louis, United States BJC HealthCare Full time

    Job DescriptionAdditional Information About the Role BJC HealthCare is seeking an experienced coder to join our team as an Inpatient Coding Quality Coordinator. Applicants must have an RHIT, RHIA or CCS certification. *Must reside within one of the follow US states: Alabama, Arkansas, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana,...

  • Cardiology Medical Director

    3 days ago

    St Louis, Missouri, United States SSM Health Care System Full time

    Medical Director Opportunity in Echocardiography LabSLUCare Physician Group, the academic medical practice of SSM Health, is seeking a highly skilled Medical Director for our Echocardiography Lab at SSM Health Saint Louis University Hospital.About the Role:Develop a busy outpatient and inpatient clinical cardiology practice with a focus on echocardiography...

  • Medical Director

    2 weeks ago

    St Louis, Missouri, United States Concentra Full time

    Job SummaryWe are seeking a highly skilled and experienced Medical Director to join our team at Concentra. As a key member of our leadership team, you will be responsible for providing exceptional patient care, leading by example, and creating a positive patient experience.Key ResponsibilitiesProvide direct patient care, leading by example, and creating an...

  • Cardiology Medical Director

    4 days ago

    St Louis, Missouri, United States SSM Health Care System Full time

    Medical Director, Echocardiography LabSLUCare Physician Group, the academic medical practice of SSM Health, is seeking a highly skilled Medical Director for its Echocardiography Lab at SSM Health Saint Louis University Hospital.About the Role:Develop a busy outpatient and inpatient clinical cardiology practice with a focus on echocardiography and TEE...

  • Medical Coding Specialist

    1 day ago

    Midway Park, United States Spectrum Healthcare Resources Full time

    Job Title: Medical CoderSpectrum Healthcare Resources is seeking a skilled Medical Coder to join our team at Naval Medical Camp Lejeune in North Carolina. As a Medical Coder, you will be responsible for accurately coding patient data for inpatient and outpatient services.Job Requirements:Bachelor's degree in a health-related field with a minimum of 5 years...

  • Senior Code Compliance Officer

    3 weeks ago

    St Louis, Missouri, United States City of Kirkwood Full time

    Join Our Team as a Senior Code Compliance OfficerAre you seeking a fulfilling career with excellent benefits? At the City of Kirkwood, we prioritize collaboration, innovation, and inclusivity to provide exceptional services. Our dedication to teamwork and community has established us as one of the premier places in St. Louis to both live and work.Key...

  • Director, Revenue Cycle Consulting Services

    4 months ago

    Cedar Park, United States Revenue Cycle Coding Strategies, LLC Full time

    Job DescriptionJob DescriptionSCOPE/GENERAL PURPOSE OF JOB:This position will partner with Executive level client counterparts to deliver key operational results. Translate your industry expertise into strategic vision and generate client buy-in while driving your team to perform at a high level with superior outcomes. To flourish in this role, you will need...

  • Medical Director

    1 day ago

    St Louis, Missouri, United States Join Parachute LLC Full time

    Job Title: Center Medical Director- Farmington, MOJob Summary:We are seeking a highly skilled and experienced Medical Director to lead our Donor Center in Farmington, MO. As the Center Medical Director, you will be responsible for providing medical guidance and support to our Physician Substitutes, ensuring the Donor Center meets all regulatory requirements,...

  • Physician Clinic Medical Director

    3 weeks ago

    St. Louis, United States Concentra Full time

    As a *Physician Clinic Medical Director* at Concentra, you'll spearhead a committed team of clinicians, guaranteeing smooth center operations and delivering unparalleled patient care. Our Medical Directors at Concentra are adept at balancing patient care with recruitment, business metrics, and center operations management. This role seamlessly integrates...

Director, Medical Coding and Reconciliation

4 months ago

St Louis Park, United States RAYUS Radiology Full time

RAYUS Radiology, formerly Center for Diagnostic Imaging and Insight Imaging, is looking for a Director, RCM Coding Process and Compliance to join our team. We are challenging the status quo by shining the light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together.

