Director of Physician Coding

Description

REMOTE POSITION

The Director of Coding will plan, organize, and manage the professional coding to meet the mission. The Director will ensure that accurate, coded data exists for optimal reimbursement by the organization and coordinate all quality and compliance monitoring of assignments for professional services.

Supervisory Responsibilities:

• Oversees the daily operations of the coding unit including workload and staffing; hiring, disciplining, and performance appraisals; training; and monitoring quality of work.
• Develops long-range and short-term goals, objectives, plans, and programs and ensures they are implemented.
• Coaches and builds talent by empowering and providing feedback, instruction, and development to coding staff.

Duties/Responsibilities:

• Evaluate the impact of innovations and changes in programs, policies, and procedures. Designs and implements systems and methods to improve data accessibility. Identifies, assesses, and resolves problems.
• Overseas and monitors the coding services which would include coder productivity and accuracy.
• Compares coding and reimbursement profiles with national and regional norms to identify variations requiring further investigation.
• Reviews claim denials and rejections pertaining to coding and medical necessity issues and, when necessary, implements corrective action plans (such as educational programs) to prevent similar denials and rejections from recurring.
• Interacts with a variety of people who impact the success of the coding program, and functions as a facilitator, liaison, and/or motivator.
• Driving standardization in Coding services, to ensure consistency in education programs, timely regulatory updates, and adherence to compliance initiatives.
• Trending and analysis of benchmark data to identify and remediate missing revenue due to clinical coding.

Required Skills/Abilities:

• Extensive knowledge of coding principles and guidelines.
• Extensive knowledge of hospital/technical and professional services reimbursement systems.
• Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing for professional and technical services.
• Strong managerial, leadership, and interpersonal skills.
• Excellent written and oral communication skills.
• Excellent analytical skills.
• Ability to travel to market locations as necessary.

Qualifications

Education and Experience:

• Five years of professional coding (in-patient and out-patient) experience required.
• CPC certification required. CPMA preferred.
• Strong experience in working with multi-specialty medical groups and providing direction to senior leadership.

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift 15 pounds at times.