Healthcare Billing and Coding Manager

2 weeks ago

Campbell, California, United States Kandu Health Full time
Job Overview

About Kandu Health

Kandu Health specializes in technology-driven healthcare solutions aimed at supporting individuals recovering from strokes. Our integrated systems are designed to assist stroke survivors, their healthcare providers, and caregivers in navigating the recovery journey. We empower our clients to take control of their rehabilitation and strive for the best possible quality of life.

Our Work Environment:

  • In our compact team setting, every member's contribution is vital. Your efforts will have a direct impact on our mission.
  • We foster a collaborative atmosphere, where you will work alongside a diverse group of talented professionals dedicated to providing transformative support for stroke-affected individuals.
  • Despite operating remotely, our strong culture keeps us united, guided by our core beliefs:
    • Everyone deserves assistance.
    • Empowerment enhances recovery outcomes.
    • Quality of life is essential for health.
    • Community support is crucial.
  • Engage with innovative technologies aimed at enhancing the lives of stroke survivors and their families.

Employee Benefits: We offer competitive salaries, a 401k plan, comprehensive health benefits, generous paid time off, and a parental leave program.

Key Responsibilities:

This role is pivotal in managing our comprehensive revenue cycle, overseeing everything from service documentation to account reconciliation. You will analyze health records to ensure accurate coding for medical diagnoses and procedures, facilitating appropriate reimbursement. Additionally, you will be responsible for submitting claims to payers and monitoring outstanding accounts receivable, ensuring timely and accurate payments from third-party insurers.

Essential Duties Include:

  • Conducting insurance verifications using electronic health records and other digital platforms.
  • Reviewing clinical documentation to identify suitable diagnoses and procedures.
  • Assessing the correct application of Evaluation and Management (E&M) codes and modifiers for Current Procedural Terminology (CPT) codes.
  • Processing accurate electronic and manual claims to third-party payers to achieve final payment adjudication, including primary, secondary, and rebilling processes.
  • Managing relationships with third-party billing and coding vendors.
  • Performing routine coding audits to ensure compliance and consistency with billed charges.
  • Validating claim data for accuracy and compliance with relevant regulations, including ongoing knowledge of Medicare, Medicaid, and other third-party billing requirements.
  • Monitoring claim edit reports and resolving discrepancies according to departmental procedures.
  • Effectively addressing coding issues with healthcare providers and office staff.
  • Checking claim statuses online and resolving any suspended items or errors, ensuring billing compliance.
  • Responding to patient inquiries regarding billing.
  • Applying payer policies and local/national coverage determinations to support revenue cycle processes.
  • Communicating audit findings to management and healthcare providers, providing training as necessary.
  • Identifying high-risk areas in coding and documentation practices to mitigate organizational liability.
  • Staying updated on coding changes and disseminating relevant information to staff.
  • Evaluating new physician coding and documentation practices, offering necessary training.
  • Maintaining the confidentiality and security of all protected health information.
  • Reporting trends and issues to management and collaborating on solutions.
  • Hiring and supervising a growing team as the company expands.
  • Other related duties as assigned.

Salary Range: $36-$40/hr

Education and Experience Requirements:

  • A minimum of 4 years of experience in physician or hospital practice ICD-10-CM/CPT coding is required.
  • At least 4 years of billing experience.
  • Certification in coding is required, with a preference for physician-focused credentials such as:
    • CPC - Certified Professional Coder (AAPC)
    • CCS-P - Certified Coding Specialist - Physician-based (AHIMA)
    • CPB - Certified Professional Biller (AAPC)
    • CCA - Certified Coding Associate (AHIMA - entry level)
  • 1-2 years of experience in conducting coding audits is preferred.
  • A High School Diploma or equivalent is required.
  • Proficiency in computer applications and electronic health record systems is essential.
  • Strong organizational skills, attention to detail, and the ability to meet deadlines are necessary.
  • Ability to work cross-functionally with a focus on customer service and urgency.
  • Capability to work independently and prioritize tasks effectively.

Skills:

  • Excellent interpersonal and communication skills for effective interaction with physicians, managers, staff, patients, and external agencies.
  • Ability to identify and resolve complex coding issues.
  • Self-directed with strong organizational and prioritization skills.

