Fee-For-Services Coding Manager

2 weeks ago

Lutz, United States MyCare Medical Group Full time
Job DescriptionJob DescriptionJob Summary 
 
MyCare Medical Group is a primary care organization committed to providing the highest quality, most cost-effective care to our patients.  We are seeking a diligent and experienced Fee-for-Service Coding Manager to join our team. They will be responsible for all aspects of fee-for-service coding operations, including but not limited to ensuring compliance (following all guidelines and regulations to ensure high-industry standards), optimizing revenue cycles, managing and training medical coders and fostering a culture of continuous improvement. 
 
Job Responsibilities 
  • Manage and lead a team of fee-for-service coding specialists, providing guidance, support, and training as needed. 
  • Develop and implement coding policies, procedures, and best practices to ensure accuracy and compliance with regulatory requirements (e.g., ICD-10, CPT, HCPCS). 
  • Conduct regular audits and quality assurance checks to evaluate coding accuracy, identify areas for improvement, and mitigate compliance risks. 
  • Collaborate with internal departments, including billing, revenue cycle management, compliance, and clinical teams, to streamline coding processes and optimize reimbursement. 
  • Provide training for current and new providers, including developing coding resources such as documentation and training sessions. 
  • Stay current with changes in coding guidelines, regulations, and industry trends, and communicate updates to team members as necessary. 
  • Analyze coding-related data and metrics to monitor productivity, identify trends, and drive performance improvements. 
  • Serve as a subject matter expert on coding-related inquiries, providing guidance and support to internal stakeholders as needed. 
  • Ensure timely and accurate submission of coded claims to third-party payers, minimizing denials and optimizing revenue capture. 
  • Develop and maintain effective relationships with external partners, such as payers and auditors, to facilitate communication and resolve coding-related issues. 
  • Participate in strategic planning initiatives to support the organization's goals and objectives related to coding, billing, and revenue optimization. 
 
Job Qualifications
  • Bachelor's degree in Health Information Management, Medical Coding, Healthcare Administration, or related field. 
  • AAPC certification required. 
  • Minimum of 5 years of experience in medical coding, with at least 3 years of supervisory or management experience in a healthcare setting. 
  • Thorough knowledge of medical coding guidelines, regulations, and reimbursement methodologies (e.g., Medicare, Medicaid, commercial payers), specifically within a primary care practice. 
  • Strong leadership skills with the ability to motivate and develop a team of coding specialists. 
  • Excellent analytical skills with the ability to interpret coding-related data and metrics. 
  • Effective communication and interpersonal skills, with the ability to collaborate with cross-functional teams. 
  • Proficiency in coding software, electronic health record (EHR) systems, and Microsoft Office Suite. 
  • Demonstrated commitment to accuracy, integrity, and compliance in coding practices. 
  • Travel Requirement: 25%.  Will be required to travel as needed to our practices across Florida and Texas. 

BENEFITS

  • Comprehensive benefits package, including Health, Vision, Dental, and Life insurances
    • FSA and Life Assistance Program (EAP)
    • 401(k) Retirement Plan
    • Health Advocacy, Travel Assistance, and My Secure Advantage
  • PTO Accrual and Holiday
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