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Manager, Medical Coding Analysis
Elevance HealthManager overseeing Medical Coding Analysis at CareBridge Health, ensuring compliance and quality in medical record coding. Leading a team for efficient billing practices and training staff.
About the role
Key responsibilities & impact- managing a team that audits, reviews, and codes medical records for the purpose of reimbursement and compliance using ICD-9 and CPT codes
- Develops, implements, and monitors policies, procedures, and systems for proper coding and quality assurance
- Manages workloads, training, and problem resolution
- Oversees all facets of the daily operations and ensures compliance
- Develops and implements systems and processes to establish and maintain records for the operating unit
- Manages projects designed to improve billing practices and increase revenues
- Assists physicians and providers with questions and problems related to coding and billing
- Plans, organizes, and conducts individual and group provider in-service programs
- Conducts quality control studies and audits and implements solutions
- Trains staff on coding, documentation and billing regulations
- Participates in developing, implementing, and maintaining policies and objectives
- Hires, trains, coaches, counsels, and evaluates performance of direct reports
Requirements
What you’ll need- Requires a H.S. diploma or equivalent
- minimum of 5 years experience
- Certified Medical Coder (CPC , CCS-P) is a must for this position!
- Previous management/supervisory experience is strongly preferred
- BA/BS in Health Care or Business preferred
- Experience with the most current CMS Risk Adjustment Model strongly preferred
- AAPC Certified Risk Adjustment Coder (CRC) is preferred
Benefits
Comp & perks- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical
- dental
- vision
- short and long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD-9 codingCPT codingquality assurancebilling practicescoding regulationsdocumentationauditingproblem resolutionproject managementrisk adjustment
Soft Skills
team managementtrainingcommunicationorganizational skillsleadershipcoachingperformance evaluationproblem-solvingplanningconducting in-service programs
Certifications
Certified Medical Coder (CPC)Certified Coding Specialist (CCS-P)AAPC Certified Risk Adjustment Coder (CRC)