Preferred Qualifications:

  • Must provide bi-annual confirmation of continuing education credits and renewed certification verification.
  • Additional education in anatomy, physiology, and medical terminology is preferred.

Work Environment:

  • This is a fully remote position.
  • This role does not offer relocation assistance.

Supervisory Responsibilities:

Manage vendor relationships with third-party billing and coding companies and oversee the growth of the revenue cycle management team.

  • Aveanna Healthcare Operations Coordinator

    2 weeks ago

    Campbell, California, United States Aveanna Healthcare LLC Full time

    JOB DESCRIPTION SUMMARY:The Aveanna Care Specialist/Coordinator plays a crucial role in supporting AveannaCare users, including participants, clients, care providers, and reimbursement recipients, while ensuring the smooth functioning of AveannaCare services. The Aveanna Care Coordinator will engage with users through various communication channels,...

  • Healthcare Account Executive

    1 week ago

    Campbell, California, United States Gentiva Personal Care Full time

    About Gentiva Personal Care:Gentiva Personal Care is part of the Gentiva family, recognized as a leader in hospice, palliative, home health, and personal care services. We are dedicated to supporting those in need, providing physical, emotional, and spiritual assistance to patients and their families, ensuring they cherish every moment. We believe that...

  • Healthcare Support Specialist

    2 weeks ago

    Campbell, California, United States Los Gatos Therapy Center Full time

    Position OverviewThe responsibilities outlined below represent typical duties performed by individuals in this role and are not an exhaustive list of all tasks, duties, or responsibilities.Monitor and document vital signsAdminister prescribed injections as instructed by the healthcare providerManage patient scheduling, including appointments and...

  • Healthcare Support Specialist

    2 weeks ago

    Campbell, California, United States Los Gatos Therapy Center Full time

    Position OverviewThe primary responsibilities outlined below represent typical duties associated with this role and are not an exhaustive list of all tasks, responsibilities, or functions.Monitor and document vital signsAdminister prescribed injections as instructed by the healthcare providerManage patient scheduling, including appointments and...

  • Healthcare Receptionist

    4 days ago

    Campbell, California, United States Vivo HealthStaff Full time

    Job OpportunityVivo HealthStaff is seeking a skilled Healthcare Receptionist to join our team in a full-time position with benefits.Job Summary:Provide exceptional receptionist services to our healthcare organization.Assist with administrative tasks and maintain a high level of customer satisfaction.Responsibilities:Answer and direct phone calls, respond to...

  • Client Relationship Manager

    2 weeks ago

    Campbell, California, United States Joe Frangieh - State Farm Agent Full time

    Job OverviewBenefits:401(k) plan401(k) matching contributionsPerformance-based bonusesCompetitive salary structureDental coverageHealth insurance optionsCareer advancement opportunitiesPaid time off policiesComprehensive training and development programsROLE SUMMARY:As a Client Relationship Manager at Joe Frangieh - State Farm Agent, you play a crucial role...

  • Facilities Operations Manager

    5 days ago

    Campbell, California, United States Imperative Care Full time

    Job SummaryWe are seeking a highly skilled and experienced Facilities Operations Manager to join our team at Imperative Care. As a key member of our facilities team, you will be responsible for ensuring the smooth operation of our facilities, including maintenance, repairs, and renovations.Key ResponsibilitiesSupport the Facilities Manager in day-to-day...

  • Client Relationship Manager

    1 week ago

    Campbell, California, United States Joe Frangieh - State Farm Agent Full time

    Job OverviewBenefits:401(k) plan401(k) matching contributionsPerformance-based bonusesCompetitive salary structureDental coverageHealth insurance optionsOpportunities for career advancementPaid time offTraining and professional developmentROLE SUMMARY:As a Client Relationship Manager at Joe Frangieh - State Farm Agent, you play a crucial role in our daily...

  • Aveanna Care Operations Specialist

    2 weeks ago

    Campbell, California, United States Aveanna Healthcare LLC Full time

    JOB SUMMARY:The Aveanna Care Operations Specialist plays a vital role in supporting AveannaCare users, including participants, clients, caregivers, and reimbursement recipients, while ensuring seamless operational efficiency within AveannaCare. The Care Coordinator will provide assistance to users through various communication channels such as email, phone,...

