Centacare Catholic Family Services - Adelaide

Manager

• As the Coding Manager you will serve as the leadership point-person for coding staff.
• Responsible for directing, supporting, monitoring, and coordinating CentraCare system coding and abstracting processes.
• Accountable for ensuring the completion, accuracy, and compliance of all the coding functions.
• Promoting a positive and productive work environment, tailoring and/or creating coding policies and procedures.
• Developing process improvement initiatives.
• Engages in meetings and gap analysis of new services assisting with implementation as necessary.
• Provides educational support to staff and physicians as necessary.

Manager, Coding

Claims Specialist

• Supports Revenue Cycle Operations, Coding Leadership, and other team members by reviewing electronic and written documentation.
• Convert documentation into diagnostic and/or procedure codes for reimbursement.
• Manage denials for third-party payers and oversee the denial process.
• Identify opportunities for workflow improvements.
• Communicate with clinical staff for accurate translation of medical record documentation using appropriate code selection.
• Assist in performing quality data collection and monitoring/reporting to ensure proper reimbursement.