Medical Coding Director
Access TeleCare
full-time
Posted on:
Location Type: Remote
Location: Remote • Texas • 🇺🇸 United States
Visit company websiteJob Level
Lead
About the role
- 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.
Requirements
- Bachelor’s degree with focus in Business Management, Healthcare Administration or a related field.
- CCS, CPC, RHIT, or RHIA required.
- At least 5 years of related work experience including revenue cycle auditing/monitoring or other auditing/risk management role in a healthcare organization.
- At least 5 years in leadership in a healthcare role.
- At least 3 years managing and reporting on key performance indicators.
- Experience with EMR, Charge Capture Systems, Practice Management, and niche revenue cycle bolt-on technologies (Athena & Hybrid Chart experience a plus).
- Experience in managing teams, supervising team members, and managing outsourced teams.
- Understanding of federal laws and regulations affecting coding requirements.
- Knowledge of 1995-97 Coding guidelines and 2021-23 E/M Coding guidelines.
- Working knowledge of healthcare payor guidelines.
- Ability to effectively lead a team to achieve business goals in a fast-paced environment with multiple competing priorities.
- Extensive knowledge of medical terminology, CPT and ICD-10 coding.
- Knowledge of extracting data, data analytics, MS Excel, Pivot tables, and creating reports.
- Ability to build strong relationships both internal and external customers and colleagues.
- Ability to maintain strict confidentiality.
- Telehealth and multi-state exposure preferred.
- Proficient skills in Microsoft Office applications, especially Word, PowerPoint, Excel, and Outlook.
- Goal oriented individual accustomed to working in a complex environment.
- Ability to manage multiple work streams, projects, tasks, and goals.
- Proven business acumen, analytical and negotiation skills.
- Proven ability able to work in a fast-paced operation with high standards of excellence.
- Proven problem-solving skills.
- Outstanding professional written and verbal communication skills.
- Ability to prepare accurate reports and maintain timely records.
- Ability to maintain strong working relationships within and outside of the organization.
- Ability to balance multiple projects concurrently, follow through and focus on details.
- Ability to thrive in a high growth, fast-paced organization and 100% Remote based environment.
- Must be able to remain in a stationary position 50% of the time.
- Occasional travel for meetings and collaboration.
Benefits
- Competitive total compensation, including base salary + performance incentives.
- 100% Remote work with national impact and executive visibility.
- Comprehensive health, dental, vision, life, and 401(k) benefits.
- Flexible vacation and wellness days — we value performance and balance.
- Lead a core business function at the forefront of healthcare innovation.
- Collaborative culture built on ownership, transparency, and results.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
Revenue Cycle ManagementCodingAuditingData AnalyticsCPT CodingICD-10 CodingKey Performance IndicatorsMedical TerminologyCharge Capture SystemsEMR
Soft skills
LeadershipCoachingCommunicationProblem-solvingRelationship BuildingTime ManagementAnalytical SkillsNegotiation SkillsConfidentialityAdaptability
Certifications
CCSCPCRHITRHIA