Manager - Coding (REMOTE)

Universal Health Services; Wayne (PA); Remote; USD 70,000 - 90,000; Full time

Benefits offered by this job

Competitive Compensation & Generous Paid Time Off

Excellent Medical, Dental, Vision and Prescription Drug Plans

401(K) with company match

Job summary

A leading healthcare provider in Pennsylvania seeks a Coding Manager to oversee medical record documentation and correct coding practices. This role entails developing coding plans, ensuring compliance with regulatory guidelines, and providing training for staff involved in billing processes. Candidates should possess a Bachelor's degree and relevant experience, along with AAPC CPC Certification. The position promises a supportive working environment with competitive compensation and benefits.

Qualifications

• 5-8 years in healthcare billing or coding operations.
• Minimum 5 years of supervisory experience.
• Knowledge of government and commercial follow-up requirements.

Responsibilities

• Ensure adherence to coding guidelines.
• Provide training and education for staff.
• Develop and enhance the coding and charge entry process.

Skills

Healthcare billing knowledge

CPT/ICD-10 coding knowledge

Revenue cycle understanding

Excellent decision making

Coaching and mentoring

Education

Bachelor's degree

AAPC CPC Certification

Tools

Cerner

Epic

IDX

Job description

Responsibilities

Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve.

To learn more about IPM visit Physician Services - Independence Physician Management - UHS.

Position Overview

The Coding Manager is responsible for driving consistency across IPM, related to medical record documentation and the correct use of CPT-4 and ICD-10 codes to ensure adherence to established Government and third-party billing guidelines, AMA, AAP, CMS, and coding policies. Contributes to the development of medical coding and documentation plans and materials and works with the Markets to enhance documents and templates to enhance the coding and charge entry process. Ensure timeliness and accuracy of charges submitted. Meets regularly and develops positive business relations with the Markets to provide ongoing training and education for employees and providers. Works with CBO Leadership to identify coding-related revenue cycle problems, research/analyze data to resolve issues, identify and select alternatives to address outstanding issues and implement solutions for improvement. The Coding Manager coaches, counsels and mentors all coding. Responsible for driving consistency across IPM, related to clinical documentation and the correct use of CPT-4 and ICD-10 codes to ensure adherence to established Government and third-party billing guidelines, AMA, AAP, CMS, and coding policies. Develops workflows and education plans and materials and reviews and recommends updates, as needed, to enhance the overall coding and charge entry process.

Qualifications

Bachelor's degree preferred with 5-8 years' minimum working in a healthcare (professional) billing, health insurance, coding or equivalent operations work environment with a minimum 5 years of direct supervisory experience managerial or administrative experience required.

• Healthcare (professional) billing, knowledge of CPT/ICD-10 coding, government, government sponsored and commercial follow-up requirements as well as appeals processes and requirements
• Thorough understanding of the revenue cycle and how the various components work together
• Perform ongoing review and feedback on the correct use of CPT-4 and ICD-10 codes and to ensure adherence to established Government and third-party billing guidelines, AMA, AAP, CMS, and coding policies.
• Meet regularly with Market leadership and Regional Coding/Charge Supervisors to discuss opportunities for improvement, impact to the revenue cycle, and ongoing training and education for providers and employees.
• Maintain an expanded knowledge base of medical terminology, standard medical abbreviations, anatomy and disease processes, CPT-4, and ICD-10, and abstracting of clinical documentation to meet regulatory and compliance requirements.
• Demonstrate excellent initiative and judgement. Works independently applying effective approaches to task prioritization, time management, delegation of tasks and meeting deadlines. Exhibits outstanding decision making and customer service.
• Promote a work environment of accountability and ownership. Sets appropriate standards of performance and communicates clear expectations to the team. Shows direct and tangible evidence of coaching, mentoring and professional development.
• Conduct one-on-one meetings with direct reports to provide a structured time to provide coaching, discuss accomplishments and review the status of revenue cycle operations within their scope of responsibility. Discuss areas of professional development as well as goal tracking/reporting, projects, and other pertinent topics. Maintains comprehensive and concise documentation of the one-on-one meetings, next steps, and expectations.
• Manage the employment hiring process for the Coding and Charge Entry Department. Prepares well thought-out and meaningful performance appraisals for direct reports summarizing performance as well as focusing on opportunities for improvement and recognizing performance that exceeds expectations
• AAPC CPC Certification required
• Mainframe billing software (e.g., Cerner, Epic, IDX) experience highly desirable

Benefits

• A Challenging and rewarding work environment.
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.