Coding Compliance Manager Jobs in Washington (NOW HIRING)

Company :

Allegheny Health Network

Job Description :

GENERAL OVERVIEW:

Primarily responsible for assisting the Coding Manager within the Coding Department. Assists in the management of daily operational processes, including: optimization of work assignments, timekeeping and supervision responsibilities of team, providing technical expertise for coding content and functions within the department. The supervisor is responsible for the analysis and assessment of data relating to coding. Acting as an internal consultant, the supervisor provides essential quality reports, advice and improvement recommendations to management along all service lines. Identifies work flow issues and solutions, training needs, works special projects, resolves claim/account issues and technical problems and communicates/escalates root cause issues as appropriate. Works closely with the Coding Manager to provide accurate, critical information for identification of areas needing immediate attention to improve revenue results. Monitors daily workflow, reassigns work as needed and monitors staff productivity as required to achieve key revenue cycle performances indicators. This supervisor will facilitate a climate of teamwork.

ESSENTIAL RESPONSIBILITIES:

• Supervises coders. Assists with training new staff, counsels staff on performance and assists with managing workload goals and standards of performance. (25%)

• Assists coding manager with scheduling, payroll, work queue assignment, and physician education. (25%)

• Assists with production coding when and where needed. (20%)

• Builds strong relations and facilitates productive communication between key stakeholders and core support departments. Collaborates with others to develop and implement action plans to resolve errors. (10%)

• Organizes, delegates, monitors and measures special projects to ensure they are completed timely and accurately. (10%)

• Identifies, quantifies and monitors account detail or workflow processes for barriers. Makes process improvements or initiates courses of action for problem resolution. (10%)

• Performs other duties as assigned or required.

QUALIFICATIONS

Minimum

• Associates Degree in a Health Information related field or 4 years of experience in lieu of Associate's degree

• 3 years experience as a production coder related to the coding team being supervised which includes assigning ICD-10-CM codes, ICD-10-PCS codes (inpatient), CPT/HCPCS codes.

• Excellent organizational and project management skills

• 1 year in a leadership type role or a similar role in oversight of staff and/or processes

• Professional Coding Certification

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

$31.02

Pay Range Maximum:

$48.54

Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

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Req ID: J284773