Division Operations Manager
Dent Wizard International
Manager, Professional Billing Coding Operations
Boston Medical Center (BMC)
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Responsible for the operational functions of the Professional Coding Operations team for BUMG.
- Plays a strategic role in validating the accuracy of CPT, HCPCS and diagnosis code assignment by coders, physicians and non –physician practitioners.
- Works closely with key revenue cycle stakeholders to understand reasons for denials, root cause analysis, and feedback to providers.
- Supervises professional billing coding staff.
- Partners with Coding Education Team to identify trends in coding practices and assists with developing feedback and education to providers.
- Reviews coding denials to resolve and identify trends and provides feedback to providers and departments.
- Performs quality assurance reviews of inpatient and outpatient records to assess and report on the effectiveness of training programs and quality of coders.
- Provides in-service training and feedback to coding staff regularly, including coding changes and updates.
- Oversees coding operations to ensure organizational goals are being met.
Requirements
- Bachelor’s degree or equivalent combination of formal education and experience.
- CPC – Certified Professional Coder
- Must have at least five years of experience in coding; experience must include education/mentoring/training.
- Minimum of five years acute care hospital experience coding with ICD-10-CM and CPT-4, academic medical setting or trauma center preferred.
- Minimum of three years management experience required; five years preferred.
- Prior experience working claim edits and denials.
- Excellent command of the ICD-10-CM and CPT4/HCPCS coding conventions, E&M coding.
- Strong knowledge of health records, computerized billing and charging systems, Microsoft applications, data integrity, and processing techniques required.
Benefits
- Health insurance
- 401(k) matching
- Flexible working hours
- Paid time off
- Remote work options
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
CPT codingHCPCS codingICD-10-CM codingE&M codingroot cause analysisquality assurancecoding educationcoding trendsbilling codingclaim edits
Soft skills
supervisionmentoringtrainingfeedbackcommunicationstrategic thinkingproblem-solvingorganizational skillscollaborationanalytical skills
Certifications
CPC – Certified Professional Coder
