Supervises the daily activities of the Medical Group's coding, revenue cycle and charge capture staff, the accuracy and integrity of all coding, abstracting, and grouping of assignments for both optimal reimbursement and for accurate data retrieval. Provides Director of Coding and Revenue Cycle reports of providers who require additional education on EM levels, ICD10 diagnosis coding or procedural coding. Assists in revenue cycle denial management and appeals process for coding related claims by coding Specialists and will assist in coding denials as assigned.
MINIMUM QUALIFICATIONS:
EDUCATION: Associates degree in Health Information Management preferred, Experience will be considered in lieu of education.
CERTIFICATION/LICENSES: AAPC Certification required. RHIA, RHIT, AHIMA optional. Credential requirements must be kept current and all CEU's required must be obtained.
SKILLS: Proficiency in the use of the ICD-9/10-CM and CPT-4, HCPC coding classification systems and in grouping methodology. Excellent communication, organizational, interpersonal and analytical skills required. Must have proficiency of computer applications.
EXPERIENCE: Five years of experience as a CPC in a multi-specialty or specialty practice setting. Two years of direct supervisory experience required of coding and billing staff and three years of knowledge of complete revenue cycle to include coding, billing, denial follow-up within multipractice professional practice setting.
NATURE OF SUPERVISION:
-Responsible to: Director of Coding and Revenue Cycle, CSVMG Medical Group
ENVIRONMENT:
- Bloodborne pathogens - A
General office environment. Knowledge of general safety standards. Exposure to hazards from electrical/mechanical/power equipment.
PHYSICAL REQUIREMENTS: Continuous sedentary position with intense mental concentration up to eight hours per day. Data entry/keyboarding up to eight hours a day. Light physical effort (able to lift/carry up to 10 lbs.) Occasional reaching, stretching, bending, kneeling.
