Panoramic Health
Manager, Coding Integrity and Provider Education
Panoramic Health, Phila, Pennsylvania, United States
Manager, Coding Integrity and Provider Education
Texas, USA Job Description
Posted Wednesday, August 6, 2025 at 7:00 AM Led by physicians, we are the leading integrated provider group focused on improving patient outcomes Our priority is healthy patients We deliver better outcomes for patients and lower costs for everyone. We are kidney care’s leading, integrated, provider group which uniquely qualifies us to provide end to end kidney care. We keep patients healthier, longer- at home and out of the hospital. Our clinical engagement and understanding of chronic kidney disease ensures better care and outcomes across the spectrum of CKD-ESRD patients. The Manager, Coding Integrity and Provider Education ensures coding accuracy and revenue integrity for appropriate reimbursement, including coding, charge capture, payer and provider audit and provider education. This position includes the leadership of all coding staff, education, and auditing of their performance and productivity. The manager will provide hands on support, represent the department at meetings and provide physician education in interpretation, coding compliance and documentation improvement. Functions as a coach and mentor to the coding specialists. Responsibilities include: Oversees department’s work queues and productivity reports to ensure timely submission of charges. Develops and implements standardized physician-based coding guidelines and documentation requirements. Provides education and guidance on professional coding policies, guidelines, and procedures to maximize revenue opportunities while minimizing compliance risk. Reconciles changes and analyzes productivity and reimbursement reports to identify trends and improve revenue opportunities. Manage, identify, research, resolve and report any issues involving daily workflow and quality of work. Works with revenue cycle management to ensure compliance guidelines are established consistently throughout organization. Keeps abreast of new technology in coding and abstracting software and other forms of automation and stays informed about transaction code sets, HIPAA requirements and other potential issues impacting coding functions. Participates in and/or supports the Orientation of newly hired staff members. Provide leadership, training, and review coding to evaluate performance of Coding Specialists. Maintains both internal and external customer and client relationships as required and manages expectations related to the performance of deliverables and non-standard issue resolution. Maintain compliance with Federal and State regulations. Perform other duties and responsibilities as required, assigned, or requested. Qualifications: Bachelor’s degree in Business, Finance or Health Administration field is preferred. CPC through AAPC or RHIA. CPC in good standing with AAPC. 5 years progressive professional coding experience with extensive knowledge of ICD-10 and CPT codes assignment, principles and guidelines, reimbursement systems, and federal, state and payer-specific regulations and policies relating to documentation, coding, and billing. 2 years supervisory experience. Intermediate level proficiency with Excel, Access, and PowerPoint. PM Software, Athena experience preferred. pMD experience preferred . Strong knowledge of medical billing practices. Working knowledge of anatomy and procedural terminology. Understanding of HIPAA laws and regulations. Computer proficiency, (MS Office – Word, Excel, Power Point). Expert knowledge of coding, billing, and third-party reimbursement. The Company is committed to the principles of equal employment. We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations. It is our intent to maintain a work environment which is free of harassment, discrimination, or retaliation because of age, race, color, national origin, ancestry, religion, sex, pregnancy (including childbirth, lactation and related medical conditions), physical or mental disability, genetic information (including testing and characteristics), veteran status, uniformed servicemember status, or any other status protected by federal, state, or local laws. The company is dedicated to the fulfillment of this policy in regard to all aspects of employment, including but not limited to recruiting, hiring, placement, transfer, training, promotion, rates of pay, and other compensation, termination, and all other terms, conditions, and privileges of employment The Company is committed to the principles of equal employment. We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations. It is our intent to maintain a work environment which is free of harassment, discrimination, or retaliation because of age, race, color, national origin, ancestry, religion, sex, pregnancy (including childbirth, lactation and related medical conditions), physical or mental disability, genetic information (including testing and characteristics), veteran status, uniformed servicemember status, or any other status protected by federal, state, or local laws. The company is dedicated to the fulfillment of this policy in regard to all aspects of employment, including but not limited to recruiting, hiring, placement, transfer, training, promotion, rates of pay, and other compensation, termination, and all other terms, conditions, and privileges of employment For information about our Privacy Policy, please visit here
