Manager Medical Coding

Become a part of our caring community and help us put health first
 The Manager, Medical Coding in Payment Integrity leads a team that reviews clinical information from a variety of medical records and advises if appropriate procedural terminology and medical codes (e.g., ICD-10-CM, ICD-10-PCS, DRG, APR-DRG) were billed. The Manager, Medical Coding works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals.

The Manager, Medical Coding in payment integrity leads a team that confirms appropriate diagnosis related group (DRG) assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information.

Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires cross departmental collaboration and conducts briefings and area meetings; maintains frequent contact with other managers across the department.
 

Use your skills to make an impact
 

Required Qualifications

• A minimum of an Associate's Degree

• 5 or more years of experience in medical auditing & coding with a focus on MS-DRG & APR-DRG

• 2 or more years of management experience in a highly matrixed operational setting

• RHIA, RHIT and/or CCS Certification

• Experience with data analysis tools such as Power BI

• Able to determine the needed approach, resources, and goals to solve problems

• Demonstrated experience with cross departmental collaboration

• Experienced leading meetings and presenting material to broad audiences

• Comprehensive knowledge of Microsoft Office Programs Word, PowerPoint, and Excel

• Ability to handle multiple priorities

• Capacity to maintain confidentiality

• Excellent communication skills both written and verbal

• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

• 6 or more years of work experience related to claims with an understanding claims lifecycles/healthcare revenue cycle management 

• Experience leading projects and/or processes

• Experience in Financial Recovery

• Experience with the following systems: CAS, MTV, CISpro and CIS

• Current or recent experience in provider relations and/or provider engagement

• Experience in a fast paced, metric driven operational setting

• Prior experience working with offshore vendors and/or leading a team of offshore associates

Additional Information

Work Style: Remote

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