Physician Billing Manager - Coding

Boston Medical Center; United States; On-site; USD 62,000 - 105,000; Full time

Benefits offered by this job

Competitive salary

Free parking

Transit subsidy

Onsite fitness center

Tuition reimbursement

Job summary

GBMC HealthCare is seeking a skilled Medical Billing Supervisor to manage human resources within productivity guidelines and a staff budget. You will monitor revenue, review performance, and collaborate with Client Services and Operations to optimize department results.

The ideal candidate has 5+ years in medical billing and 2+ years in a leadership role, with an Associate degree or equivalent and AAPC certification. AAPC updates and coding rules training are included in this role.

Qualifications

• Associate degree or equivalent work experience required.
• AAPC Certification required.
• 5 years experience in medical billing.
• 2 years leadership/management experience.

Responsibilities

• Direct HR functions within productivity and budget guidelines.
• Review financial and operational reports to identify improvements.
• Ensure optimal revenue for physician departments through collaboration.
• Monitor charges daily to ensure close/capture of charges.

Skills

Code sets knowledge

Medical terminology

Billing policies

Communication skills

Research & problem solving

Budget management

Workflow analysis

Training material development

Multi-tasking

Education

Associate degree or equivalent

AAPC Certification

Tools

Epic

Microsoft Office

Job description

Education and Certifications

Associate’s degree in related field or equivalent work experience

AAPC Certification

Experience

5 years experience in medical billing

2 years experience in a leadership/management role

Skills

• Knowledge of standard code sets (e.g. CPT, ICD-9, HCPCS, Modifiers), medical terminology and anatomy, third-party payer policies and billing, procedures and requirements Medicare, BCBS and Medical Assistance policies, procedures and requirements
• Skill in using basic computers and personal productivity applications
• Skill in written and oral communication
• Skills in research, analysis and problem solving
• Skill in goal setting and policy development
• Ability to develop and balance a budget
• Ability to assess, analyze, and trouble‑shoot workflows and processes
• Ability to contribute to the development of training material
• Ability to manage many assigned tasks simultaneously

Principal Duties and Responsibilities

• Manages human resources within established productivity guidelines and the personnel budget. Facilitates training and development efforts. Maintains employee competencies. Monitors and reviews work performance of the staff. Interviews and selects personnel.
• Reviews financial and operational reports to identify areas of success and improvement. Reassigns work as needed to maintain consistent levels of performance. Conducts periodic audits of employee work to ensure quality performance.
• Ensures optimal revenue for all physician departments through collaborative efforts with Client Services and Operations.
• Monitors charges on a daily basis to maintain revenue. Monitors all open charge reports to ensure all charges are being closed/captured and keeps practice managers informed of providers that are not closing/signing notes.
• Works closely with Compliance department to review audits with the practice managers and physicians. Provides additional training to physicians regarding the results of audits to ensure improvement.
• Works with Compliance to keep abreast of any coding updates throughout the year as well as the yearly AAPC updates.
• Holds meetings with provider groups to provide training and coding updates on individual department levels. Works closely with onboarding physicians to go over coding rules and regulations as well as new practices during the onboarding process.
• Assists the Applications Trainer in developing training documentation relevant to the assigned team/area. Look for additional opportunities for coding staff to develop and enhance coding skills.
• Researches coding related issues and works with compliance to enhance charge entry processes for all departments.
• Works with the Epic team to provide information on new CPT codes, charge edits, and new providers. Provides information on fee changes when necessary.

GBMC Values

• Respect – I will treat everyone with courtesy. I will foster a healing environment. Treats others with fairness, kindness, and respect for personal dignity and privacy. Listens and responds appropriately to others’ needs, feelings, and capabilities.
• Excellence – I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others. Meets and/or exceeds customer expectations. Actively pursues learning and self-development. Pays attention to detail; follows through.
• Accountability – I will be professional in the way I act, look and speak. I will take ownership to solve problems. Sets a positive, professional example for others. Takes ownership of problems and does what is needed to solve them. Appropriately plans and utilizes required resources for various job duties. Reports to work regularly and on time.
• Teamwork – I will be engaged and collaborative. I will keep people informed. Works cooperatively and collaboratively with others for the success of the team. Addresses and resolves conflict in a positive way. Seeks out the ideas of others to reach the best solutions. Acknowledges and celebrates the contribution of others.
• Ethical Behavior – I will always act with honesty and integrity. I will protect the patient. Demonstrates honesty, integrity, and good judgment. Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers.
• Results – I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals. Embraces change and improvement in the work environment. Continuously seeks to improve the quality of products/services. Displays flexibility in dealing with new situations or obstacles. Achieves results on time by focusing on priorities and manages time efficiently.

Pay Range

$61,955.01 - $105,323.51

Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.

Equal Employment Opportunity

GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.

Company Overview

Situated in scenic Towson, GBMC represents more than just a hospital; it's a legacy of over 60 years in premier healthcare. Our beautiful suburban campus is home to a facility with over 250 beds, 23,000 admissions, and 52,000 emergency room visits each year. GBMC is currently seeking talented, compassionate employees to support patients of the communities we serve. GBMC has also been named “best place to work!” At GBMC Health Partners, we don't just provide comprehensive medical care – we build lasting relationships. When it comes to the care of our patients, for us, it's personal. Whether you’re a physician leading proactive health strategies, a nurse practitioner providing care, or a medical assistant ensuring seamless operations, your role here is pivotal.

At Gilchrist, we transcend traditional hospice care. Every individual's journey is unique, and we pride ourselves on being there, every step of the way. For over three decades, Gilchrist has stood as a pillar of compassion and dedication as Maryland's premier nonprofit provider for serious illness and end-of-life care. We are more than just a hospice; we are a life-affirming promise ensuring every moment is lived to its fullest.

Hospice of Washington County (HWC), situated in Hagerstown, MD, is the only licensed provider for hospice care within Washington County. Our team of committed professionals understands the importance of ensuring that every individual is able to LIVE their life to the fullest. The focus is on caring for the individual, not the cure. Hospice focuses on helping a person live; making the most of each minute, hour, day, week and month they may have during the final season of life. It is about allowing self‑determined life closure; individuals remain the decisions makers of how they will spend their precious days, weeks, and months. Hospice focuses on quality of life, not quantity. We provide hospice care wherever the individual designates as their home. That can be in a private residence, nursing home, or assisted living facility. Hospice care is available to patients of any age, religion, race, or illness. Hospice care is covered under Medicare, Medicaid, most private insurance plans.

What We Offer

• Competitive salary and generous paid time off
• Free parking
• Monthly MTA bus pass subsidy-85% paid by GBMC "if applicable"
• Company subsidized onsite fitness and wellness center "if applicable"
• Pre‑paid tuition to pursue professional development, additional certifications, and degree programs
• Comprehensive health, dental, and vision coverage
• 401 (a) and 403 (b) retirement savings plan