Physician Coding Manager

Found in: Lensa US P 2 C2 - 2 weeks ago

Atlanta, United States Grady Health System Full time

Our Mission Grady improves the health of the community by providing quality, comprehensive healthcare in a compassionate, culturally competent, ethical, and fiscally responsible manner. Grady maintains its commitment to the underserved of Fulton and DeKalb counties, while also providing care for residents of metro Atlanta and Georgia. Grady leads through its clinical excellence, innovative research, and progressive medical education and training. Summary: * The Physician Coding Manager must possess a strong surgical specialty background in some of the following specialties: Neurosurgery, Trauma, Ortho, Plastic Surgery, etc. * The position will work closely with the Director of Revenue Cycle Coding and Operations to provide training and education for coding in a Teaching Facility. * Leading research and analyses in charge review, claims edit, and coding work queues. * Manages the work of staff who review, interpret, code and abstract medical records information according to standard classification systems. * Ensures optimum reimbursement for Physician services through accurate and timely coding of all inpatient and outpatient services for employed Physicians. * Reviews coding and data quality reviews and prepares complex reports as required. * Supervisory responsibilities for assigning, directing, monitoring, and evaluating the work of subordinate staff on a regular basis, as well as performing the most technically difficult coding and abstracting duties in the department. * Ensures all Revenue Cycle coding activities comply with Physician billing standards and government regulation with concentration on hospital inpatient procedures and specialty physician services. * Ensures compliance with internal policies and procedures and governing agencies. Works with managers to assist with departmental needs and planning, including developing policies and procedures to facilitate timely and accurate reimbursement. * Will be responsible for the coding education team. Which consist of ongoing and onboarding new and existing providers and specialty specific training. QUALIFICATIONS: Bachelor's degree in Business Administration, Healthcare Administration or related field required. Minimum seven (7) years of coding experience in Physician billing healthcare Revenue Cycle required. At least five (5) years of experience required of related Physician Coding in an acute care facility and coding experience required in Specialty/Complex areas with at least three (3) years of management/supervisory experience. Revenue cycle leadership in a multi-hospital and/or employed physician environment in Revenue Cycle and academic healthcare setting preferred. CPC, CCS, CPC-H, CCS-P, CCS-H, RHIA, RHIT, or equivalent coding certification required. Ability to multi-task, prioritize needs, and meets required timelines. Good interpersonal and communication skills in dealing with physicians and other healthcare professionals. Ability to research the root causes related to the inability to code and drop accounts.

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