Manager, Professional Billing Coding Operations

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

📋 Description

• Accountable for the operational activities of the Professional Coding Operations team for BUMG.

• Plays a pivotal role in ensuring the precision of CPT, HCPCS, and diagnosis code assignments by coders, physicians, and non-physician practitioners.

• Collaborates closely with key stakeholders in the revenue cycle to comprehend the reasons behind denials, conduct root cause analysis, and provide feedback to providers.

• Oversees the professional billing coding staff.

• Teams up with the Coding Education Team to pinpoint trends in coding practices and aids in formulating feedback and educational resources for providers.

• Analyzes coding denials to resolve issues, identify trends, and deliver constructive feedback to providers and departments.

• Conducts quality assurance reviews of inpatient and outpatient records to evaluate and report on the efficacy of training programs and the quality of coders.

• Regularly provides in-service training and feedback to coding staff, including updates on coding changes.

• Manages coding operations to ensure that organizational objectives are achieved.

⛳️ Requirements

• Bachelor’s degree or an equivalent combination of formal education and experience.

• CPC – Certified Professional Coder.

• A minimum of five years of coding experience is required, including roles in education, mentoring, or training.

• At least five years of experience coding in an acute care hospital setting with ICD-10-CM and CPT-4; experience in an academic medical institution or trauma center is preferred.

• A minimum of three years of management experience is required; five years is preferred.

• Previous experience with claim edits and denials is necessary.

• Familiarity with ICD-10-CM and CPT4/HCPCS coding conventions, as well as E&M coding.

• Strong understanding of health records, computerized billing and charging systems, Microsoft applications, data integrity, and processing techniques.

🏝️ Benefits

• Medical, dental, vision, and pharmacy coverage.

• Discretionary annual bonuses and merit increases.

• Flexible Spending Accounts.

• 403(b) savings matches.

• Paid time off.

• Opportunities for career advancement.

• Resources to support the well-being of employees and their families.