Responsible for the day to day department administrative operations.
Includes planning, directing and controlling employee workload and schedules.
Oversight of coding functions associated with billing and coding.
Provides ongoing instruction and information for coding staff and others as appropriate on ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRGs, APR-DRGs and E/M assignment.
Manages and works edits and denial work queues.
Monitor and manage coding workflow, work queues for DNFB and charge capture to ensure accounts are coded and processed in a timely manner.
Implements and monitors adherence to standardized workflows, productivity and quality standards for LCMC coding.
Plan and implements new procedures, maintains appropriate staffing levels, makes budgetary recommendations, and leads coding related projects.
Provides analysis to monitor correct coding by the coding staff, and monitor coding related denials to identify trends and maximize facility reimbursement.
Responds to external and internal audits for government and private payers.
Accountable for attainment of goals and revenue cycle key performance indicators.
Maintains communication with Director and AVP on backlogs and keeps abreast of necessary situations and circumstances that arise in the department as it relates to employees, patients, physicians and any other customer
Collaborates with other system leaders (Revenue Integrity, Case Management, Central Business Office, Patient Access, Medical Staff etc.) to establish accountability and coordination between Coding and LCMC Health’s other clinical and administrative departments.
Requirements
5 years of hands-on experience in coding with a HS Diploma, which must include 2 years of acute care or physician coding leadership experience (Including, supervisor, coordinator, team lead, etc. role).
2 years of acute care or physician coding leadership experience (Including, supervisor, coordinator, team lead, etc. role) with an Associate’s degree.
RHIT, RHIA or CCS or Internal staff who are not certified must obtain medical coding certification.
Benefits
Health insurance
Professional development opportunities
Applicant Tracking System Keywords
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