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Texas, USA Job Description
Posted Wednesday, August 6, 2025 at 7:00 AM Led by physicians, we are the leading integrated provider group focused on improving patient outcomes Our priority is healthy patients We deliver better outcomes for patients and lower costs for everyone. We are kidney care’s leading, integrated, provider group which uniquely qualifies us to provide end to end kidney care. We keep patients healthier, longer- at home and out of the hospital. Our clinical engagement and understanding of chronic kidney disease ensures better care and outcomes across the spectrum of CKD-ESRD patients. The Manager, Coding Integrity and Provider Education ensures coding accuracy and revenue integrity for appropriate reimbursement, including coding, charge capture, payer and provider audit and provider education. This position includes the leadership of all coding staff, education, and auditing of their performance and productivity. The manager will provide hands on support, represent the department at meetings and provide physician education in interpretation, coding compliance and documentation improvement. Functions as a coach and mentor to the coding specialists. Responsibilities include: Oversees department’s work queues and productivity reports to ensure timely submission of charges. Develops and implements standardized physician-based coding guidelines and documentation requirements. Provides education and guidance on professional coding policies, guidelines, and procedures to maximize revenue opportunities while minimizing compliance risk. Reconciles changes and analyzes productivity and reimbursement reports to identify trends and improve revenue opportunities. Manage, identify, research, resolve and report any issues involving daily workflow and quality of work. Works with revenue cycle management to ensure compliance guidelines are established consistently throughout organization. Keeps abreast of new technology in coding and abstracting software and other forms of automation and stays informed about transaction code sets, HIPAA requirements and other potential issues impacting coding functions. Participates in and/or supports the Orientation of newly hired staff members. Provide leadership, training, and review coding to evaluate performance of Coding Specialists. Maintains both internal and external customer and client relationships as required and manages expectations related to the performance of deliverables and non-standard issue resolution. Maintain compliance with Federal and State regulations. Perform other duties and responsibilities as required, assigned, or requested. Qualifications: Bachelor’s degree in Business, Finance or Health Administration field is preferred. CPC through AAPC or RHIA. CPC in good standing with AAPC. 5 years progressive professional coding experience with extensive knowledge of ICD-10 and CPT codes assignment, principles and guidelines, reimbursement systems, and federal, state and payer-specific regulations and policies relating to documentation, coding, and billing. 2 years supervisory experience. Intermediate level proficiency with Excel, Access, and PowerPoint. PM Software, Athena experience preferred. pMD experience preferred . Strong knowledge of medical billing practices. Working knowledge of anatomy and procedural terminology. Understanding of HIPAA laws and regulations. Computer proficiency, (MS Office – Word, Excel, Power Point). Expert knowledge of coding, billing, and third-party reimbursement. The Company is committed to the principles of equal employment. We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations. It is our intent to maintain a work environment which is free of harassment, discrimination, or retaliation because of age, race, color, national origin, ancestry, religion, sex, pregnancy (including childbirth, lactation and related medical conditions), physical or mental disability, genetic information (including testing and characteristics), veteran status, uniformed servicemember status, or any other status protected by federal, state, or local laws. The company is dedicated to the fulfillment of this policy in regard to all aspects of employment, including but not limited to recruiting, hiring, placement, transfer, training, promotion, rates of pay, and other compensation, termination, and all other terms, conditions, and privileges of employment The Company is committed to the principles of equal employment. We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations. It is our intent to maintain a work environment which is free of harassment, discrimination, or retaliation because of age, race, color, national origin, ancestry, religion, sex, pregnancy (including childbirth, lactation and related medical conditions), physical or mental disability, genetic information (including testing and characteristics), veteran status, uniformed servicemember status, or any other status protected by federal, state, or local laws. The company is dedicated to the fulfillment of this policy in regard to all aspects of employment, including but not limited to recruiting, hiring, placement, transfer, training, promotion, rates of pay, and other compensation, termination, and all other terms, conditions, and privileges of employment For information about our Privacy Policy, please visit here
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