Our Client, a Medical Center company, is looking for a Manager Coding & Education, BUMG for their Remote location. Responsibilities: + Responsible for the operational functions of the Coding Quality and Education program for Professional Billing BUMG, including annual provider audits and implementing coding education initiatives, for all professional services medical staff within BUMG; plays a strategic role in validating the accuracy of CPT, HCPCS and diagnosis code assignment by coders, physicians and non-physician practitioners, and compliance with governmental regulations, coding guidelines, and reporting requirements; actively involved in the dissemination of coding requirements and updates to appropriate stakeholders. + Works closely with key Revenue Cycle stakeholders to understand reasons for denials, root cause analysis, and feedback to providers; develops and implements coding training plans, including curriculum development, preparation and delivery of training, to improve the accuracy, integrity and quality of patient data, and to improve the quality of provider documentation within the body of the medical record to support code assignment. + Primary responsibilities under the direction of the Sr. Director of Revenue Integrity & Professional Billing and VP of Revenue Cycle: Training + Develop and maintain a facility-wide, specialty specific educational program for physicians and non-physician practitioners to provide continuous feedback and education. + Participate in coding and documentation education with the PBO team for physicians and other professionals documenting in the medical record. + Creates presentations, develops learning materials, handbooks, and other training materials. + Lead training sessions on current billing and coding information in the medical field. + Provide mentoring and education to physicians and provide feedback to 3rd party vendor on findings to improve their current performance. + Communicates and advises the Physician Group and Revenue Cycle staff on coding and documentation principles. + Hold regular meetings to communicate new findings. Training Administration + Develop curriculum and training project plan, working collaboratively with Revenue Cycle teams and BUMG leadership to identify areas of need. + Research updated coding information. Training Assessment + Perform quality assurance reviews to assess comprehension of training efforts. + Conduct coding reviews and training programs to assure coding quality. + Prepares activity statistics and quality assurance studies as required; participates in medical record documentation auditing to monitor physician and nursing compliance with regulatory requirements. Coding support + Assesses professional coding and patient care documentation practices to monitor compliance with pertinent regulations and guidelines. + Monitors and reports status of internal or regulatory generated billing and coding audits. + Develops recommendations for corrective action plans and creates policies, procedures, and internal controls which reinforce the highest level of standard of coding quality. + Review and respond to coding questions. + Ensure billed service is being accurately coded. + Perform random chart audits. + Perform analysis of benchmarking profiles. + Provide continual coding updates. + Research coding issues that arise. + Understands and reviews the optimization of professional payment legitimately and ethically, based on approved coding guidelines and conventions. + Audits the abstract of medical data from the record to complete a discharge data abstraction on each patient; codes and abstract surgery, trauma, visits, etc. General + Responsible for the day-to-day management of the QA/Education for BUMG including work distribution for inpatient and outpatient validation as well as auditing and providing education. + Assists physicians with coding complex inpatient accounts as priority and outpatient accounts as needed. + Initiates queries when necessary and monitors responses. + Assists with clinical documentation and coding integrity audits. + Provides training to healthcare professionals, and Revenue Cycle staff in ICD, CPT, HCPCS Level II coding guidelines, proper documentation guidelines and other information related to coding. + Identifies trends, patterns and variances in coding and documentation and provides education where necessary. + Partners with Patient Financial Services (PFS) Denials Management and 3rd party vendor to determine root causes and provide feedback and training to providers in order to reduce denials. + Reviews all educational materials for accuracy and chooses methods of education that are appropriate and effective. + Maintains knowledge of ICD-10 and CPT classifications and coding of diagnoses and procedures. + Participates in coding and reimbursement meetings. + Follows established hospital infection control and safety procedures. + Maintains professional skills and knowledge of coding through attendance at in-service programs, conferences, workshops and other educational programs and by review of current literature. Shares knowledge and learning experiences to staff. + Performs other related duties as required. Requirements: + Bachelor’s degree or equivalent combination of formal education and experience. + CPC credentials required. + Additional RHIA, RHIT, RN, or other coding credential is preferred. + Must have at least five years of experience in coding; experience must include education/mentoring/training. + Minimum of five years physician coding experience with ICD-9/10-CM/PCS and CPT-4, academic medical setting or trauma center preferred. + Minimum of three years management experience required; five years preferred. + Excellent command of the ICD-9/10-CM and CPT4/HCPCS coding conventions, E&M coding, diagnosis-related groupings (DRG) and ambulatory patient groupings (APG) methodology. + Work also requires concepts of human anatomy, physiology and pathology. + Excellent skill in providing hands-on education to physicians and non-physician staff based on audit finding and need. + Strong knowledge of health records, computerized billing and charging systems, Microsoft applications, data integrity, and processing techniques required. + Excellent organizational skills, including ability to multi-task, prioritize essential tasks, follow-through and meet timelines. + Ability to work with accuracy and attention to detail + Ability to solve problems appropriately using job knowledge and current policies/procedures. + Ability to work cooperatively with members of the healthcare delivery team and staff, ability to handle frequent interruptions and adapt to changes in workload and work schedule and to respond quickly to urgent requests. + Must be able to maintain strict confidentiality of all personal/health sensitive information and ensure compliance of HIPAA rules and regulations. + Must possess extensive knowledge of professional billing reimbursement methodologies. + Work requires in-depth knowledge of medical terminology, ICD-10-CM/PCS and CPT-4 Coding conventions and knowledge of the various DRG systems (CMS DRGs, AP-DRG, and APR-DRGs). Work also requires basic concepts of human anatomy, + Physiology and Pathology. + Strong knowledge of health records, computer systems, Microsoft applications, data integrity, and processing techniques required. + Ability to mentor, guide and motivate direct reports through demonstration of best practices and leading by example. + Excellent organizational skills, including ability to multi-task, prioritize essential tasks, follow-through and meet timelines. + Ability to solve problems appropriately using job knowledge and current policies/procedures. + Ability to maintain and enforce strict confidentiality of all personal/health sensitive information and ensure compliance of HIPAA rules and regulations. Why Should You Apply? + Health Benefits + Referral Program + Excellent growth and advancement opportunities As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.