Surgical Information Systems

Manager

• Review and analyze medical billing and coding for processing
• Assist with client management
• Manage the coding team, including Team Leads and production coders
• Adhere to ICD-9/ICD-10 coding conventions and official coding guidelines approved by CPT, AMA, AAOS, and CCI
• Consult physicians for clarification and additional documentation before code assignment when health-record data is conflicting or ambiguous
• Strive for the optimal payment to which the facility is legally entitled
• Assist and educate physicians and clinicians by advocating proper documentation practices
• Follow OIG guidelines, including completing code disagreement forms where required and providing supporting documentation for center approval
• Update coding site specifics for assigned centers
• Identify and track cases unable to be billed due to missing operative notes, pathology reports, supply information, or other documentation
• Submit documented daily/weekly requests to centers for missing information
• Perform month-end tasks within established timeframes, including running reports for assigned centers and tracking unbilled cases
• Manage client communications through emails, phone calls, and video meetings with client staff and physicians
• Aid clients in denial management and coding reviews
• Manage coding-team case productivity
• Approve employee time and payroll entries
• Provide coder training and ongoing education
• Participate in meetings, trainings, and conferences as needed

Manager, Coding