Access TeleCare

Medical Billing and Coding

• Manage and direct the company’s Revenue Cycle Management (RCM) Coding team to promote compliance with all requirements for physician and hospital documentation, coding and billing standards.
• Responsible for interviewing and selecting staff for Coding positions, both with onshore, direct hires as well as contracted workers (offshore teams).
• Track metrics related to the coding accuracy and monitor key revenue cycle performance indicators related to coding.
• Serve as subject matter expert on accurate coding documentation guidelines, while keeping abreast of any upcoming changes; working to fold those changes into our organization seamlessly.
• Assist in the investigation and resolution of denials and front-end rejections impacting RCM activities and build solutions to reduce future occurrences.
• Lead and manage the ongoing implementation and execution of coding processes, workflows, and rules.
• Work with Analytics team to build KPI dashboards and present slides/data weekly to stakeholders.
• Provide strategic support on projects that overlap with coding and/or compliance with policies and regulations governing RCM.
• Partner with multiple Access Telecare teams to identify and create new opportunities to lower revenue cycle costs or reduce errors, either through efficiency or AI solutions.
• Collaborate with Compliance Team to actively participate as coding, documentation and billing resource and consultant for providers.
• Build documentation repository of coding knowledge to share with all RCM teams.
• Collaborate with our many vendor partners on improved processes.
• Manage any payor audits that are requested; ensuring all information is received timely; and work with the teams if deficiencies are found.
• Work collaboratively with Compliance Team and department heads to support implementation of elements and activities of the Company’s Compliance Program pertaining to compliance to company policies and healthcare regulations governing RCM.
• Support the creation, implementation, and regular review of policies and procedures designed to meet compliance requirements pertaining to RCM Compliance and oversight.
• In collaboration with Compliance Team, work with department heads to make certain that revenue functions are operating in compliance with regulatory requirements.
• Work with stakeholders to ensure internal controls, policies and procedures governing RCM and related functions are consistent with state and federal law and compliance plans.
• Provides direct supervision of staff, including assignment of work tasks, coaching and general performance management.
• Coaches, develops and mentors direct reports with an emphasis on building career paths for professional growth.
• Administers progressive discipline, including corrective action when necessary, to ensure high levels of job performance and compliance with company policy.
• Conducts formal performance appraisals for all direct reports and develops action plans for continued development and performance improvement.
• Manages payroll activities for direct reports to include timekeeping, approval for time off requests, and other administrative functions.
• Other duties as assigned.

Medical Coding Director