Homeoffice Coding Manager bei Clinica Family Health

What we offer: 

• Comprehensive Benefits: 
  • Medical
  • Dental
  • Vision
  • FSA/HSA
  • Life and Disability
  • Accident/Hospital Plans
  • Retirement with Employer Contributions
• Vacation, sick, and extended illness time off options
• Open communication with leadership and mission-focused engagement
• Training and growth opportunities with a supportive team invested in your success

Compensation: Approximately $60,239 - $69,834 annually. All individual pay rates are calculated based on the candidate's experience and internal equity.

Overview of Role:

You will ensure accurate and complete coding of clinical documentation for medical, dental, and behavioral health providers in a Federally Qualified Health Center resulting in clean claim submissions. You will oversee a remote coding team, including clinical documentation coders and a coding auditor. You will ensure productivity, collaboration, and adherence to company goals and compliance. You will work to achieve and maintain high employee engagement, using effective communication, leadership, and technological skills to effectively manage employees and foster a productive work environment.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

1. Ensure compliance with current coding guidelines and compliance requirements
2. Collaborate with the Billing Manager to ensure front end coding processes support reimbursement activities.
3. Responsible for updating changes with CPT, HCPCS, ICD-10 and CDT and networking with organizational partners to ensure EHR, EPM and RCx reflect accurate guidelines. Provide organizational oversight and communication as needed.
4. Maintain and develop coding software to effectively and accurately scrub codes submitted through EHR system.
5. Develop and manage coding education program for clinical and billing staff in collaboration with Coding Auditor.
6. Identify opportunities for improvement, create improved efficiencies, and remove barriers to change.
7. Effectively interacts and communicates with other CFHW staff/clients/customers/partners/etc.
8. Regular and consistent attendance is required to perform other essential functions of the job.
9. Maintain a safe work environment.
10. Meet defined individual and departmental goals, activity metrics, and Key Performance Indicators.

Supervision: Directly supervises 6-8 roles, including hiring/firing authority and completion of performance appraisals.

• Provides leadership, training, and ongoing supervision to staff.
• Hires, trains, and develops a diverse group of staff who possess a wide range of abilities and professional competencies to deliver effective service to customers.
• Leads regular and frequent staff meetings to promote teamwork, sustain an aligned and energized workforce, promote communication, and provide team direction.
• Responsible for the development of staff in assigned areas and motivates and values staff around performance excellence, professional development, and participation in important CFHW meetings and committees.
• Give frequent, specific, honest, candid, and immediate feedback, positive and constructive, to staff and colleagues at all levels of the organization.
• Assesses that staff are trained adequately to perform duties.
• Demonstrates knowledge, support for and adherence to policies, procedures, and regulations that direct CFHW’s staff, services, and business practices.
• Provides guidance and holds staff accountable for compliance to CFHW performance expectations.
• Seeks consultation as needed to ensure accurate interpretation and consistent application of policies, procedures, and practices.
• Establishes and clarifies expectations, provides on-going coaching and feedback, and administers the catalytic coaching process with staff.

POSITION QUALIFICATIONS:

Education and Experience:

1. High school diploma or equivalent experience required.
2. Current CPC certification from AAPC or AHIMA.
3. Three years’ experience in a healthcare payment management role.
4. Previous supervisory experience required.
5. Experience in a federally qualified health care (FQHC) facility preferred.

Knowledge, Skills, and Abilities:

1. Excellent organizational skills required.
2. Ability to exercise independent judgment and discretion.
3. Ability to work under pressure.
4. Able to organize and prioritize workload including delegation of responsibilities.
5. Detail-oriented with ability to multi-task.
6. Knowledge of the following is helpful, but not required: CPT, HCPCS, ICD-10, CDT, NextGen, EPM, RCs Rules (Aptarro).
7. Exceptional computer knowledge including familiarity with electronic health records, Internet, and Microsoft 365 products and ability to learn new systems and technology as required.
8. Ability to initiate and provide basic support for video, web-based and telephone conference connectivity.
9. Ability to maintain a professional demeanor in all situations.
10. Ability to withhold confidential information.

We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace.