Job title: Surgical Coding Manager, Revenue Cycle
Company: Summit Health
Job description: About Our CompanyWe’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients’ homes and virtually through VillageMD and our operating companies , , , , and .When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.Job DescriptionThe Coding Manager manages the outsourced physician coding vendor(s), audits their work, and leverages an advanced coding knowledge that can ensure the medical billing conforms to legal and procedural requirements.Duties and responsibilities:The primary duties and responsibilities of a Coding Manager are:
- Serves as primary point of contact to coding vendor and to physicians on documentation guidelines
- Creates and enacts policies related to CityMD coding strategy
- Audits coding vendor work to ensure that appropriate levels of service, CPT-4 procedure codes, and ICD-10 diagnosis codes are assigned to claims.
- Communicates with compliance officer(s), clinical staff/leadership, scribes, operations, and revenue cycle leadership to ensure adequate
- Leverages claims data to create/monitor benchmarks, evaluate coding vulnerabilities and make recommendations on improvement.
- Report on audit results and set corrective action plans.
- Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding, denials, and billable services.
- Keep abreast of current changes in coding and compliance requirements for government programs and other third party payers.
- Maintaining high levels of compassion and professionalism to everyone while adhering to company policy and protocol
Qualifications:A candidate’s qualifications will include:
- Bachelor Degree Required (can this include or equivalent coding experience)
- Current CCS-P or CPC certificate required; and CPMA or other certifications preferred
- 3 to 5 years of experience in surgical coding
- EClinicalWorks knowledge a plus
- Expert knowledge of Surgical Coding and Evaluation and Management Coding (E/M) and familiarity with national Correct Coding Initiative (CCI) and Medicare Local Coverage Determination (LCD) guidelines
- Proven analytical and organizational abilities.
- Proven ability to work with minimal supervision at a high level of productivity.
- Must be able to communicate verbally and in writing in a high professional manner.
- Time management skills should include ability to prioritize, organize under fast paced and changing conditions to meet deadlines.
- Detail oriented.
- Strong interpersonal skills and team-oriented perspective
Physical requirements:This job may require, from time to time, repetitive tasksPay Range $85,000-100,000
The provided compensation range is based on industry standards and salary determinations will be made based on numerous factors including but not limited to years of experience and location of position.About Our CommitmentTotal Rewards at VillageMDOur team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMD’s benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan.Equal Opportunity EmployerOur Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.Safety DisclaimerOur Company cares about the safety of our employees and applicants. Our Company does not use chat rooms for job searches or communications. Our Company will never request personal information via informal chat platforms or unsecure email. Our Company will never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at select Our Company locations during regular business hours only. For information on job scams, visit, or file a complaint at .
Expected salary:
Location: New Jersey
Job date: Wed, 17 Jul 2024 02:12:47 GMT
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