Director, PB Coding Operations – Education
Boston Medical Center (BMC)
full-time
Posted on:
Location Type: Remote
Location: Massachusetts • United States
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Salary
💰 $122,000 - $177,000 per year
Job Level
About the role
- Provide coding oversight and standards to ensure coding accuracy, compliance and appropriate reimbursement across BUMG.
- Manage operational execution of coding standards in areas reporting to Revenue Cycle.
- Facilitate accurate representation of professional coding and clinical documentation through interaction with physicians, coders and practice staff by providing ongoing education.
- Direct coding activities to ensure accurate, consistent and compliant coding for all services.
- Ensure quality reviews to validate coding accuracy.
- Participate in the rejections, denials and claims review process with billing team to ensure compliance and accurate reimbursement.
- Identify trends in documentation and coding concerns and collaborate with Leadership and Compliance to assess and implement corrective action.
- Evaluate the success of coding processes on an ongoing basis.
- Serve as contact for professional coding across BUMG.
- Work with Human Resources and department managers on the selection of qualified candidates for employment following all policies, guidelines and applicable laws.
- Responsible for effective personnel management including training, directing, mentoring and instilling a commitment to quality and excellence.
- Monitor department productivity and performance to identify and evaluate program/department strengths and training opportunities in relation to operative effectiveness.
- Encourage staff and personally advances professional growth and development through participation in educational programs, workshops and maintaining knowledge of industry standards and practices.
Requirements
- Bachelor’s degree or equivalent combination of formal education and experience.
- CPC – Certified Professional Coder
- Minimum of 10 years related experience in professional coding with ICD-9/ICD-10, E/M and CPT.
- Previous management experience required; experience must include education/mentoring/training.
- Expertise knowledge of ICD-9/ICD-10, CPT and E&M coding principals and guidelines
- Knowledge of MS, AP, and APR DRG systems
- Knowledge of payer reimbursement methodologies, federal, state and payer specific regulations, policies and compliance standards
- Excellent written verbal and communication skills
- Excellent critical thinking skills
- Excellent skill in providing hands-on education to providers including audit finding and improvement opportunities.
- Excellent organizational skills, including ability to multi-task, prioritize essential tasks, follow-through and meet timelines.
- Ability to work cooperatively with members of the healthcare delivery team and staff
- Ability to adapt to changes in workload and priorities, responding quickly to urgent requests.
- Ability to mentor, guide and motivate direct reports through demonstration of best practices and leading by example.
Benefits
- medical, dental, vision, pharmacy
- discretionary annual bonuses
- merit increases
- Flexible Spending Accounts
- 403(b) savings matches
- paid time off
- career advancement opportunities
- resources to support employee and family well-being
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD-9ICD-10CPTE/M codingcoding standardscoding accuracycoding compliancepayer reimbursement methodologiesMS DRG systemsAP DRG systems
Soft Skills
communication skillscritical thinkingorganizational skillsmentoringtrainingcollaborationadaptabilityleadershipmulti-taskingproblem-solving
Certifications
CPC