Medical Coding Manager

3 hours ago


Glassboro, New Jersey, United States Inspira Health Network Full time
Job Summary

We are seeking a highly skilled Coding Manager to join our team at Inspira Health Network. The successful candidate will be responsible for managing the day-to-day operations of our coding functions, ensuring accurate and timely coding, and providing instructional coding training to our team members.

Key Responsibilities
  • Manage the coding team to ensure accurate and timely coding
  • Review and evaluate coding concerns and issues for all hospital and professional claims
  • Provide instructional coding training to team members
  • Collaborate with the Revenue Cycle team, Clinical teams, Physicians, APNs, and Practice Managers to ensure all areas of concern are investigated and thoroughly addressed
  • Assist practice physicians and managers with coding inquiries, errors, and/or issues encountered during the revenue cycle process
Requirements
  • Bachelor's degree preferred
  • Minimum of 4 years in a medical practice environment
  • Minimum of 2 years of active medical coding and supervisory experience
  • Prior experience with extensive coding auditing utilizing CMS regulatory guidelines and AHA standards
  • Prior experience and knowledge of Federal Register and OIG plans
  • Prior experience in denials management
  • Prior experience in instructional coder training as an educator
  • Certification in one of the following: AAPC - Certified Professional Coder (CPC), AHIMA - Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician-based (CCS-P)
Preferred Qualifications
  • Strong organizational and time management skills with the ability to multi-task and accurately process high volumes of work
  • Proficiency with Excel, MS Office, Internet Explorer, Cerner EMR platforms
  • Extensive knowledge of physician professional-fee reimbursement methodologies
  • Extensive knowledge of medical terminology, ICD10, CPT, and HCPC coding
  • Ability to make independent decisions consistent with Inspira policies, procedures, and standards
  • Knowledge and understanding of all government and payer billing regulations and payer requirements
About Inspira Health Network

At Inspira Health Network, we are committed to delivering high-quality patient care and exceptional service. We are a leading healthcare provider in the region, and we are seeking talented individuals to join our team.



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