Gastro Health

Operations

• Directly oversees and supervises day to day operations of designated Coding Department teams.
• Prioritize, assess, and re-prioritize daily workflows to ensure timely execution of Coding and meeting/exceeding goals/KPI.
• Assist with creation of front-end scrubs/edits based on coding guidelines and denial management review.
• Effectively manages the team through streamlined improvement initiatives to ensure the team is highly effective for the providers.
• Actively participates and maintain strong new hire training process and assist with policy/procedure documentation and process workflow.
• Conduct audits of team members to ensure quality initiatives are being met and exceeded.
• Identify and document trends in underpayments, denials, aging receivable that compromise the ability of the Coding team to meet established goals.
• Assists with resolution of complex claims or projects and trains team to improve follow up efforts.
• Strong analytical skills to prepare project data with external payors and partners.
• Motivate, train, evaluate, record and report team members performance and progress.
• System matter expert of all Coding functions across the team to maintain a highly efficient and productive team and to ensure process can be trained effectively.
• Assist Management in establishing weekly/monthly goals, ensure Coding team members are utilizing all resources and meeting and/or surpassing weekly/monthly KPI’s.
• Assist manager with preparing weekly and monthly RCM reporting metrics to remediate any items outside established KPI including status report of projects.
• Research and maintain understanding of policy changes across the RCM markets.
• Daily reviews of the following programs: Incoming claim/denial volumes, daily billing, rejections, evaluate clean claim rates, and team workflows.
• Assist manager in the interview process.
• Assist with preparation of team meetings focused on collaboration and process improvement.
• Assist Manager with employee performance appraisals and work with the coding team on skill development.

Coding Operations Lead