Coding Manager- Wound Care- Full Time

PRIMARY RESPONSIBILITIES:

• Onboarding new/additional coders to RestorixHealth Coding Team, including:

• Participation in the interview process with VP, Revenue Integrity.
• Administer coding proficiency assessments for potential coders (applicants).
• Training/review all needed systems for newly hired certified coders.
• Monitor proficiency and accuracy of newly hired certified coders for 30 days.

• Monitor coder productivity and work with Coding staff to ensure that all charts are coded timely and correctly.
• Establish back up plan/cross coverage (to address time off, unexpected team absences, etc.) to ensure that timely coding is maintained.
• Assist Coding staff as needed to escalate concerns (to senior staff as needed) regarding incomplete charts that cannot be coded.
• Monitor center coding volume and coder workload to ensure adequate workload distribution and to ensure that all completed charts are coded in a timely manner.
• Compile monthly coder labor report for reclassification by finance team.
• Provide monthly coder productivity report to VP, Revenue Integrity (report to include average number of charts coded per hour, lag time between, "Ready to Code" and "Coding Complete" and "Coding Inquiry Follow-Up Complete" and "Coding Complete" by the 10th of the following month.
• Comply and prepare other ad hoc reports as needed or requested by VP of Revenue Integrity.
• Complete annual staff coding performance evaluations with VP of Revenue Integrity.
• Serves as primary resource and support for coding staff.
• Establish coding proficiency/accuracy/competency requirements.
• Performs coding proficiency/accuracy reviews for each staff coder, to be conducted no less than once per year, preferably twice per year.
• Provide in collaboration with VP of Revenue Integrity and Senior Auditor, annual coding updates for coding staff and senior leadership.
• Code for assigned centers as needed to support overall productivity, staff shortages and overall team obligations.
• Work with leadership to coordinate and present as needed, coding, billing and documentation education.
• Monitors, reviews and approves timely submission of coders time sheets.
• In collaboration with VP of Revenue Integrity, reviews and approves coders requests for PTO.
• Oversee internal Audit processes performed by Coders and Auditors.
• Administer and uphold all the Company's values and policies and procedures.
• Continuously work towards the Company's goal and vision.
• Performs other duties as assigned.

ADDITONAL RESPONSIBILITIES:

• Assist Coders, Revenue Cycle Representatives (RCR), Revenue Cycle Directors (RCD) and other internal staff engaged with responsibilities related to or responsible for coding of charts for specific/previously identified hospitals/centers with POR contractual arrangements.
• Assist Coders, Revenue Cycle Representatives (RCR), Revenue Cycle Directors (RCD) and other internal staff engaged with internal and/or external chart audits and reviews to ensure.
• Assist Revenue Cycle Managers, documentation supports reported of billed services. Regional Directors, Program Directors, VP of Revenue Integrity and VP of Revenue Cycle as needed with follow up education and support as needed and/or directed by supervisor.
• Subscribe to relevant and appropriate trade industry related list services and updates, including but not limited to:

• AAPC
• Medicare MAC's
• Commercial Payers

EDUCATION AND TECHNICAL SKILLS:

• Required CPC certification from APPC, additional certifications may include these and others as awarded by AAPC:

• CPB (Certified Professional Biller)
• CRC (Certified Risk Adjustment Coder)
• CPC-I (Certified Coding Instructor)

• Maintain Coding Certification(s) as required by AAPC.
• Proficient and highly knowledgeable of current coding and billing guidelines:

• ICD-10
• CPT
• HCPCS

• Knowledge of current and appropriate use of Modifiers.
• General knowledge of HIPAA related guidelines specific to coding and billing.
• General knowledge of current claims filing principles and guidelines.
• Minimum 5 years' experience with direct coding responsibilities.
• Minimum 5 years' experience claim filing and billing knowledge.

ADDITIONAL ELIGIBILITY QUALIFICATIONS/COMPETENCIES:

• Ability to promote subordinate staff professional growth and expertise.
• Demonstrated ability to work with all levels of staff effectively.
• Excellent organizational and analytical skills required.
• Strong, effective interpersonal and written communication skills required.
• Ability to multi-task and prioritize.
• Strong follow up skills are required.
• Ability to effectively interact with all levels of an organization.
• Diversity - Demonstrates knowledge of Equal Employment Opportunity (EEO) policy; shows respect and sensitivity for cultural differences; educates others on the value of diversity; promotes and harassment-free environment; builds a diverse workforce.
• Ethics - Treats people with respect; keeps commitments; inspires the trust of others; works with integrity and principles; upholds organizational values.

PHYSICAL REQUIREMENTS:

This position requires periods of time in which sitting, standing, use of hand and foot motion, vision, hearing, summarizing, focusing with frequent interruptions along with other physical, sensory and cognitive sensory functions are required.

Note: The above is intended to describe the general content of and requirements for the performance of this job. It is not construed as an exhaustive statement of duties, responsibilities or requirements and may change at any time.

The Company is an Equal Opportunity Employer (EEO). All qualified applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex, gender identity, gender expression, sexual orientation, national origin, age, disability, or protected veteran status.