Coding Manager

Position Summary

The Coding Manager role provides long-term strategic and daily operational management of the Organization in close collaboration with the practice leads and other HVP leaders. Ensure that the coding staff is coding at maximum utilization (production coding and/or shadow coding throughout the workday) according to the corporate coding policies and procedures, coupled with being in compliance with regulatory requirements and official coding guidelines. The role of the Coding Manager includes establishing and maintaining standards of professional competence and excellence meeting or exceeding the HVP productivity standards while maintaining the 95% coding accuracy rate. This Manager is to proactively initiate and coordinate the mentoring of newer Coders with the focus of efficiently navigating through a wide variety of medical records while providing ongoing coding education and training for new coding staff.

Essential Functions of the Role

• Oversees certified coding staff across the platform.
• Evaluate coding workflows for each practice.
• Complete regular audits to ensure coding compliance and accuracy.
• Evaluates medical record documentation and charge-ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support outpatient visits and to ensure that data complies with legal standards and guidelines.
• Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-10-CM and CPT codes.
• Reviews state and federal Medicare reimbursement claims for completeness and accuracy before submission to minimize claim denial.
• Evaluates records and prepare reports on such topics as the number of denied claims or documentation or coding issues for review by management and/or professional evaluation committees.
• Makes recommendations for changes in policies and procedures; works with data processing staff to revise the computer master file. Develops and updates procedures manuals to maintain standards for correct coding, minimize the risk of fraud and abuse, and optimize revenue recovery.
• Provides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines.
• Reads bulletins, newsletters, and periodicals and attends workshops to stay abreast of issues, trends, and changes in laws and regulations governing medical record coding and documentation.
• Educates and advises staff on proper code selection, documentation, procedures, and requirements.
• Identifies training needs, prepares training materials, and conducts training for physicians and support staff to improve skills in the collection and coding of quality health data.

Minimum Qualifications:

• 10 years of coding experience
• 2 years of cardiology experience
• Knowledgeable of NCCI edits
• Ability to multi-task in a fast-paced environment
• Strong time management and organizational skills
• Ability to work independently and prioritize workflow
• Bachelor’s degree in health administration

Desired Qualifications:

• Supervisory Experience
• Coding experience in various settings; Inpatient, E/M coding, ACS procedural coding

Work Environment

This position will be fully remote.

Physical Requirements

This position requires a full range of body motion. While performing the duties of this job, the employee is regularly required to sit, walk and stand; talk or hear, both in person and by telephone; use hands repetitively to handle or operate standard office equipment; reach with hands and arms; and lift up to 25 pounds.

Equal Employment Opportunity Statement

Heart and Vascular Partners provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Salary and Benefits

Full-time, exempt position. Competitive compensation and benefits package to include 401K; a full suite of medical, dental, and ancillary benefits; paid time off, and much more.

The statements contained herein are intended to describe the general nature and level of work performed by the Coding Manager but are not a complete list of the responsibilities, duties, or skills required. Other duties may be assigned as business needs dictate. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.