The Medical Coding Manager serves our community through overseeing the daily operations of medical, dental, behavioral and chemical dependency coding team and is responsible for the management and supervision of the Medical Coding Specialists.The role is responsible for development and maintenance of a comprehensive coding education program as well as coordinating Quality Assurance Reviews and compliance audits, conducts independent and collaborative audits according to the compliance work plan and develops appropriate documentation to support audit work performed, provides feedback from audit results for documentation and coding quality improvement, and is responsible for developing an educational pathway for Providers, and Medical Coding Specialists. This role will work closely with the Revenue Cycle Manager to drive in “front end” workflows and business processes as well as with EMR specialists to ensure standardization and workflow consistency/compliance. Scheduled Hours: Monday – Friday (8:00am – 5:00pm)
EXAMPLE OF DUTIES
Works collaboratively with medical, nursing, ancillary, and coding team to improve the quality of chart documentation, identifying any need to clarify documentation in the medical record.Communicate with clinical staff face to face, or use agreed upon querying mechanism, while serving as the primary resource to educate clinical staff on linking coding guidelines and medical terminology to capture the most accurate final code assignment.Understand Medicare billing rules (i.e. LCD/NCD, CCI, Medical Necessity, and ABN) and communicate this information to staff, and physiciansPerforms coding functions as needed to maintain coding skills and maintain a comprehensive understanding of the coding workflowsMonitor regulations for updates and changes, providing education as necessaryCoordinates external audits, report findings and implement process improvementProvide ongoing education and training to all necessary staff, including documentation needs of providers for coding needs, billing staff for claim resolution and coding staffConduct system testing, provide feedback, and support conversions/implementations on codingDevelops and performs audits to help determine and validate documentation and coding issues and gaps; analyzes audit results and identifies patterns, trends and variations in coding and documentation practices; and makes recommendations for improvement.
Completion of a Bachelor’s degree and three years (3) of progressively complex coding work experience and training delivery OR an Associate’s degree and five years (5) of progressively complex coding work experience and training delivery required.Certified Professional Coder (CPC) through the American Academy of Professional Coders (AAPC) or Certified Coding Specialist (CCS or CCS-P) or RHIT, through the American Health Information Management Association (AHIMA) is required.Experience with the electronic health record and health care applications required. NextGen experience preferred.Experience with a large and diverse outpatient physician’s practice or an Federally Qualified Health Center (FQHC) with medical, dental and behavioral health outpatient services is preferred. Three or more years of supervisory experience preferred.
As the largest human service provider in Lake County, we believe that services must be available without barriers. No residents are turned away due to the inability to pay. We believe in providing services in an environment of mutual respect, free of discrimination or bias. Whether assuring accessible and effective care, impacting policy, or assessing and monitoring risks, the Lake County Health Department and Community Health Center has been an essential part of the public health system in Lake County for 60 years. As a public health department, we believe in the science, data, and power of vaccines, like the influenza and COVID-19 vaccines, to protect against and prevent illness. Therefore, we require all Health Department staff to receive the primary series of the COVID-19 vaccine as well as the annual influenza vaccine unless they have an approved medical or religious exemption. Any offer of employment is conditioned on the successful completion of a background screening, drug and alcohol testing and may include a pre-employment medical exam.The Lake County Health Department and Community Health Center is an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sexual orientation, gender identity or gender expression, national origin, disability, veteran status, and other protected characteristics.