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Manager, Coding
Surgical Information Systems. Review and analyze medical billing and coding for processing .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical billing and coding, with a strong focus on ICD-9/ICD-10 coding conventions and compliance with OIG guidelines. Proven ability to manage coding teams, enhance documentation practices, and ensure optimal payment processes.
Highest-signal resume keywords
ICD-9/ICD-10 CodingCCS CertificationCPC CertificationSurgical Coding ExperienceManagement Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical BillingCoding AnalysisDocumentation ReviewDenial ManagementCoding Team ManagementReport GenerationPatient Type CodingInsurance Plan AnalysisElectronic Payor Follow-UpTime Management
Soft Skills
Attention to DetailProblem SolvingCommunication SkillsFlexibilityProfessionalism
Certifications & Qualifications
CCSCPCRHIARHIT
Industry Keywords
Ancillary Surgery CenterAmbulatory Surgery CenterICD-9-CMCPT CodingHealth PlansOIG GuidelinesMedical TerminologyAnatomyPhysiologyDisease Process
About the role
Key responsibilities & impact- 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
Requirements
What you’ll need- Required certification in one of the following: CCS, CPC, RHIA, RHIT
- Successful completion of formal education in basic ICD-9-CM/ICD-10/CPT coding, medical terminology, anatomy/physiology and disease process
- Excellent command of written and spoken English
- Ability to promote favorable company image with patients, insurance companies, and general public
- Ability to solve problems associated with assigned task
- Minimum of 5 years acute care coding experience of all patient types: Inpatient, SDS and ER, with strong experience in Surgical coding
- 3 years management experience
- Strong attention to detail and speed while working within tight deadlines
- Exceptional ability to follow oral and written instructions
- A high degree of flexibility and professionalism
- Experience working in an Ancillary/Ambulatory Surgery Center (ASC)
- Working knowledge of IPAs and health plans
- Comfortable with electronic and manual payor follow-up
- Ability to quickly identify trends and escalate, as appropriate
- Ability to read, analyze and interpret insurance plans, financial reports, and legal documents
- At this time we are unable to sponsor H1B candidates
- Preferred education: Associates or better; Bachelors or better
Benefits
Comp & perks- Benefit package including Medical, Vision, Dental, Short Term Disability, Long Term Disability, and Life Insurance
- Vacation/Sick time
- 401(k) retirement plan with company match
- Paid Holidays
- SIS Cares Day
- Hybrid environment depending on the role