Job Description:

Job Title: Coding Integrity Manager 

Location: Springfield, Missouri 

Department: Compliance and Integrity 

Employment Type: Full-time 

Job Summary: 
Join our dedicated team as a Coding Integrity Manager, where you will play a crucial role in ensuring the accuracy and integrity of our coding practices. You will collaborate closely with the Vice President of Integrity, leading a team that is committed to excellence in coding and documentation. This position offers the opportunity to make a significant impact on our organization by enhancing revenue accuracy and supporting our mission to provide quality healthcare. We are looking for a detail-oriented leader with strong analytical skills and a passion for mentoring others. 

In this role, you will oversee the Coding Integrity Team, review clinical documentation, and respond to coding review requests related to claim denials. You will also supervise and train Coding Integrity Specialists, ensuring compliance with coding standards and fostering cross-department collaboration. 

This position offers… 
• Employee Assistance Program – 24/7 counseling services, legal assistance, & financial consultation for you and your household at no cost  
• Mileage Reimbursement – Company paid for work functions requiring travel 
• Employee Discounts – Hotels, Theme Parks & Attractions, College Tuition 
• Workplace Culture - An environment cultivating employee wellbeing, valuing each individual's humanity, and actively promoting a healthy, joyful workforce 
• Additional Perks & Benefits - Scroll down to bottom of this post to learn more 

Key Responsibilities: 
• Respond to requests for coding reviews related to denials, rejections, and initiative-taking monitoring. 
• Review clinical documentation for accurate diagnosis and procedure code assignment. 
• Query providers following compliant coding query standards. 
• Supervise, train, and verify the work of Coding Integrity Specialists. 
• Monitor updates to ICD-10-CM, HCPCS, and CPT coding systems and adjust practices accordingly. 
• Prepare and present coding review reports. 
• Maintain documentation of review findings and analysis. 
• Collaborate with Training & Development for provider education on documentation and coding. 
• Coordinate with Revenue Cycle to ensure revenue accuracy. 
• Facilitate additional coding review activities as needed. 
• Stay current with coding guidelines and industry standards. 
• Perform other duties as assigned. 

Education, Experience, and/or Credential Qualifications: 
• Associate’s degree in related fields such as health information management required. 
• Bachelor’s degree preferred. 
• Active credential: RHIA, RHIT, CCS, or CPC required. 
• Minimum two years of medical coding experience required. 

Additional Qualifications: 
• Successful completion of background check including criminal record, driving record, abuse/neglect, and fingerprint check. 
• Current driver’s license, acceptable driving record, and current auto insurance. 

Physical Requirements: 
• ADA Consideration - Sedentary work: Exerting up to 10 pounds of force occasionally (exists up to 1/3 of the time) and/or a negligible amount of force frequently (exists 1/3 to 2/3 of the time) to lift, carry, push, or pull, or otherwise move objects, including the human body. Repetitive movements of hands, fingers, and arms for typing and/or writing during work shift. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met. 

Keywords: Coding Integrity, Medical Coding, Compliance, ICD-10-CM, CPT, HCPCS, Healthcare, Documentation, Revenue Cycle, Leadership 

Position Perks & Benefits:

Paid time off: full-time employees receive an attractive time off package to balance your work and personal life

Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more

Top-notch training: initial, ongoing, comprehensive, and supportive

Career mobility: advancement opportunities/promoting from within

Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness

Brightli is on a Mission:

A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients.

As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace.

We are an Equal Employment Opportunity Employer.

Brightli is a Smoke and Tobacco Free Workplace.