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Director Clinical Coding Jobs in Georgia (NOW HIRING)

Trice Healthcare

Coding Payment Resolution Spec

Rex, GA · On-site

$17.25 - $22.25/hr

... as directed by the Supervisor Clinical / Coding Payment Resolution. * Interprets data, draws conclusions, and reviews findings with all level of Payment Resolution Specialist for further review.

LCMC Health

This role ensures accurate and complete clinical documentation that reflects the severity of ... The Director will lead a team of CDI specialists and inpatient coders, fostering a collaborative ...

Reliatus

BCBA Clinical Director

Stockbridge, GA · On-site

$100K - $120K/yr

We are currently seeking a passionate, onsite Clinical Director (BCBA) to direct, mentor, and ... code of conduct. Operations & Team Development * Support local recruitment, onboarding, and ...

Four Winds Health

Coding Provider Liaison

Atlanta, GA · Remote

Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is ... Direct experience educating physicians/providers on documentation and coding requirements required

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Director Clinical Coding information

What is the difference between Director Clinical Coding vs Clinical Coding Manager?

AspectDirector Clinical CodingClinical Coding Manager
CredentialsCertifications in coding and management, relevant degreesCertifications in coding, management experience
Work EnvironmentStrategic leadership, overseeing coding departmentsOperational management, supervising coding teams
Industry UsageHealthcare organizations, hospitals, health systemsHospitals, clinics, healthcare providers
Search IntentUnderstanding leadership roles in codingManaging coding teams and processes

The main difference between a Director Clinical Coding and a Clinical Coding Manager lies in their scope of responsibilities. The Director typically focuses on strategic oversight and departmental leadership, while the Manager handles day-to-day operations and team supervision. Both roles require relevant certifications and experience in clinical coding, but the Director's role is more senior and strategic.

What are popular job titles related to Director Clinical Coding jobs in Georgia? For Director Clinical Coding jobs in Georgia, the most frequently searched job titles are:
What job categories do people searching Director Clinical Coding jobs in Georgia look for? The top searched job categories for Director Clinical Coding jobs in Georgia are:
What cities in Georgia are hiring for Director Clinical Coding jobs? Cities in Georgia with the most Director Clinical Coding job openings:
Director Clinical Coding jobs near you

Coding Payment Resolution Spec

Trice Healthcare

Rex, GA • On-site

$17.25 - $22.25/hr

Other

Re-posted 9 days ago

Job description

Coding Payment Resolution Specialist

Responsible for reviewing all post-billed denials (inclusive of coding-related denials) for coding accuracy and appealing them based upon coding expertise and judgment within the Hospital and/or Medical Group revenue operations of a Patient Business Services center.

Serves as part of a team of coding payment resolution colleagues at a PBS location responsible for identifying and determining root causes of denials.

Responsible for leveraging coding knowledge and standard procedures to track appeals through first, second, and subsequent levels, and ensuring timely filing of appeals as required by payers. In addition to promoting departmental awareness of coding best practices.

This position reports directly to the Supervisor Clinical/Coding Payment Resolution.

Essential Functions

  • Knows, understands, incorporates, and demonstrates the Client Mission, Vision, and Values in behaviors, practices, and decisions.
  • Provides detailed understanding or aptitude for resolving denials based on ICD-10-CM diagnosis codes, ICD-10-PCS codes, and CPT-4 procedural codes for UB-04 outpatient or inpatient claims, or other coding reasons and processing charge corrections based on medical record reviews, contracts, regulations as directed by the Supervisor Clinical / Coding Payment Resolution.
  • Interprets data, draws conclusions, and reviews findings with all level of Payment Resolution Specialist for further review.
  • Takes initiative to continuously learn all aspects of Payment Resolution Specialist role to support progressive responsibility.
  • Other duties as needed and assigned by the Supervisor Clinical / Coding Payment Resolution.
  • Maintains a working knowledge of applicable Federal, State and local laws/regulations; the Client and Compliance Program and Code of Conduct; as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.

Minimum Qualifications

  • High school diploma or Associate degree in Accounting or Business Administration or related field, and a minimum of four (4) years' experience within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred.
  • Must possess comprehensive knowledge of professional/physician diagnostic and procedural coding, as normally obtained through a coding certificate program and least one (1) year of physician/professional or hospital outpatient coding experience or minimum of two (2) years of relevant hospital inpatient coding experience including DRG assignment.
  • Must be a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC).
  • Must have experience with National Correct Coding Initiative edits (NCCI), National Coverage Determinations (NCD), Local Coverage Determinations (LCD), and Outpatient coding guidelines for official coding and reporting.
  • Possesses detailed understanding of principles, methods, and techniques related to compliant healthcare billing/collections.
  • Possesses expertise in medical terminology, disease processes, patient health record content and the medical record coding process.
  • Must be comfortable operating in a collaborative, shared leadership environment.
  • Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Client.

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