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Director of Coding Operations
Gastro HealthDirector of Coding Operations for Gastro Health managing day-to-day operations in the Coding Department. Focusing on accuracy, compliance, and timely coding practices to support revenue cycle and operational goals.
About the role
Key responsibilities & impact- Directly oversees and manages day to day operations Coding Department
- Work closely with management team to prioritize, assess, and re-prioritize daily workflows to ensure timely execution of Coding and meeting/exceeding goals/KPI.
- Evaluate opportunities for creation of front-end scrubs/edits based on coding guidelines and denial management review.
- Evaluate and implement streamlined improvement initiatives to ensure the team is highly effective
- Implement and maintain strong new hire training process
- Evaluate, document, and implement appropriate policy/procedures for coding workflow.
- Ensure audits of team members completed to ensure quality initiatives are being met and exceeded.
- Identify trends in underpayments, denials, aging receivable that compromise the ability of the Coding team to meet established goals and implement resolutions
- Strong analytical skills to prepare project data with external payors and partners.
- Systems expert for all Coding systems used so that the department can maintain a highly efficient and productive team
- Establish weekly/monthly goals, ensure Coding team members are utilizing all resources and meeting and/or surpassing weekly/monthly KPI’s and productivity expectations
- Prepare 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 oversight of the following: Incoming claim/denial volumes, daily billing, rejections, evaluate clean claim rates, and team workflows.
- Preparation for team meetings focused on collaboration and process improvement
- Understanding of complex interfaces and workflows and ability to quickly identify issues and correct them
- Prepare and report to senior leadership on coding status/KPIs on a weekly basis
Requirements
What you’ll need- Associates or Bachelor’s Degree highly preferred; experience may be substituted for education
- Greater than 5 years’ progressive experience in Healthcare Coding and Billing; at least 1 year of people management
- Applicable Coding certifications (e.g. CPC, COC, CRC, CPMA)
- Experience with a large and growing healthcare organization, supporting a large number of team members
Benefits
Comp & perks- Health insurance
- 401(k) retirement plans with employer Safe Harbor Non-Elective Contributions of 3%
- Discretionary profit-sharing contributions of up to 4%
- Dental insurance
- Vision insurance
- Flexible spending accounts
- Voluntary life insurance
- Voluntary disability insurance
- Accident insurance
- Hospital indemnity insurance
- Critical illness insurance
- Identity theft insurance
- Legal insurance
- Paid time off
- Discounts at local fitness clubs
- Discounts at AT&T
- Tickets at Work program providing discounts on concerts, travel, movies, and more
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
Healthcare CodingBillingCoding GuidelinesDenial ManagementData AnalysisRCM ReportingPolicy DocumentationWorkflow EvaluationProject ManagementTrend Analysis
Soft Skills
LeadershipAnalytical SkillsCollaborationProcess ImprovementTrainingCommunicationProblem SolvingOrganizational SkillsTeam ManagementGoal Setting
Certifications
CPCCOCCRCCPMA