Manager – Profee Surgical Specialties, Anesthesia Coding Teams

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversees the staff and operations of the coding department.

• Ensures peak performance through effective employee recruitment, training, development, and performance management.

• Holds team members accountable for reaching plans and performance objectives.

• Collaborates with staff to identify and resolve complex issues and challenges affecting the department.

• Supports the development and ongoing professional growth to achieve both company and individual long-term goals.

• Builds a high-performing team that excels in project management and enhances the overall coding department to improve financial performance in line with state and federal guidelines and standards.

• Maintains a strong grasp of coding metrics, leadership abilities, project management, and guides the team in establishing plans to support operational departments for optimal practice performance through robust analytical skills, process improvement identification, and technology enhancements.

• Ensures adherence to government and commercial coding regulations and standards while maximizing reimbursement for patient claims.

• Collaborates with the company's compliance and legal teams to uphold necessary procedures and represent the company in litigation matters.

• Advises management on actions and potential risks.

• Directs the strategic planning objectives and operational goal setting and execution of the coding department.

• Designs, implements, and continuously monitors all key performance indicators to maximize cash flow throughout the revenue cycle.

• Regularly assesses the effectiveness and efficiency of operations and proposes or implements optimization or transformation initiatives.

• Continuously identifies opportunities to enhance and optimize the overall coding process within the organization.

• Reviews current best practices for the coding department and other functions, making improvements as necessary.

• Develops and sustains strong relationships with clients and providers.

• Effectively manages relationships and business processes across all clinics, physician offices, and hospitals.

• Establishes and maintains robust working relationships with Revenue Cycle leaders and cultivates a strong alliance with Information Services.

• Develops, implements, and effectively manages policies, processes, and procedures for the coding department, ensuring coding charge lag, productivity, and quality meet or exceed target levels.

• Provides education and policy updates for clinic, hospital, and division employees, as well as medical staff regarding policies or procedures.

• Establishes and conducts performance reporting for revenue/coding activities at each location.

• Collaborates with local CFOs, physicians, department heads, and practice managers to foster a culture of high performance and accountability across organizational boundaries.

• Delivers regular revenue management reports to clients, providers, and management.

• Alerts senior management of concerns and provides updates on the financial condition of the company by collecting, interpreting, and reporting key financial data.

• Communicates updates regarding coding changes and CPT updates.

• Manages operational expenses in accordance with the budget.

• Directs and oversees the development of the operating and capital budget for the department.

• Works with IT to implement system-wide programs and information systems to create and maintain functional capabilities that are industry-leading.

• Provides ongoing leadership and operational oversight in the development, use, and maintenance of the clinics and hospital information systems for coding.

• Offers coding oversight for system implementations, conversions, and upgrades related to revenue cycle applications.

• Addresses any operational issues that hinder cash flow maximization, which may involve adopting new best practices.

• Collaborates with coding department leadership to achieve strategic goals and establish guidelines and procedures using data analysis.

• Arranges for billing/coding audits as required and appropriate with contracted compliance firms.

• Consistently upholds high ethical standards, promotes coding transparency, and commits to excellence in client service.

⛳️ Requirements

• A Bachelor’s degree in Healthcare Management, Business, Finance, or Accounting AND five (5) years of comprehensive experience in healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing, gained either from a consulting perspective or as an employee/manager.

• An Associate’s Degree in Health Information Technology AND seven (7) years of extensive experience in healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing, acquired either from a consulting perspective or as an employee/manager.

• In lieu of a Bachelor’s or Associate’s Degree, nine (9) years of substantial experience in healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing, either from a consulting perspective or as an employee/manager.

• A Master’s degree in Finance, Business Administration, Healthcare Administration, or a related field is preferred.

• Coding certification from AHIMA or AAPC is highly preferred.

• Seven (7) years of in-depth experience in healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing, either from a consulting perspective or as an employee/manager.

🏝️ Benefits

• Health insurance.

• Opportunities for professional development.

• Paid time off.

• Flexible working arrangements.