Interim Manager of Professional Billing

 Prestige Staffing is hiring for a 5 month Interim Manager of Coding for Professional Billing. This role is remote yet the ideal candidate would be able to travel to client site in Nevada periodically. Must have a pc and high speed internet. 

This position is responsible for the overall direction and daily operations of the coding functions for the departments within the integrated health network that impact the coding processes of professional billing       (PB) operations. This position is responsible for the day-to-day management of coding staff to ensure timely coding/entry of ICD.9/ICD.10, and CPT codes, This position oversees the coding and
workflows of daily unbilled accounts through work queues to ensure timely coding/billing and compliance. Development and maintenance of PB coding policies and procedures, implementation of changes as
appropriate, and, providing relevant feedback to coding staff is included within the scope of this position. The incumbent directs education programs to coding staff that support regulatory compliance, and clinical documentation improvement for accurate and complete coding, to substantiate reimbursement. In conjunction with the coding educator the position is responsible for creating and maintaining a coding
trainee program.

Requirements:

• Able to travel for 1-3 days when needed with notice
• EPIC EMR experience preferred
• Have a designated work space at home, pc with high speed internet
• Bachelors Degree preferred (will accept years of exp and coding certification in lieu of)
• 5 years ICD-10 & CPT coding management
• Skilled in developing presentations and presenting material.
• Strong knowledge of health care industry trends.
• 5 years of hospital revenue cycle experience
• CCS, CPC, RHIA, RHIT required
• Must be proficient in MS Office products and EMR systems
• Travel 25%
• Worked with CDI improvement

• Creates and oversees all activities related to coding, maintains a close working relationship with Revenue Integrity management to support coding accuracy that is consistent with industry standards and in compliance with the Official Guidelines for Coding and Reporting, including coordination with Clinical Documentation Specialists to ensure maximum MS-DRG reimbursement.
• Developing/maintaining a culture of service, financial discipline and fiscal responsibility, compliance, ethics and integrity; and maintains knowledge of and assures departmental compliance with Principles of Responsibility, policies and procedures, applicable regulatory requirements and accreditation standards. This responsibility is expressed through monitoring, audits, reporting of findings and education to the appropriate parties.
• Reporting of prospective audit presentations to Leadership in conjunction with Coding and Performance plan. This would include reporting on denial management and A/R impacts.
• Support the integrity of coding. This person assesses and maintains impact of current compliance activities and evaluates risk factors of coding and documentation practices; and uses understanding of interrelationships among systems across functional areas to redesign processes, improve efficiency, and ensure optimal results for the future. efficient, ensure that they collect all required information, is traceable and is easy to access and complete by Coder(s).
• Establish an efficient management process to assure effective support of coding and documentation improvement through auditing and work flows in EPIC.
• Ability to complete monthly trending analysis of coding performance including weekly and monthly A/R reports. Develop an education strategy highlighting the importance of the ICD-10 training program and how improved documentation will improve performance profiles and reimbursement.
• This position faces the major challenges of fostering positive relationships between physicians, the community, and the organization with the purpose of maintaining cost-effective and high-quality documentation; designing and coordinating educational programs; complying with state, federal and governing body regulations; and working cooperatively with other departments to achieve goals of the organization.