Manager, Coding

This is a fully remote position, open to applicants in Alabama, +2 more states.

📋 Description

• Evaluate and assess medical billing and coding for effective processing.

• Provide support in managing client relationships.

• Oversee the coding team, which includes Team Leads and production coders.

• Comply with ICD-9/ICD-10 coding standards and the official coding guidelines established by CPT, AMA, AAOS, and CCI.

• Consult with physicians for clarification and additional documentation before assigning codes when health-record data is unclear or ambiguous.

• Aim for the maximum payment that the facility is legally entitled to receive.

• Assist and educate physicians and clinicians by promoting proper documentation practices.

• Adhere to OIG guidelines, including the completion of code disagreement forms as needed and providing supporting documentation for center approval.

• Update coding site specifics for the centers assigned.

• Identify and track cases that cannot be billed due to missing operative notes, pathology reports, supply information, or other documentation.

• Submit daily/weekly documented requests to centers for any missing information.

• Execute month-end tasks within set deadlines, such as generating reports for assigned centers and tracking unbilled cases.

• Manage client communications through emails, phone calls, and video meetings with client staff and physicians.

• Assist clients with denial management and coding reviews.

• Oversee coding-team case productivity.

• Approve employee time and payroll entries.

• Provide training and ongoing education for coders.

• Participate in meetings, training sessions, and conferences as necessary.

⛳️ Requirements

• Certification required in one of the following: CCS, CPC, RHIA, or RHIT.

• Successful completion of formal education in basic ICD-9-CM/ICD-10/CPT coding, medical terminology, anatomy/physiology, and disease processes.

• Strong command of both written and spoken English.

• Ability to enhance the company’s image positively with patients, insurance providers, and the general public.

• Capability to resolve issues related to assigned tasks.

• Minimum of 5 years of acute care coding experience across all patient types: Inpatient, SDS, and ER, with significant expertise in Surgical coding.

• At least 3 years of management experience.

• High attention to detail and efficiency while operating under tight deadlines.

• Exceptional ability to adhere to oral and written instructions.

• A significant degree of flexibility and professionalism.

• Experience in an Ancillary/Ambulatory Surgery Center (ASC).

• Familiarity with IPAs and health plans.

• Proficient with both electronic and manual payor follow-up.

• Ability to swiftly identify trends and escalate issues as necessary.

• Skill in reading, analyzing, and interpreting insurance plans, financial reports, and legal documents.

• Currently, we are unable to sponsor H1B candidates.

• Preferred educational background: Associates degree or higher; Bachelor's degree or higher.

🏝️ Benefits

• Comprehensive benefits package including Medical, Vision, Dental, Short Term Disability, Long Term Disability, and Life Insurance.

• Vacation and Sick time.

• 401(k) retirement plan with company matching contributions.

• Paid Holidays.

• SIS Cares Day.

• Hybrid work environment depending on the role.