TMG Manager of Coding and Provider Documentation - TMG Billing (Days). Job in Carrollton Move C[...]

The Manager holds a key leadership role in ensuring the accuracy, compliance, and efficiency of provider coding and documentation practices. This position directs all aspects of provider coding operations and clinical documentation improvement initiatives to support accurate reimbursement and maintain data integrity across the organization. The Manager leads a team of certified coders and charge coordinators, partnering closely with providers, compliance, and revenue cycle teams to enhance documentation quality, strengthen coding accuracy, and drive continuous improvement in clinical and financial performance. Education and Experience Education: Associate Degree or 2 years of college coursework. Experience: Five years of related experience, broad knowledge of complex systems and procedures. Licenses and Certifications Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) Qualifications Associate or bachelor’s degree. RN preferred. Five years of relevant health‑care management experience with a minimum of one credential: CCS or CPC. Minimum five years of medical business office experience. Minimum two years of relevant coding experience with CPT‑4 and ICD‑10 coding. Excellent understanding of anatomy, physiology, medical terminology, and disease processes. Direct physician interaction experience required. Knowledge of and experience with finance systems and applications. PC skills, including keyboarding and applications. Responsibilities Reviews and audits provider documentation and coding practices to identify areas for improvement and provides feedback on coding errors. Works with providers to improve the quality, clarity, and completeness of clinical documentation to ensure accurate code assignment and optimal reimbursement. Conducts regular team meetings and provides ongoing education on coding updates and regulatory changes, including one‑on‑one training, group workshops, and webinars. Ensures compliance with federal, state, and local regulations (HIPAA, CMS, OIG, Medicaid, Medicare, third‑party payers). Manages the Tanner Medical Group coding audit program, completing annual provider coding audits and tracking the effectiveness of coding education programs. Collaborates with clinical, IT, and finance departments to address billing‑related issues and enhance cohesive operations. Responsible for annual CPT, HCPCS, ICD‑10 coding update reviews and implements Epic build edits to maintain CMS compliance. Supervises and mentors coding staff, develops departmental goals, quality standards, and productivity benchmarks. Analyzes data to identify trends, revenue impact, and process improvement opportunities. Improves revenue cycle processes with primary care and specialty clinics, including front desk and charge entry functions. Evaluates and implements changes to improve collection rates and other revenue‑cycle metrics. Serves as coding subject matter expert for staff, management, and other revenue‑cycle sections. Maintains knowledge of and complies with established policies, government, insurance, and third‑party payer regulations. Demonstrates excellent customer service skills when resolving conflicts with staff and customers. Establishes productivity standards and performance assessments for coding and charge entry staff. Solves complex payment and business office problems; audits problem accounts. Develops and implements new procedures to improve the quality and quantity of work processed. Attends administrative meetings and participates in committees as requested; conducts special projects and studies as directed. Participates in professional development activities and maintains professional affiliations. Maintains expert knowledge of coding workflow and optimizes use of available technology. Applies current coding and billing regulations, policies, processes, and procedures with effective decision‑making and problem‑solving skills. Abstracts data in compliance with national, regional, and local policies, interpreting and reviewing medical record documentation to assign accurate CPT‑4 or ICD‑10 outpatient codes. Compliance Employee performs within the prescribed limits of Tanner Health System’s Ethics and Compliance program, detecting, observing, and reporting compliance variances to the immediate supervisor, Compliance Officer, or Hotline. Supervision Direct supervision of Tanner Medical Group coding and charge entry staff. #J-18808-Ljbffr Broughton Group