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Hello, We Are ruralMED!
Join our mission of supporting rural healthcare through collaboration focused on strategically tailored services, effective leadership, and industry-specific expertise.
When you join our team as our Coding Manager, you will utilize your extensive leadership and coding knowledge to guide, encourage, and inspire our talented and passionate team.
In addition to experiencing the daily joy of witnessing your team grow in their success, you get to collaborate and strategize with your fellow enthusiastic and driven leaders. Together we create a supportive and nurturing environment to encourage growth, teamwork, accountability, honesty, and innovation while taking the time to celebrate excellence along the way!
How This Role Makes an Impact:
- Utilizing your leadership and coding management knowledge and expertise, you will experience the rewarding satisfaction of empowering a team and supporting rural healthcare facilities on their journey to thrive within the evolving landscape and achieve excellence.
- You will inspire, encourage, and work alongside a team of dedicated and driven experts who are passionate about helping each other to be the best at supporting rural healthcare with their coding prowess.
- Applying your problem-solving, critical thinking, and leadership skills, you will be empowered to take ownership and think outside of the box to develop processes and workflows that continue to further enhance our efficacy and accuracy.
- You will play a direct role in being a cheerleader, resource, guide, and go-to expert for team members, clients, and facilities to aid them in maximizing their reimbursement.
What’s It’s Like Working at ruralMED:
- Our elite and highly skilled team are driven by delivering top-notch results and supporting each other to reach a new level of excellence while making a positive impact on our clients and rural healthcare.
- Discover flexibility and autonomy with a company that understands the true value and benefits of achieving work-life balance.
- Personal and professional growth opportunities are encouraged, and employee engagement is not just a measurement, it is a valuable tool for achieving brilliance.
- Our core values are not only motivational, they are the standard for how we conduct and take pride in our work.
- It Begins With You: Own it.
- Pave the Way. Never Settle.
- Be Thoughtful. Be Transparent. Be Extraordinary.
- Work Fearlessly. Celebrate the Wins.
- Capitalize Our Strengths. Achieve Excellence.
- Learn more about our team: https://ruralrevcycle.com/join-our-team/
How to Succeed in this Role:
- Excellent Analytical, Communication, Critical Thinking, Problem-Solving, Adaptation, and Leadership skills.
- 5+ years of medical coding experience – required
- 2+ years of leadership experience – preferred
- Certified Coder (CPC, CCS, CPC, CIC, etc.) – required
- Have in-depth knowledge of: CPT, ICD-10, and HCPCS Coding principles, guidelines, and software / Physician E&M Coding / Hospital Inpatient Coding / Hospital Outpatient Coding / Anatomy, physiology, and medical terminology
- Knowledge within Cerner & Meditech programs – preferred
- Ability to take and give clear directions, work independently, and collaborate.
- Capability to see the potential within others and understand how to utilize their strengths and provide support where needed to help them meet their growth and achievement goals.
- Creative mindset for brainstorming and coordinating engaging team initiatives
- Natural ability to quickly and effectively adjust to changing priorities and initiate process improvements.
- Character Traits: Solution-Based, Highly Motivated, Achiever, Positive, Flexible, Dependable, Genuine, Driven, Patient, Compassionate, Self-Disciplined, Supportive, Passionate, Knowledge-Seeking, Responsible.
Title: Coding Manager
Department: Revenue Cycle Resources
Reports To: Director of Coding, Auditor & Education
Status: Exempt, Full-Time
Position Summary:
The Coding Manager is responsible for directing and managing coding operations, providing oversight to staff members, maintaining strong client relationships, and offering specialized knowledge in coding rules and regulations pertaining to both hospital and physician coding.
Qualifications:
Education and/or Experience:
• Five (5) years or more of medical coding experience required
• Two (2) years of leadership experience strongly preferred
• Certified Coder (CPC, CCS, COC, CIC, etc.) required
• Associates or Bachelors’ degree preferred
Licenses/Certifications Required:
Certified Coder (CPC, CCS, COC, CIC, etc.) required
General Requirements/Job Duties:
To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The requirements listed below are representative of the knowledge, skill, and/or ability required:
Leadership Responsibilities:
- Oversees coding specialists, disperses workloads, and monitors coding accuracy and productivity.
- Oversees interviews, hiring, monthly rounding and conducting performance evaluations of coding team members.
- Responsible for designing coding workflows, systems, and processes for current clients and in a consulting role as necessary.
- Provides education and training to coding staff, along with developing educational plans/materials as needed.
- Assists staff in troubleshooting problems/issues, including assistance in monitoring their daily activities.
- Mentors staff on an individual basis to evaluate work tasks / processes and assists staff in developing efficient and effective processes.
- Maintains advanced knowledge of systems and billing requirements. Serves as an educational resource to educate staff.
- Develops workflows and step by step documentation to assist in the training of staff.
- Follows and updates all necessary staff on coding guidelines changes.
- Monitors, evaluates and makes recommendations consistent with the various regulatory agencies to ensure clinic billing and documentation activities are compliant.
- Responds to questions from providers, managers, billing office and others related to coding application, rules, regulations, and documentation requirements.
Direct Coding Responsibilities:
- Abstracts clinical information; translates medical documentation into diagnoses and procedural codes while utilizing currently accepted coding and classification systems.
- Sequences codes according to established guidelines.
- Ensures accurate, timely, and appropriate assignment of ICD-10, CPT/HCPCS, and modifiers for the purposes of billing, internal and external reporting, and compliance with regulatory and payer guidelines.
- Monitors documentation turnaround time and productivity, and follows up with physicians and other clinical staff as needed.
- Maintains and implements a formal review process for coding compliance with all internal and government regulations.
Other Responsibilities:
- Adhere to the ruralMED mission, vision, and values.
- Maintains advanced reimbursement knowledge and performs reimbursement analysis as necessary. Monitors third-party contract payment arrangements, both private and governmental to ensure accurate reimbursement.
- Maintains proficient knowledge of EHR, clearinghouse, and payer systems, as well as any other systems, required for performing required job duties.
- Communicates issues to management, including payer, system, or escalated account issues.
- Participates in department meetings, in-service programs, and continuing education programs.
- Maintains a professional attitude with clients, patients, visitors, physicians, and other personnel.
- Assures confidentiality of patient information, maintaining compliance with policies and procedures, laws, regulations.
- Demonstrates competency annually in assigned areas of work.
- Other duties as assigned.
Required Knowledge, Skills and Abilities:
- Thorough knowledge of CPT, ICD-10, and HCPCS coding principles, guidelines, and software
- Current knowledge of physician E&M coding required
- Current knowledge of hospital inpatient and outpatient coding required
- Knowledge of anatomy, physiology and medical terminology required
- Knowledge in Cerner and Meditech programs preferred
- Proficient with Microsoft Office
- Ability to work independently
- High degree of analytical abilities
Security/Access:
• Remote work is expected 100% of the time unless otherwise agreed upon.
• Will have access to confidential information abiding by the organizations privacy policies and regulations concerning this information.
Equipment Used:
• General office equipment to include: fax, copier, computer, printer, etc.
• Telephone
Patient Age Groups Served:
None.
Essential Work Environment & Physical Requirements:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
