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Medical Coding Billing Manager Jobs in Kansas (NOW HIRING)

CEMC (Certification for Evaluation and Management Coder) or CPMA (Certified Professional Medical Auditor) obtained within the first year. * Five years' experience in physician coding and billing with ...

CEMC (Certification for Evaluation and Management Coder) or CPMA (Certified Professional Medical Auditor) obtained within the first year. * Five years' experience in physician coding and billing with ...

Medical Coder

Topeka, KS ยท On-site

$17.75 - $23.75/hr

... billing codes in compliance with applicable coding guidelines, regulatory requirements, and ... Support revenue cycle management efforts by ensuring timely and accurate coding submission ...

Medical Billing Clerk

Topeka, KS ยท On-site

$18.50/hr

Office Manager Location: Topeka, KS Pay Range: Starting at $18.50/hr, based on experience Summary ... Verifying and entering patient demographic information, accurate CPT/ICD-10 codes, and current ...

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Medical Coding Billing Manager information

What is the difference between Medical Coding Billing Manager vs Medical Coding Specialist?

AspectMedical Coding Billing ManagerMedical Coding Specialist
CredentialsCertifications like CPC, CCS, or CPC-H; management experienceCertifications like CPC, CCS; coding training
Work EnvironmentSupervisory role overseeing teams, administrative tasksPerforming coding duties, reviewing medical records
Employer & Industry UsageHospitals, clinics, billing companiesHealthcare providers, billing departments
Search & Comparison IntentUnderstanding managerial roles, career progressionLearning coding responsibilities, skills required

The Medical Coding Billing Manager oversees coding and billing teams, focusing on management and administrative tasks, while the Medical Coding Specialist performs detailed coding work directly on medical records. Both roles require coding certifications, but the manager's role emphasizes leadership and oversight, whereas the specialist's role centers on accurate coding execution.

How does a Medical Coding Billing Manager typically collaborate with other departments in a healthcare organization?

A Medical Coding Billing Manager frequently works cross-functionally with clinical staff, IT, compliance, and finance teams. They ensure accurate coding and billing by coordinating with healthcare providers to clarify documentation, collaborating with IT to optimize billing software, and working with compliance to stay updated on regulations. Open communication and teamwork are essential, as the manager often leads initiatives to improve billing processes and resolve claim denials efficiently.

What does a Medical Coding Billing Manager do?

A Medical Coding Billing Manager oversees the medical coding and billing processes within a healthcare facility. They ensure that patient diagnoses and procedures are accurately coded and that claims are submitted correctly to insurance companies for reimbursement. Their responsibilities include managing coding staff, ensuring compliance with regulations, and resolving billing discrepancies. This role is crucial for maintaining the financial health of a medical practice and ensuring proper documentation and reimbursement.

What are the key skills and qualifications needed to thrive as a Medical Coding Billing Manager, and why are they important?

A Medical Coding Billing Manager needs expertise in medical coding systems (like ICD-10 and CPT), healthcare billing processes, and a solid understanding of compliance regulations, usually supported by a degree in healthcare administration or related field and certifications such as CPC or CCS. Familiarity with medical billing software, electronic health records (EHR) systems, and revenue cycle management tools is typically required. Strong leadership, attention to detail, and effective communication are vital soft skills for managing teams and ensuring accuracy. These skills are crucial for maximizing reimbursement, maintaining regulatory compliance, and supporting the financial health of healthcare organizations.
What are the most commonly searched types of Medical Coding Billing jobs in Kansas? The most popular types of Medical Coding Billing jobs in Kansas are:
What cities in Kansas are hiring for Medical Coding Billing Manager jobs? Cities in Kansas with the most Medical Coding Billing Manager job openings:
Medical Coding Auditor

Medical Coding Auditor

LMH Health

Lawrence, KS โ€ข On-site

Full-time

Posted 4 days ago


Job description

Something special starts here.
You can't define it, but you know it when you see it: the difference between an average life and the good life. When your cup is full - with joy, purpose and lifelong health - it shows. At LMH Health, we are all about healthy people, healthy communities and healthy futures, and that makes us your destination for an exceptional career. From flexible, work-life harmony to competitive pay and great advancement potential, find everything you're looking for at LMH Health.
You'll find everything you're looking for at LMH Health:
  • Join a team that cares about the community
  • Tuition reimbursement to support continuing education
  • Professional development and recognition
  • Excellent benefits

