Medical Coding Auditor Jobs in Rochester, NY (NOW HIRING)

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Job Location (Full Address):

905 Elmgrove Rd, Rochester, New York, United States of America, 14624

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

910503 United Business Office Coding

Work Shift:

UR - Day (United States of America)

Range:

UR URG 110

Compensation Range:

$61,000.00 - $85,400.00

Responsibilities:

GENERAL PURPOSE
The Assistant Coding Manager serves as a key support leader within the assigned functional area(s). This role provides assistance to the Manager by driving revenue cycle results through effective oversight of activities that impact professional charging and receivables. These activities include, but are not limited to, coding abstraction, pre-bill coding edits, claims resolution functions, and providing recommendations to enhance coding acuity, quality, productivity, and provider relationships across all departments.
Additionally, the Assistant Coding Manager is responsible for ensuring proper training and supervision of assigned staff members, while implementing and upholding URMFG best practice standards. Working collaboratively with the Manager, the Assistant Coding Manager may also prepare reports and analyze data for presentation purposes.
This position requires demonstrated knowledge and expertise in all aspects of coding operations, including staff management and supervision, office workflows, accounts receivable collaboration, payer rules, compliance, and regulatory requirements. The Assistant Coding Manager must exhibit exceptional communication, interpersonal, and problem-solving skills, as well as the ability to work independently while maintaining a collaborative team-oriented approach.

With general direction of the Manager, with latitude for independent judgment:

30% In collaboration with the Manager, the Assistant Manager plays a key role in driving revenue cycle results by effectively managing the assigned functional area and serving as the team's coding specialist. This role acts as a subject matter expert on team functions and underlying processes, demonstrating comprehensive knowledge of medical terminology and coding guidelines relevant to the assigned functional area.

The Assistant Manager ensures the accuracy and timeliness of activities and outcomes by applying expertise in coding principles and healthcare regulations. Additionally, this role is responsible for ensuring compliance with all regulatory requirements and maintaining adherence to coding standards to ensure that all coding activities are performed in a compliant and accurate manner.

20% Uses knowledge and experience to review and trend analytic and reporting data identifying problem areas and directing actions to resolve deficiencies. Provides feedback and recommendations to Manager to ensure functional area meets or exceeds all URMC/URMFG established performance metrics relating to revenue cycle coding management. Ensures early problem identification and effective resolution. Identifies and presents new ways to improve operations.

25% Provides first-line management of assigned teams. Provides supervision, leadership, coaching and counseling. Services as a role model and facilitator to staff. Ensures a positive working environment through suggestions on team building to promote heightened team morale. May participate in recruitment, performance evaluation and disciplinary processes, following University guidelines.

10% Ensures hands-on training is provided to assigned team. Monitors and evaluates work of subordinates to assure adherence to policies and procedures. Provides coaching and reinforces coding acuity and department relationship skills to team members to ensure exceptional service. Empowers team members by providing the appropriate level of decision making.

15% May serve as department liaison on matters related to business functions.

Provides a high level of problem solving and support by assisting with the resolution of outstanding issues within team, revenue cycle or stakeholders handling charging and billing related issues.

May perform other duties as assigned.

Required:

• Bachelor's degree and 2 years of coding experience required, or equivalent combination of education and experience.
• Knowledge of ICD-10-CM, CPT and HCPCS required
• Working knowledge of medical terminology and anatomy required
• Certification in one of the following:
  • RHIA - Registered Health Information Administrator Successful completion of American Health Information Management Association (AHIMA) accreditation examination upon hire required or
  • RHIT - Registered Health Information Technician upon hire required or
  • CCS-Certified Coding Specialist upon hire required or
  • Certified Professional Coder (CPC) from American Academy of Professional Coders upon hire required or
  • Certified Medical Coder (CMC) from the Practice upon hire required

Preferred:

Demonstrated working knowledge of the professional billing software applications. Active medical coding credential with AHIMA as RHIT, RHIA, CCS, CCS-P, AAPC certified as CPC, or PMI certified as CMC. High level, in-depth coding knowledge and experience with CPT/HCPCS and ICD-10-CM. 1-2 years billing office experience, at least 1 year of supervisory experience

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