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Billing and Coding Manager

2 months ago

Marietta, United States AICA Orthopedics Full time

Position Description:

This position manages all administrative and daily functions that contribute to the coding, entry, and auditing of charges and medical documentation. The Billing and Coding Manager is responsible for overseeing the Coding and Charges Department including all personnel and functions. They oversee all of the daily operations for the department and implement quality control standards and audits to ensure that all coding is properly billed under the industry guidelines as set by the AAPC.


Position Duties:

The position requires the following primary duties to be successful:

  • Supervising the Coding and Charges Department in various duties, such as medical documentation review, proper CPT and ICD-10 documentation and entry, timely entry of all charges, and performing of quality control audits
  • Implementing and managing a system to ensure that accurate billing information is entered into the billing system
  • Setting and meeting department goals and addressing immediately any deficiencies.
  • Managing staff performance by providing regular feedback, performance reviews, and one-on-one meetings
  • Overseeing the hiring and training of staff
  • Attendees monthly and/or quarterly AAPC seminars to assure all coding is aligned with the industry standard and changes
  • Planning and structuring the department workflow and staffing
  • Correctly coding diagnoses and procedures
  • Ensuring proper timely filing of all claims by implementing a timely standard of charge entry
  • Annually reviewing and updating of charge master
  • Collaborates professionally with clinical staff and all other departments to maintain unity and successful resolve outstanding request
  • Keeping updated records and tracking reports as required by management
  • Other duties as requested of the Revenue Cycle Manager that are consistent with and appropriate for this position title and role


Position Expectations:

To perform the position successfully, an individual is expected to:

  • Provide proven experience as a manager of correct coding and documentation in the healthcare industry
  • Demonstrable experience with coding and charge entry
  • Knowledge of AAPC guidelines and industry correct coding standards
  • Sound knowledge of healthcare billing rules & regulations
  • Working knowledge of MS Office & Excel
  • Excellent communication and interpersonal skills
  • A strong analytical mindset
  • Outstanding organizational skills
  • Be passionate and professional
  • Be success-driven and metrics focused
  • Be smart; work smart
  • Have a positive attitude
  • Leadership by example
  • Be a positive agent for change/improvements within their department


Position Metrics:

The execution of the position is quantifiably measured by the following:

  • Establishing, managing, and meeting department goals
  • Maintains quality control standards for the department through documented quality control audits
  • Supports the successful attainment of the global revenue goal


Position Requirements:

  • Minimum Education Level: High School Diploma; college degree or college experience with a focus in healthcare management is beneficial
  • CPC certification required
  • Experience: 5+ years of Experience in healthcare billing and coding
  • MS Office & Excel experience
  • EHR and PM software experience
  • Preferred: Ability to multi-task under time pressure. Strong communication and leadership skills
  • Be team oriented and able to work with various departments. Be able to make sound decisions while on the move in a fast-paced organization.


Position Miscellaneous:

  • 40 hours per week; extended work hours from time to time to meet deadlines
  • Setting goals, meeting deadlines and being compliant with departmental policies
  • Ability to interact, engage and communicate effectively with executive management, managers and clinic employees
  • Physical Demands: frequent sitting; limited lifting up to 10-15 pounds; frequent manipulation of documents; frequent typing or use of keyboard


Why Join the AICA / ProCo LLC. Team?

Discover boundless career opportunities with ProCo-LLC, a 20+ year-old MSO serving Atlanta and beyond. Our unwavering commitment to excellence and innovation sets us apart. Join us in a dynamic environment that empowers professionals, fosters growth, and shapes the future of healthcare management. Collaborate with industry leaders, access cutting-edge practices, and make a meaningful impact. ProCo-LLC streamlines operations for AICA Orthopedics, Atlas Surgery Center, Summit, and MDS Imaging services, enhancing patient care.