We're looking for you.
Job Description
Job Summary
The Medical Coding Auditor is responsible for conducting prospective and retrospective compliance reviews of documentation supporting codes reported by providers or facility coding to ensure accuracy in billing, maximize charge capture, and comply with Federal, State, payer, and institutional requirements. This role involves analyzing medical records, ensuring the accuracy of ICD-10-CM diagnosis coding and CPT/HCPCS coding, and compliance with regulations. The specialist communicates results, makes recommendations, and provides training and education to staff on appropriate documentation, coding, and billing practices.
Essential Job Responsibilities
  • Conduct coding and auditing of technical and professional components of services and procedures to ensure accuracy.
  • Perform audits of new physicians on coding and documentation requirements for E/M services and procedures.
  • Track coding issues by provider and present necessary education and training to improve coding.
  • Demonstrate thorough knowledge of complex coding, reimbursement, and health information processes and understanding of auditing principles.
  • Keep informed of third-party regulations in billing/reimbursement, professional standards, and organizational policies.
  • Provide telephone and email support to staff with coding questions.
  • Assist in developing written policies and procedures, auditing methodology, audit tools, and guidelines for the department.
  • Perform routine and targeted Electronic Medical Record (EMR) auditing and monitoring to ensure privacy and integrity of Patient Health Information (PHI).
  • Independently research and validate PHI and Compliance Audit findings.
  • Perform organizational compliance risk assessments to identify strengths, vulnerabilities, and risks, and make recommendations, develop action plans, and monitor compliance.
  • Assist the Director in investigating HIPAA and Compliance issues, reporting as necessary to regulatory entities, and monitoring organizational compliance initiatives.
  • Implement and execute compliance audits and special projects as directed.
  • Develop and present orientation and ongoing training and education materials for HIPAA and Compliance-related training.
  • Analyze and evaluate medical record documentation and conduct coding/billing audits to assess the accuracy of CPT codes, diagnoses, and modifier assignments.
  • Collaborate with colleagues on audits and other projects, producing high-quality work in accordance with department standards.
  • Develop reports from audit results and assess the need for further review or intervention.
  • Participate in the preparation and delivery of compliance education and training programs and remedial education with staff.
  • Conduct follow-up audits to appraise the adequacy of corrective actions and determine whether deficiencies are corrected.
  • Serve as a coding, documentation, and policy and procedure resource to provide regulatory guidance and education to staff.
  • Research relevant regulations and communicate the need for policies and procedures and education.
  • Maintain a current working knowledge of regulatory requirements associated with professional coding, billing, documentation, and reporting requirements.
  • Seek ongoing training and development to gain additional expertise to ensure an effective compliance program.
  • Maintain professional skills and knowledge through attendance at relevant educational programs, participation in professional organizations, and reviewing current literature.
  • Perform other duties as needed or assigned.

Job Qualifications
Required:
  • Certification in Physician Coding, CPC or CCS-P, with in-depth knowledge of ICD/CPT coding.
  • CEMC (Certification for Evaluation and Management Coder) or CPMA (Certified Professional Medical Auditor) obtained within the first year.
  • Five years' experience in physician coding and billing with a working knowledge of healthcare operations.
  • Familiarity with documentation and coding requirements for physicians, including Medical Staff By-laws, Clinical Standards, Regulatory Compliance, and Risk Management.
  • Excellent communication, organization, analytical, and problem-solving skills.
  • Current coding certification through AAPC or AHIMA.
  • Excellent interpersonal skills and ability to collaborate and interact well with physicians, non-physician practitioners, staff, and leadership.

Preferred:
  • Experience with recent Medicare audit in a physician practice setting.
  • Multi-Specialty coding or auditing experience.
  • Advanced technical knowledge in specific surgical and medical specialties (e.g., Orthopedics, Neurosurgery/Spine, Oncology, OB/GYN).

Our Cultural Beliefs
  • People First
  • Integrity Matters
  • Better Together

At LMH Health, we value inclusion and diversity. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.