Overview
Job Summary
Monitors and oversees the day-to-day operations within the department. Accountable for the charge capture and claim resolution portion of the revenue cycle. The Manager must have a thorough knowledge of ICD, CPT, and HCPCS coding principles.
Essential Functions
- Coaches and develops supervisory team members.
- Works with the leadership team to address provider needs and ensure communication is helpful, effective, and consistent.
- Ensures adherence to all departmental policies.
- Develops, implements, and monitors quality assurance reviews.
- Assesses, implements, and continuously monitors workflow and volumes to ensure workload is balanced among team members.
- Assesses and reacts to workflow changes related to departmental growth.
- Ensures effective communication with both internal and external customers.
- Develops, implements, and monitors a comprehensive training program to include career ladder development. Addresses departmental training needs based on team member performance and quality reviews.
- Conducts quality assurance reviews as needed. Provides education as a result of these reviews.
- Stays abreast and communicates coding changes (i.e. new codes, new technology, payer requirements).
- Monitors key performance indicators (KPIs) including, but not limited to, denials, AR trends, edit volumes, and charge lag.
- Participates in strategic planning and design in coding, regulatory, and system changes that impact coding, reimbursement, and compliance.
Physical Requirements
Works in a fast-paced office/hospital environment. Work consistently requires sitting and some walking, standing, stretching, and bending. Some travel may be required.
Education, Experience, and Certifications
Bachelor’s degree or 8 years related experience required. 1-3 years of supervisory experience preferred. CPC or coding credential required. Demonstrates professional presence and effective presentation skills.
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