  • Client Services Coordinator

    2 weeks ago

    Campbell, California, United States Aveanna Full time

    Aveanna Client Services CoordinatorPosition Overview:The Aveanna Client Services Coordinator plays a crucial role in supporting AveannaCare users, including participants, clients, care providers, and reimbursement recipients. This position is essential for ensuring the smooth operation of AveannaCare services.Key Responsibilities:Uphold Aveanna's Core Values...

  • Care Specialist Coordinator

    4 days ago

    Campbell, California, United States Aveanna Full time

    About the RoleAveanna is seeking a highly skilled Care Specialist/Coordinator to join our team. As a key member of our operations team, you will play a critical role in ensuring the efficient delivery of care services to our clients.Key ResponsibilitiesClient Support: Provide exceptional support to our clients, including responding to inquiries, resolving...

  • Transportation Project Leader

    2 weeks ago

    Campbell, California, United States Sandis Full time

    Position OverviewSandis is seeking a skilled Transportation Project Manager to oversee our engineering initiatives. This role involves managing a design team and ensuring the successful execution of various transportation projects.Key Responsibilities:Lead project planning, organization, direction, and control of team activities, including technical...

  • Early Childhood Educator

    2 weeks ago

    Campbell, California, United States Hearts and Hands Full time

    Job OverviewPosition: Level I or Level II Preschool Teacher based on qualifications and educational background.Compensation: Hourly position, categorized as Level 1 & 2 employee.Role Summary:The educator will oversee the care and instruction of children, designing and implementing classroom activities that align with the Hearts and Hands curriculum tailored...

  • Architectural Design Professional

    3 days ago

    Campbell, California, United States GKW Architects Full time

    Job Summary:GKW Architects is seeking a highly skilled Architectural Design Professional to join our team. As a key member of our design team, you will be responsible for delivering high-quality architectural designs and ensuring that all projects meet our clients' needs and expectations.Key Responsibilities:Design Development: Participate in all phases of...

  • Insurance Account Representative

    2 days ago

    Campbell, California, United States Alexandra Anderson - State Farm Agent Full time

    Job Description**About the Role**We are seeking a highly motivated and customer-focused individual to join our team as an Insurance Account Representative. As a key member of our team, you will be responsible for providing exceptional customer service, educating customers about insurance options, and working with our agent to establish and meet marketing...

  • Experienced Family Medicine Physician

    2 weeks ago

    Campbell, California, United States The National Coalition of Healthcare Recruiters Full time

    (Physician/MD qualifications required) The National Coalition of Healthcare Recruiters is seeking a qualified Internal or Family Medicine Physician. This role is based in a dynamic healthcare environment focused on delivering exceptional patient care.Position OverviewAn Internal or Family Medicine Physician is sought to provide comprehensive adult primary...

  • Building Design Specialist

    7 days ago

    Campbell, California, United States GKW Architects Full time

    Job Summary:GKW Architects is seeking a highly skilled Architectural Designer to join our team. As an Architectural Designer, you will be responsible for involvement in all phases of the architecture process, from schematic design to construction administration.Key Responsibilities:Participate in the development of architectural designs and concepts,...

  • Behavioral Support Specialist

    3 days ago

    Campbell, California, United States Spectrum Center Schools and Programs Full time

    About the RoleSpectrum Center Schools and Programs is seeking a highly skilled Behavioral Support Specialist to join our team. As a key member of our organization, you will play a critical role in providing expert behavioral support and consultation across multiple Spectrum School locations within an assigned region.Key ResponsibilitiesConducting Functional...

  • Transportation Project Leader

    2 weeks ago

    Campbell, California, United States Sandis Full time

    Position OverviewSandis is seeking a skilled Transportation Project Manager to enhance our team. The ideal candidate will manage and guide a design team, ensuring the successful execution of various transportation projects.Why Sandis Stands Out:Engage in vital infrastructure initiatives that significantly impact the Bay Area.Access to professional growth...

  • Behavioral Support Specialist

    7 days ago

    Campbell, California, United States Spectrum Center Schools and Programs Full time

    About the RoleSpectrum Center Schools and Programs is seeking a highly skilled Area Behavior Analyst to join our team. As a key member of our organization, you will play a critical role in providing expert behavioral support and consultation across multiple Spectrum School locations within an assigned region.Key ResponsibilitiesConduct assessments and...