Coding Director Jobs in West Virginia (NOW HIRING)

Role Summary:

The Coding Manageris responsible forpolicies and procedures, performance, and oversight of the coding team. This role is responsible for managing daily operations, achieving productivitymetricsand ensuring goals are met. The Coding Manager will train and mentor the team as well as onsite provider training, as required.The manager willbe responsible forresearching new lines of business andadvisingmanagement of pertinent coding regulations.

Responsibilities:

• Manages the coding and audit departmentdevelopingpolicies and procedures and ensuring corporate compliance to coding guidelines.Discusses coding results with physicians and Executive Leadership providing input on quality improvement.

• Analyze data,identifyissues, reach conclusions, and propose strategies for resolution of complex coding issues, along with leadership.Meet with physicians to train on new lines of business and set up chargecaptureworkflows.

• Responsible for researching billing and coding guidelines for new or current service lines.

• Responsible for overseeing E&M and CPT coding audits, physician education training and other projects related to physician coding compliance in fulfillment of thepractice'scompliance program.

• Complete all quarterlyPExplans and deliver feedback to the staff including quarterly coaching.

• Keeps informedregardingcurrent billing and coding regulations, auditing, professional standards and company/department policies and procedures and effectively applies this knowledge anddisseminates tostaff and other management team members.

• Keeps informed of HCC coding regulations and manages the HCC workflow within the department alongside the Care Transformation team.

• Successfully leads and mentors the team, provides coding education and training.

• Identifiesprocess improvement opportunities thatenhancesthe performance of the department.

• Responsible for ensuring the team meets andmaintainsthe company standard for coding performance and quality.

• Provides performance management/corrective action when productivity and quality goals are not met.

• Partners with the management team to ensure compliance with all federal,stateand local regulations.

• Participate in management meetings and hold regular department meetings reviewing department performance and quality outcomes.

• Responsible for reviewingmedialdocumentation for accuracy.

• Identifyand communicate documentation deficiencies to providers to improve documentation toaccuraterisk adjustment coding and compliance

• Evaluate andoptimizeend to tend practice clinical documentation and coding workflows

• Assistin various projects given by the Director of Patient Accounting, Assistant Director ofRCMor other leadership.

• Additionalresponsibilities may be assigned to help drive our mission of improving the lives of everyone living with cancer.

RequiredQualifications:

• CDEO or CDIP and CPC or Other Coding Certificationrequired

• Thorough knowledge of ICD- 10-CM, CPT, and HCPCS coding principles associated with Official Coding Guidelines and regulatory requirements.

• Minimum 3yearshealth care management/leadership experiencerequired.

• Minimum 3yearsmedical coding and auditing experience.

• Must have effective written and verbal communication skills.

• Bachelor's Degree in Health Information Managementor associated healthcare field of study preferred.

• Radiation Oncology experience required.

EssentialCompetencies:

• Attendance is an essential job function.

• Thorough knowledge of ICD- 10-CM, CPT, and HCPCS coding principles associated with Official Coding Guidelines and regulatory requirements.

• Knowledge of third-party payer regulations.

• Excellent written and verbal communication skills.

• Ability to apply goodjudgment.

• Ability to meet deadlines.

• Knowledge of clinic office procedures, medicalpracticeand medical terminology.

• Ability to interpret,adaptand applyguidelines and policiesand procedures.

• Ability to successfully organize, delegate, and supervise.

• Ability to recognize,evaluateand solve problems.

• Ability to successfully plan, implement and manage multiple projects simultaneously.

• Strong organizational skills and attention to detail.

• Strong knowledge of Windows-based software applications. (E.g.: Word, Excel, Outlook...)

• Excellent Customer Service skills.

The above job description is a general overview of the responsibilities and competencies for this role atOneOncology. Specific details may vary based on the needs of the organization.