Associate Manager, Pediatric Coding Remote

Primary City/State:

Phoenix, Arizona

Department Name:

Coding Ambulatory

Work Shift:

Day

Job Category:

Revenue Cycle

Primary Location Salary Range:

$25.88/hr - $43.13/hr, based on education & experience

In accordance with State Pay Transparency Rules.

As the Associate Manager of the Coding, in the Physical Practice Department - the majority of specialties under Pediatrics are coded in this team. This offers a lot of experience. A surgical coding background very helpful! There are 10 team members that report to this Associate Manager.

In this role asthe Associate Manager of the Coding, you will have a great team to work with. It is a very close group of 10, and most have been together between 4-20+ years. This position requires a CPC (Certification) plus Pediatric experience and may require within 6 months of hire a 2nd coding specific certification: CPEDC or CFPC. Technologies being used include Optum CAC, CIRCC.
The production expectations are 30% management 70% production coding.  
What makes this role unique is the many specialties, a lot to learn and it keeps it interesting!

This is a fully remote position and available if you live in the following states only: AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI & WY.

The hours are flexible as we have remote Coders across the Nation. Generally, any 8-hour period between 7am – 7pm can work, with production being the greatest emphasis.  

Your pay and benefits (Total Rewards) are important components of your Journey at Banner Health. Banner Health offers a variety of benefit plans to help you and your family. We provide health and financial security options so you can focus on being the best at what you do and enjoying your life. Apply today!

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY
This position leads a designated medical coding team across multiple locations. The position has shared responsibility to assist in achieving the business unit goals in targeted areas such as unbilled accounts receivable, compliance with regulatory requirements and data integrity. The position works collaboratively with Sr. Coding Leaders and Directors to achieve designated financial and revenue cycle goals and coding compliance.

CORE FUNCTIONS
1. Selects, trains, coaches, motivates, conducts performance evaluations, and directs the workflow for staff assigned to coding function. Develops goals and performance expectations for staff in targeted areas, such as unbilled accounts receivable, quality and timeliness of clinical coding assignments, data integrity and reimbursement with third party payers. Provides for the education, development and shared leadership of staff.

2. Assists in setting and maintaining budgetary department goals for the coding area. Monitors overtime and unbilled to help achieve budget goals.

3. Participates in organization performance improvements by monitoring of the coding scorecard which includes: unbilled A/R; Medicare second reviews; RAC denials; first time submission acceptance for the state; coding accuracy; % clean claims; staff stats; etc. Participates in the improvement of processes and programs.

4. Works collaboratively with other leaders to establish coding quality, productivity and best practices. Monitors goals, productivity and quality standards in conjunction with industry trends. Identifies potential improvements and moves team to achieve next level of performance with regards to coding quality, productivity and best practices.

5. Participates in developing standard coding policies/procedures/guidelines to ensure compliance with federal, state and local regulatory guidelines to minimize risk for the organization. Supports coding infrastructure to ensure regulatory compliance in all aspects of coding and abstracting of clinical data to support patient care processes.

6. Monitors data integrity on regular basis to ensure abstracted data elements meet requirements, performs staff training and education. May support software testing by providing staff to ensure proper functionality of applications when requested.

7. Position is responsible for 30% management/ 70% staff responsibilities and includes production coding, in addition, to coding oversight for a designed coding team and is responsible for ensuring compliance with regulatory requirements, coding accuracy, data integrity and/or complete and appropriate reimbursement from third party payers. The coding will withstand the scrutiny of internal and/or external reviews.

MINIMUM QUALIFICATIONS

Requires a degree in Health Information or a related area, with coursework in medical terminology, anatomy and physiology, or the equivalent training and education.

Requires Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CCS-P) or Registered Health Information Technologist (RHIT) or Registered Health Information Administration (RHIA) in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) or Radiology Certified Coder (RCC) if employed in the Imaging space.

Must possess a strong knowledge and background in coding as normally demonstrated through five or more years of progressive coding experience preferably within a major health care organization or health system setting. Must have highly developed interpersonal skills and the ability to work collaboratively. Requires the ability to work effectively with all common office software and coding software applications.

Must possess a thorough knowledge of computer applications and their applicability to coding.

PREFERRED QUALIFICATIONS

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans

Our organization supports a drug-free work environment.

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