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Medical Coding Billing Manager Jobs in Oregon (NOW HIRING)

EnableComp

DRG Auditor (REMOTE)

OR · On-site +1

$27.25 - $31/hr

EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations ... medical record reviews post-bill to determine if submitted diagnosis and procedure codes are ...

Trice Healthcare

Coding Payment Resolution Spec

Clackamas, OR · On-site

$19.75 - $25.25/hr

... managed care organization or other health care financial service setting, performing medical claims ... billing/collections. * Possesses expertise in medical terminology, disease processes, patient ...

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Medical Coding Billing Manager information

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.

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 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 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 much does a medical coding billing manager make?

A medical coding billing manager typically earns between $60,000 and $100,000 annually, depending on experience, location, and the size of the healthcare organization. They often oversee coding and billing teams, requiring knowledge of medical coding systems and billing software.
Medical Coding Billing Manager jobs near you

Medical Coder II, Hospital-Based Coding (Must reside in KPNW region)

Kaiser Permanente

Portland, OR • On-site

$32.16 - $41.62/hr

Other

Re-posted 4 days ago

Job description

Job Summary:
In addition to the responsibilities listed below, this position is also responsible for reviewing emergency, outpatient, and ambulatory medical records to identify elements to be abstracted, as well as diagnostic and procedure codes, and beginning to review inpatient records. Essential Responsibilities:
  • Pursues effective relationships with others by sharing resources, information, and knowledge with coworkers and members. Listens to, addresses, and seeks performance feedback. Pursues self-development; acknowledges strengths and weaknesses based on career goals and takes appropriate development action to leverage / improve them. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work. Assesses and responds to the needs of others to support a business outcome.
  • Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; follows procedures and policies, and applies data and resources to support projects or initiatives with limited guidance and/or sponsorship. Collaborates with others to solve business problems; escalates issues or risks as appropriate; communicates progress and information. Supports the completion of priorities, deadlines, and expectations. Identifies and speaks up for ways to address improvement opportunities.
  • Assists with documentation and coding compliance by: following compliance standards with applicable federal, state, and local laws and regulations, The Principles of Responsibility, the Code of Conduct for Kaiser Permanente, internal policies and procedures, professional standards, and accreditation standards.
  • Supports efforts to update coding processes and meet regulatory goals by: assisting in performing analysis/review to assure the accuracy of current procedures and diagnosis codes upon request from various sources; using internal resources (e.g., webinars, enterprise education team) to learn up-to-date knowledge of standards and regulatory requirements related to coding, documentation, and management compliance (federal, state, internal), and researching guidance for individual coding situations as necessary, with some guidance; and meeting and maintaining department standards for productivity and quality.
  • Completes medical coding by: translating clinical information into coded data to enter appropriate codes for diagnoses, procedures, and other services rendered, following coding guidelines for the most current version of the International Classification of Diseases Clinical Modification (ICD-CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Level II for patient encounters with guidance; identifying and assigning appropriate codes for diagnoses, procedures, and other services rendered with day-to-day supervision; identifying and assisting with resolving coding issues through partnership with clinicians, department administration, and other coding staff based on review, coding guidelines, and queries or issues with practitioner-submitted medical codes to reduce denials and improve time to submission; and supporting team members who provide consultation to staff and care providers on all coding and documentation questions.
Minimum Qualifications:
  • Minimum two (2) years of experience with Hospital Ambulatory Surgery, Home Health/Hospice (if applicable), Observation, and Hospital complex Outpatient Visit including capture of codes for outpatient services that require monitored anesthesia and conscious sedation.
  • High School Diploma or GED or equivalent AND minimum two (2) years of coding experience. OR Minimum two (2) years of coding experience and one (1) year of experience in a corporate or business office environment.
  • Registered Health Information Technician required at hire OR Registered Health Information Administrator required at hire OR Certified Coding Specialist required at hire
Additional Requirements:
  • Knowledge, Skills, and Abilities (KSAs): Quality Assurance and Effectiveness; Health Care Coding; Data Quality; Time Management; Medical Terminology; Medical Coding; Compliance Management; Health Records; Health Information Systems; Data Entry; Maintain Files and Records
Preferred Qualifications:
  • N/A

Primary Location: Oregon,Portland,Kaiser Permanente Building
Scheduled Weekly Hours: 40
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri
Working Hours Start: 08:00 AM
Working Hours End: 05:00 PM
Job Schedule: Full-time
Job Type: Standard
Employee Status: Regular
Worker Location: Flexible
Employee Group/Union Affiliation: NUE-NW-02|NUE|Non Union Employee
Job Level: Individual Contributor
Department: Kaiser Permanente Building - Centralized Medical Records - 1001
Pay Range: $32.16 - $41.62 / hour Kaiser Permanente strives to offer a market competitive total rewards package and is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not reflect the full value of our total rewards package. Actual base pay determined at offer will be based on labor market data, internal alignment, and a candidate's years of relevant work experience, education, certifications, skills, and geographic location.
Travel: No Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.

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