Speromd LLC
Job Description
Job Description Description:
**Remote Position**
The Coding Manager oversees daily coding operations, ensuring compliance with governmental, payor, and industry standards, including ICD-10, CPT, HCPCS, and HCC coding guidelines. This role is responsible for maintaining coding accuracy, quality, and productivity; hiring, training, and managing coding staff; and supporting clinician education on documentation standards. The manager fosters communication between coding teams and clinicians and collaborates with revenue cycle leadership on process improvements, denial resolution, customer satisfaction, and compliance initiatives. ESSENTIAL JOB FUNCTIONS: Oversees daily coding operations across all clients to ensure turnaround times (TAT) are consistently met. Establishes coding productivity standards by specialty and holds the team accountable for consistent performance. Create operational efficiencies by analyzing existing workflows and leveraging technology. Directs the daily coding operations including coordinating accurate and timely coding and charge entry. Ensures all coding abides by all governmental, payor, and industry standards, during charge review and denial management within the contractual lag days. Escalates to the appropriate sources when areas of concern are identified for any clients. Identifies potential areas of compliance vulnerability and risk. Audits avoidable denials and sets up coding pathways to ensure accurate coding at time of charge review. Communicates coding policies and procedures to promote efficient flow of billing process. Collaborates with IT and clients to implement and manage coding edits within EHR systems, ensuring coders can review and address issues prior to releasing claims. Hires and provides or arranges for training of employees and client staff in use of coding guidelines and practices, and proper documentation techniques. First point of escalation for problems in the coding department originating internally or externally. Responsible for ensuring regular review of changes in payor guidelines, and timely update of staff and physicians with regard to determined changes in payor guidelines. Keeps abreast of new technology in coding software and other forms of automation and stays informed about transaction code sets, HIPAA requirements and brings recommendations for improvements to the director. Serves as a resource to others in the organization as well as clients to obtain information or clarification on accurate and ethical coding and documentation standards, guidelines and regulatory requirements. Responsible for development of competencies for measuring staff performance and implements action plans based on findings of education/reviews. Oversight of coding quality assurance process to validate correct application of ICD-10, CPT and HCPCS codes. Cultivates and maintains partnerships and collaborations with internal and external business partners. Provides monthly, quarterly or as needed feedback to clients regarding coding and coding denials. Researches payer policies to ensure new encounter types and procedures are covered by major payers. Responsible for maintaining coding KPIs such as pre-AR days, charge lag, and coding denials Performs other related duties as required and assigned. Requirements:
MINIMUM QUALIFICATIONS: To perform this position successfully, an individual must be able to perform each job duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties. Required Education, Knowledge, Skills & Abilities: Bachelor’s degree preferred. AAPC (CPC) or AHIMA (CCS) certification with three years’ coding manager experience. In-depth knowledge of coding including ICD10, CPT, and modifier usages. Management experience in organizational leadership and relationship building. Comprehensive knowledge of general coding and compliance standards. Proven organizer, manager, and leader with the ability to quickly assess departmental needs and deliver effective tools and solutions to address challenges. Coaching skills to help enhance learning and improve growth and success. Knowledge of Epic required; other EHR systems bonus. Proficient with computer software applications preferred. Strong written and verbal communication skills and high level of organizational skills required. Ability to work independently in a fast-paced environment. Good interpersonal skills and excel at working in a team environment. Required Length & Type of Experience: Minimum of 3 years of professional coding experience required Required Certification, Licenses, Registration: AAPC or AHIMA certified
Job Description Description:
**Remote Position**
The Coding Manager oversees daily coding operations, ensuring compliance with governmental, payor, and industry standards, including ICD-10, CPT, HCPCS, and HCC coding guidelines. This role is responsible for maintaining coding accuracy, quality, and productivity; hiring, training, and managing coding staff; and supporting clinician education on documentation standards. The manager fosters communication between coding teams and clinicians and collaborates with revenue cycle leadership on process improvements, denial resolution, customer satisfaction, and compliance initiatives. ESSENTIAL JOB FUNCTIONS: Oversees daily coding operations across all clients to ensure turnaround times (TAT) are consistently met. Establishes coding productivity standards by specialty and holds the team accountable for consistent performance. Create operational efficiencies by analyzing existing workflows and leveraging technology. Directs the daily coding operations including coordinating accurate and timely coding and charge entry. Ensures all coding abides by all governmental, payor, and industry standards, during charge review and denial management within the contractual lag days. Escalates to the appropriate sources when areas of concern are identified for any clients. Identifies potential areas of compliance vulnerability and risk. Audits avoidable denials and sets up coding pathways to ensure accurate coding at time of charge review. Communicates coding policies and procedures to promote efficient flow of billing process. Collaborates with IT and clients to implement and manage coding edits within EHR systems, ensuring coders can review and address issues prior to releasing claims. Hires and provides or arranges for training of employees and client staff in use of coding guidelines and practices, and proper documentation techniques. First point of escalation for problems in the coding department originating internally or externally. Responsible for ensuring regular review of changes in payor guidelines, and timely update of staff and physicians with regard to determined changes in payor guidelines. Keeps abreast of new technology in coding software and other forms of automation and stays informed about transaction code sets, HIPAA requirements and brings recommendations for improvements to the director. Serves as a resource to others in the organization as well as clients to obtain information or clarification on accurate and ethical coding and documentation standards, guidelines and regulatory requirements. Responsible for development of competencies for measuring staff performance and implements action plans based on findings of education/reviews. Oversight of coding quality assurance process to validate correct application of ICD-10, CPT and HCPCS codes. Cultivates and maintains partnerships and collaborations with internal and external business partners. Provides monthly, quarterly or as needed feedback to clients regarding coding and coding denials. Researches payer policies to ensure new encounter types and procedures are covered by major payers. Responsible for maintaining coding KPIs such as pre-AR days, charge lag, and coding denials Performs other related duties as required and assigned. Requirements:
MINIMUM QUALIFICATIONS: To perform this position successfully, an individual must be able to perform each job duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties. Required Education, Knowledge, Skills & Abilities: Bachelor’s degree preferred. AAPC (CPC) or AHIMA (CCS) certification with three years’ coding manager experience. In-depth knowledge of coding including ICD10, CPT, and modifier usages. Management experience in organizational leadership and relationship building. Comprehensive knowledge of general coding and compliance standards. Proven organizer, manager, and leader with the ability to quickly assess departmental needs and deliver effective tools and solutions to address challenges. Coaching skills to help enhance learning and improve growth and success. Knowledge of Epic required; other EHR systems bonus. Proficient with computer software applications preferred. Strong written and verbal communication skills and high level of organizational skills required. Ability to work independently in a fast-paced environment. Good interpersonal skills and excel at working in a team environment. Required Length & Type of Experience: Minimum of 3 years of professional coding experience required Required Certification, Licenses, Registration: AAPC or AHIMA certified