Coding Education Manager

Responsible for the daily operations, planning, organizing, staffing, directing, and controlling all functions of the Coding, Auditing and Compliance programs.

• Manages coding education by preparing and completing materials for internal and external audits, regulatory changes, and other changes in medical advancements.
• Produces clinical data and statistical reports for clinicians, researchers, financial and business planning, and clinical quality support services.
• Manages, oversees, and monitors the audit process for the coding and billing operations.
• Conducts charge review and compliance audits of departments, and conducts training of personnel to ensure accurate and timely coding.
• Directs, supports, and educates the physicians and other professional and support staff to ensure quality and consistency of ICD-10, CPT, and documentation guidelines.
• Oversees accurate billing of charges to Medicare, Medicaid, and other third party payers according to insurance regulations and guidelines of each state where business is conducted.
• Develops and maintains systems to insure efficient work flow and compliance to ensure data quality resulting in optimum reimbursement allowable under the federal and state payment systems.
• Develops, implements and monitors policies and procedures, guidelines, and coding compliance plan for personnel in order to ensure compliance.
• Provides direct supervision over the coding staff to ensure the timeliness and accuracy of coding and data collection activities.
• Performs all other duties as assigned.

Education: Bachelors degree is required.

• Demonstrated ability to teach and present educational topics required.
• Strong knowledge of CPT and ICD-10 coding principles, governmental regulations, protocols and Electronic Medical Records (EMR) system.
• Ability to apply judgment and making informed decisions.
• Proven ability to manage a multitude of responsibilities while meeting objectives and working with teams.
• Strong written, verbal and interpersonal communication skills.
• Strong leadership skills.
• Strong organization and time management skills.
• Detail-oriented.