at Guidehouse in Springfield, Illinois, United States
Job Description
Job Family :
General Coding
Travel Required :
None
Clearance Required :
None
What You Will Do :
+ Responsible for the achievement of goals for significant statistical indicators of revenue cycle performance.
+ Oversees the timely and accurate coding of physician encounters and daily monitoring of the DNFB, CFB or other revenue cycle report.
+ Assess coder productivity, workload, workflow and unbilled report to align with goals.
+ Maintains DNFB or CFB at or below 4 days average revenue or per Client established goal.
+ Compiles & tracks monthly production reports and provides to Manager for Review
+ Generates and reviews coding reports to monitor and maintain coding quality.
+ Performs Project training and oversight of coders assigned to project to ensure performance meets 95% accuracy and production. Assist with creation of performance improvement plan as necessary.
+ Assists with Pre-bill review of coding team as assigned.
+ Communicates to Manager any issues related to backlogs, coding, or reimbursement and makes suggestions for process improvements.
+ Monitors coding & billing procedures to assure compliance with all regulatory and governmental requirements.
+ Stays current with relevant rules, regulations, standards, and directives from regulatory agencies and third-party payers.
+ Participates in revenue cycle, denial management work teams.
+ Monitors and supports daily staff functions in all areas related to coding & reimbursement and perform other related duties as assigned or requested.
+ Maintains a good working relationship with physicians, case management, registration, billing office, and clinical areas and works to address any problems related to documentation and coding.
+ Ensure compliance with coding & documentation guidelines and governmental requirements.
+ Performs monthly random coding quality reviews to identify abstracting, ICD-10-CM, and CPT coding errors. Communicates findings to Manager and educates staff accordingly.
+ Compiles monthly Report for manager identifying coding risk areas, trends, and coding accuracy.
+ Conducts routine coding educational meetings, team in-services and provides minutes to Manager and Director of Operations. Acts as a coding resource and responds to questions about coding issues and provide references and resources to Coding staff members and other Project staff.
+ Track healthcare changes that affect coding, including technical issues, code changes, regulatory issues, and reimbursement policy. Reads Coding Clinic within seven days of receipt and requires all coders to read and complete the examination.
+ Develops and analyzes reports as needed and requested to assist in the review and analysis of the documentation and coding patterns of physicians.
+ Interviews and hires qualified staff. Trains, orients and in-services new employees.
+ Performs 90-day evaluations and annual evaluations for coding staff.
+ Observes confidentiality and safeguards all patient-related information.
+ Serves as a role model for all co-workers by setting an example of high standards in dress, conduct, cooperation and job performance.
+ Performs other duties and conducts projects as assigned.
+ Provides training to Coders on assigned facility, including facility specific coding/abstracting guidelines, encoder and EHR functionality.
Client Responsibility
+ Communicates and maintains the performance expectations of client.
+ Anticipates customer needs and initiates action to meet and/or exceed those needs.
+ Identifies and recommends ways to improve client satisfaction.
What You Will Need :
+ CPC
+ Supervisory experience 2+ years.
+ Five years Physician Anesthesia coding experience.
What Would Be Nice To Have :
+ Previous experience working in the remote environment
+ Excel Experience
+ AAPC Certified Anesthesia and Pain Management Coder – CANPC
The annual salary range for this position is $