As a Director, RCM Coding Process and Compliance, you will manage and supervise the charge and personnel and workflow; monitor and ensure process integrity; complete general Revenue Cycle Management leadership responsibilities. This position is full-time, Monday - Friday.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

(55%) RCM Leadership

  • Ensures that the company is billing compliantly, at all sites, according to HCFA regulations which includes using accurate and appropriate CPT, HCPCS, and ICD-9 codes and only billing for those services actually ordered, performed, completed and documented
  • Leads business-related center procedure changes and expansion
  • Leads the Coding Quality Program implementation, including regular monitoring, reporting and process improvement
  • Provides direction on special coding initiatives, including coding compliance, internal audit and training and education for the staff
  • Reviews coding literature, attends coding seminars, and disburses new or updated coding information to those involved (i.e. Radiologists, Business Office staff, Front Desk staff, etc.)
  • Works with outside sources to ensure compliance regarding day-to-day operations, policies and procedures and the quality (coding auditing) program
  • Responsible for setting up and documenting policy and procedures for new study cases and outside read contracts within the RIS and billing system
  • Maintains appropriate documentation concerning billing policies and procedures
  • Communicates and trains with center management and physicians regarding appropriate documentation for studies as well as education on medical necessity
  • Maintains quality checks and balances to ensure that processes are in place and being followed to protect the integrity of charges being posted to patient accounts
  • Responsible for ensuring that all coding changes are implemented and updated on fee schedules as well as the RIS
  • Works with the payor contract analysts to identify areas were adjustments need to be made to fee schedules
  • Works with other Business Office management on high volume denial issues and assists in working with the associates and/or payors for resolution
  • Facilitates RCM process improvement initiatives within the markets
  • Works with the VP's or medical director to establish, update, and implement fee schedules in all markets and help the Company remain price competitive
  • Ensures that all yearly radiology coding additions/deletions/changes are updated in the RIS and Practice Management System
  • Responsible for ensuring the billing export is functioning appropriately and is accurately transferring data into the Practice Management System
  • Participates with and is a member of the Corporate Compliance Committee

(20%) Database Administration

  • Maintains the RIS and billing system chargemaster including fee schedule administration, reviews fee schedules for competitive pricing, and working with the radiologists and/or Center Managers to develop fee schedules for new procedures and self-pay pricing
  • Creates database set-up and administration of exams, codes, and fee in the RIS database, including involvement with the set-up and administration of the electronic interface between the RIS and billing system.
  • Trouble-shoots IS-related issues within the Business Office

(20%) Staff Management

  • Initiates and participates in staff performance evaluations, compensation and development of associates including performance improvement plans, disciplinary actions and/or termination of associates
  • Participates in the hiring and training of new associates
  • Leads regular staff meetings and employee one-on-ones
  • Manage off-site coding teams (Buffalo) and off-site coders (Texas/New York) in conjunction with the Charge and Coding Supervisor
  • Integrates new centers into current processes, which includes training and working with the center's staff and radiologists

(5%) Completes other tasks and projects as requested


Required:

  • Bachelor's degree
  • 5 years medical business office experience required including extensive knowledge of CPT, HCPCS and ICD-9 coding
  • 5 years supervisory experience
  • Radiology coding experience
  • 2-3 years Microsoft Office Suite experience
  • Valid driver's license and proof of current insurance

RAYUS is committed to delivering clinical excellence in communities across the U.S., driven by our passion for and superior service to referring providers and patients. RAYUS Radiology is built on our brilliant medicine, brilliant team, brilliant technology and services - all to provide the highest level of patient care possible.

We bring brilliance to health and wellness. Join our team and shine the light on Radiology Services

RAYUS Radiology is an EO Employer/Vets/Disabled.


Rayus is an equal opportunity employer; applicants are considered without discrimination with regard to race, color, religion, sex, national origin, age, disability, veteran status or other statuses protected by state, local or other applicable laws. This policy extends to all aspects of employment, including recruitment and hiring.

Rayus and its associates have an employment relationship, which is known as employment-at-will. This means that either Rayus or an associate has the right to terminate the employment relationship at any time, for any reason with or without cause or prior notice.