Coding Manager (Remote)

Premier Orthopaedics and Sports Medicine is looking for a Coding Managerfor our Greater Philadelphia region!

At Premier Orthopaedics, we are dedicated to taking care of you so you can take care of business! Our robust benefits package includes the following:

• Competitive Health & Welfare Benefits
• Monthly $43 stipend to use toward ancillary benefits
• HSA with qualifying HDHP plans with company match
• 401k plan after 6 months of service with company match (Part-time employees included)
• Employee Assistance Program that is available 24/7 to provide support
• Employee Appreciation Days
• Employee Wellness Events

ESSENTIAL FUNCTIONS

• Oversees and guides the Coding, Billing and Charge Entry staff, ensuring timely and accurate entry of charges.
• Responsible for the overall Billing Practices, Coding Education, and Billing Compliance/Regulatory programs for Premier
  Orthopaedics. This includes but is not limited to educating Premier Providers and Staff, identifying & evaluating billing
  practices & trends, analyzing billing reports, and auditing & verifying appropriate billing practices.
• Develops monthly metrics for proactive and reactive chart and billing audits, while working in conjunction with the Premier
  Leadership in maintaining corporate goals and initiatives.
• Creates and hosts monthly educational webinars, seminars, and/or forms of communication. This includes but is not limited to authoring monthly Payer Bulletins/Communications, and hosting quarterly coding educational series, as well as coding educational materials as needed.
• Assists Practice Administrators, Executive Director of the Ancillary Division, and Billing personnel with overall billing and compliance
  guidelines.
• Works closely with Premier Corporate departments, such as Revenue Cycle and EHR/PM build/support, as it relates to
  compliance and optimized billing and coding practices.
• Works closely with Premier Corporate and Divisions to assist in establishing policies and procedures and standardizes a
  continuous process improvement plan.
• Assists in the Premier Compliance Committee, with key responsibilities towards accurate billing practices and
  compliance/regulatory standards.
• Facilitates communication and assists in the mediation of conflicts, differences, and misunderstandings amongst all levels of
  staff within Premier for billing practices and billing regulatory standards to form collegial collaboration for ONE PREMIER.
• Ensures compliance with all appropriate regulatory agencies, corporate compliance, system protocols and office procedures
  and communicates policy changes to appropriate staff.
• Participates in professional development activities to keep current with trends and practices in billing practices, compliance, and healthcare practices and provides training to staff as necessary.
• Undertakes special projects/assignments and Premier/physician initiatives as directed.
  

EDUCATION

• High school diploma/GED or equivalent working knowledge preferred.
• Accredited by the American Health Information Management Association (CCS-P) or the American Academy of Professional
  Coders (CPC) required.

EXPERIENCE

• At least five (5) years of experience in provider coding and medical terminology with extensive knowledge of ICD-10, CPT,
  and HCPC coding required.
• Preferred specialty experience in areas of Orthopedics, Physical Medicine, and Rehabilitation or Pain Management.

REQUIREMENTS

• Must be able to communicate effectively with physicians, staff members, patients, and the public and be capable of
  establishing good working relationships with both internal and external stakeholders.
• Meets established coding and abstracting quality and productivity standards.
• Experience with various coding software. Previous experience with remote coding is preferred. Possesses PC skills, both
  keyboarding and applications.
• Requires a good understanding of anatomy, physiology, medical terminology, and disease processes.

KNOWLEDGE

• Demonstrates knowledge of sequencing diagnoses and procedure codes outlined in the ICD-10-CM Official Coding
  Guidelines, Uniform Hospital Discharge Data Set, CMS guidelines, and other resources as applicable.
• Knowledge of government and commercial insurance plans requirements.
• Understands and applies medical terminology, anatomy, physiology, surgical technology, pharmacology, and disease
  processes.

ABILITIES

• Ability to maintain patient confidentiality.
• Ability to multi-task in a fast-paced environment and work well under pressure.
• Ability to be detail-oriented with strong organizational skills.
• Ability to work independently and as part of a team.
• Ability to communicate clearly and effectively.