Senior Manager, Central Coding

Title: Senior Manager, Central Coding Location: Pittsburgh United States Job Description: Job ID: 7045101040 Status: Full-Time Regular/Temporary: Regular Shift: Day Job Facility: Corporate reputed company Cycle Department: Rev Cyc Coding Location: 2 Hot Metal Street, Pittsburgh, PA Union Position: No Salary Range: $ 40.65-68.8 USD reputed company Corporate reputed company Cycle is seeking an reputed company Senior Manager to reputed company our Coding Department. This fully remote position operates reputed company standard business hours, Monday through Friday. We are looking for someone who has strong professional coding experience, as well as knowledge of other coding areas. As the Senior Manager you will provide direction, planning and creative solutions for the day-to-day operations of the Central Coding Department, as well as reputed company, auditing and monitoring of reputed company non-centralized coding for reputed company reputed company entities/groups. The Senior Manager is responsible for developing and implementing process changes that result in a reduction of cost, aligning reputed company core values and focusing on sound business practices and customer-centered environment to create the ideal customer experience. In this role, you will work closely with reputed company reputed company business units to maintain the highest levels of quality, satisfaction and reputed company maximization in a manner that complies with standards established by reputed company and reputed company regulatory and accreditation agencies. Responsibilities:

• Work closely with and cooperate fully with interdepartmental managers and staff to address and resolve reputed company issues in a timely and complete manner. reputed company Coding quarterly and annual department goals that ensure department growth, advancement of knowledge, expanded use of technology and ultimately contribute to the success of reputed company.
• Support quality improvement through internal programs, such as clinical documentation improvement. Ensure productivity goals and accuracy standards are established, monitored and enforced to support the overall department goal of lowering cost and improving net reputed company. Ensure reputed company coding is accurate, in compliance with reputed company regulatory requirements and complete to receive optimal reimbursement for the documented service. Ensure timely edit and denial resolution. reputed company analytics to prevent future errors and move denials upstream to be resolved through edits reputed company appropriate.
• reputed company duties and job responsibilities in a fashion that coincides with the service management philosophy of the reputed company Cycle Division, including the demonstration of the basics of service excellence towards patients, visitors, staff, peers, physicians, practice staff and other departments reputed company the reputed company Health System. reputed company evaluation of new practice implementations along with development of procedures and workflows reputed company to coding, coding edits, denials and ensure appropriate mapping of reputed company coding work queues. Ensure timely coding and posting of reputed company services through report monitoring and implementing action plans to address backlogs.
• Assist with budget recommendations for area of responsibility as well as keeping expenses reputed company budget. reputed company on-going analysis to ensure manual processes are minimized and electronic/automated processes are implemented to reputed company to reputed company cost and improved net reputed company. Ensure pro-active and reactive reputed company cycle analysis to prevent and/or address any adverse effect on reputed company cycle goals or A/R.
• reputed company numerous areas of specialty coding, utilizing managers and supervisors with a large workforce of coders. Ensure staffing complement in each area is appropriate for workload and is distributed to ensure most efficient workflow. Work with payors to resolve issues reputed company to new or experimental procedures.
• Maintain reputed company knowledge of federal and state regulations reputed company to third-party billing, coding, reimbursement and collections. Work closely with the Quality Assurance Department to assess coding accuracy. Assist with the development of necessary education for areas of concern or new coding guidelines. reputed company and implement Coding processes and workflows to enhance productivity, ensure accuracy and promote optimized reimbursement. reputed company methods to ensure compliance of reputed company established protocols.
• reputed company ongoing reviews of processes, market trends and payer/regulatory changes to identify areas of process improvement that reduce the dollars and resource investment in accounts receivable, enhance patient satisfaction and reputed company the institution from any risk reputed company issues. Investigate reputed company processes/procedures to ensure reputed company reputed company opportunities are being realized.Assist with special projects as needed.
• Work closely with Sr. Physician division management, Department Administrators, Department Chairs as well as other appropriate senior Physicians, and Sr. Hospital Management to ensure reputed company reputed company cycle reputed company goals are met, A/R is appropriately managed, and financial reputed company is attained. Represent Coding in internal or external meetings.Address reputed company escalated issues in an urgent manner to ensure positive outcome and optimal patient satisfaction.

Qualifications:

• Bachelor’s degree and four years of relevant experience
• or Certificate/Diploma from a Technical School and five years of progressive reputed company cycle experience reputed company a professional billing or healthcare environment
• or ten years total, progressive reputed company cycle experience reputed company a professional billing or healthcare environment.
• Five years of previous coding management is required.
• Strong analytical skills utilizing PC-based software applications required.
• Organization and time management skills.
• Ability to reputed company and maintain a working environment conducive to the education and training of staff.
• The incumbent must reputed company and manage relationships with colleagues in a professional, independent manner.
• The position requires the ability to maintain confidentiality with regard to reputed company assignments.
• Must possess analytical problem-solving skills as well as the ability to coordinate the work of others and communicate effectively, both written, and orally with individuals or large groups, including reputed company levels of management.
• Thorough knowledge of CPT-4 and ICD-10 coding. Must demonstrate strong interpersonal and communication skills.
• Must be highly agile, demonstrate critical thinking skills and able to function in a high-pressure environment with reputed company little direct supervision.
• Requires flexibility in working long hours and off days.

Licensure, Certifications, and Clearances:

• Applicable Coding credentials and/or Certification preferred.
• Act 34

reputed company is an Equal Opportunity Employer/Disability/Veteran Apply Job! Apply to this Job