Medical Coding Manager
Found in: Appcast Linkedin GBL C2 - 2 weeks ago
Job Description:
Insight Global is seeking a Medical Coding Manager for a Primary Health Care client based in Atlanta. In this role, you will be tasked with a variety of responsibilities. These include reviewing clinical data from various medical records and correctly assigning ICD-10-CM and/or CPT codes to patient records. You will also confirm accurate and compliant coding practices using CMS’s HCC methodology for risk adjustment. Your role will involve generating reports, supporting quality assurance measures, and offering training to providers and staff on risk adjustment and quality procedures. Additionally, you will manage the coding department and staff, striving to achieve organizational and departmental coding/revenue goals. Your responsibilities will also include auditing internal processes and creating effective SOPs. This role is integral to the smooth operation of the medical coding department and the wider organization.
Required Skills and Experience:
- Certification: Must possess Certified Professional Coder (CPC) or a similar medical coding certification.
- Experience: At least five years of management experience within medical coding or billing and with impeccable attention to detail.
- HCC Coding Experience: Three years in HCC coding or a Bachelor’s in Health Information Management.
- Flexibility: Can adjust to varying work schedules and travel as required.
- Technical Skills: Mastery over Microsoft Office apps (Word, Excel, Outlook) for efficient data tasks.
- Experience managing a large team (20+)
- Operate entire department
- KPIs and management
- Benchmark of 100 claims/day w/ 95% accuracy
- Effectively going through HCC and value care
- Culture fit is a must (solution-centric, proactive escalation, granularity and attention to detail)
- Autonomous
Nice to Have Skills and Experience:
- Experience in a similar role in the healthcare industry is a plus.
Salary Range: 80-90k per year
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