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Physician Coding Manager Jobs in Virginia (NOW HIRING)

Carilion Clinic

Invasive Coding Analyst - Ortho

Roanoke, VA · On-site

$23.23 - $32.52/hr

Identifies coding-related revenue and reimbursement improvement opportunities for Orthopaedic Services and reports these findings to management. * Consults with and provides education to physicians ...

Carilion Clinic

Invasive Coding Analyst - Ortho

Roanoke, VA · Remote

$23.23 - $32.52/hr

Identifies coding-related revenue and reimbursement improvement opportunities for Orthopaedic Services and reports these findings to management. * Consults with and provides education to physicians ...

Trice Healthcare

Coding Payment Resolution Spec

Richmond, VA · On-site

$18.50 - $23.75/hr

... company, managed care organization or other health care financial service setting, performing ... Must possess comprehensive knowledge of professional/physician diagnostic and procedural coding, as ...

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Physician Coding Manager information

What are the key skills and qualifications needed to thrive as a physician coding manager?

To thrive as a Physician Coding Manager, you need expertise in medical coding, strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems, and often a credential such as CCS, CPC, or RHIA. Familiarity with electronic health record (EHR) systems, coding audit tools, and coding compliance software is typically required. Excellent leadership, attention to detail, and effective communication skills help manage coding teams and ensure accurate documentation. These abilities are crucial for ensuring regulatory compliance, optimizing revenue cycles, and maintaining data integrity in healthcare organizations.

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

AspectPhysician Coding ManagerMedical Coding Specialist
CertificationsAHIMA or AAPC CPC, CCS, or CPC-HAHIMA or AAPC CPC, CCS, or CPC-H
Work EnvironmentHealthcare facilities, hospitals, clinicsMedical offices, billing companies, healthcare providers
Job FocusOversees coding teams, ensures compliance, manages coding processesPerforms detailed medical coding, reviews records, assigns codes
Common UsageHealthcare management, coding departmentsMedical billing, coding departments, healthcare providers

The Physician Coding Manager and Medical Coding Specialist roles both require coding certifications and work within healthcare settings. The manager oversees coding teams and ensures compliance, while the specialist focuses on detailed coding tasks. Both roles are essential in healthcare revenue cycle management, but differ mainly in responsibility level and scope.

What is a physician coding manager?

A Physician Coding Manager is a healthcare professional responsible for overseeing the medical coding process for physician services within a healthcare organization. They manage a team of coders, ensure compliance with coding regulations, and work to optimize coding accuracy and efficiency. Their role is crucial in ensuring that physicians are properly reimbursed for their services and that the organization avoids legal and financial risks related to coding errors. Physician Coding Managers also provide training, conduct audits, and collaborate with other departments to maintain high standards of coding practices.

How does a physician coding manager typically collaborate with clinical staff to ensure accurate documentation and coding compliance?

A Physician Coding Manager regularly works closely with physicians, nurses, and other clinical staff to clarify documentation and ensure that medical records accurately reflect the care provided. This collaboration often involves conducting training sessions, providing feedback on documentation practices, and addressing coding queries. By fostering open communication, the manager helps reduce coding errors, supports compliance with regulatory standards, and improves overall revenue cycle performance. Effective partnerships with clinical teams are essential for maintaining both the accuracy and integrity of medical coding.
What are the most commonly searched types of Physician Coding jobs in Virginia? The most popular types of Physician Coding jobs in Virginia are:
Physician Coding Manager jobs near you

Coding Specialist Senior

Chesapeake Regional Medical Center

Chesapeake, VA • On-site

Other

Posted 6 days ago

Chesapeake Regional Healthcare rating

6.9

Company rating: 6.9 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

Job description

The Senior Coding Specialist is responsible for performing coding tasks required to promote efficient operation of the physician practices within Chesapeake Regional Medical Group.
Essential Duties and Responsibilities
The duties and responsibilities described below represent the general tasks performed on a daily basis; other tasks may be assigned.
  • Obtain pathology and operative reports from hospital systems.
  • Assign and sequence ICD diagnostic, procedural, and CPT codes to ASC records.
  • Identify all complicating conditions/co-morbidities to ensure optimum reimbursement.
  • Maintain established productivity requirements.
  • Accurately enter various code and charge information into information systems.
  • Review appropriate reports for validation of accurate transmission.
  • Resolve transmission errors and resubmit claims.
  • Report all payments on collection claims to the Collections Specialist(s).
  • Attend required hospital-wide orientations, meetings, and in-services.
  • Demonstrate a commitment to flexible work scheduling when necessary to ensure patient care.
  • Complete all assigned charge entry, coding, billing, and follow-up in a timely manner.
  • HOLD Bucket/worklist; assist and train Billing Representatives for all practices, departments, and locations.
  • Provide back-up phone coverage for all practices, departments, and locations, including patient statement calls and CRMG, CRNI, and SAS staff support.
  • Process refunds and train staff on refunds for all practices, departments, and locations.
  • Manage AIR Aging Wizard activities for all practices, departments, and locations.
  • Conduct internal audits for all practices, departments, and locations.
  • Support new practice go-live implementations.
  • Demonstrate comprehension of payer guidelines for appeals, overpayments, retractions, refunds, eligibility, reconsiderations, referrals, authorizations, payer websites, filing limitations, denials, and attachment requirements to work all claims to a zero balance in a timely manner.
  • Retrieve clinical or financial documents from other scanning programs (e.g., OnBase).
  • Handle Release of Information requests.
  • Participate in and attend approved healthcare/insurance webinars and seminars.
  • Maintain up-to-date working knowledge of assigned payors, LCD/NCO, CPT, and ICD-9/ICD-10.
  • Attend and participate in monthly billing meetings.
  • Report to manager on a weekly or monthly basis regarding scheduled and assigned tasks/projects.
  • Create cases for coding team members for any claims in assigned worklists that pertain to coding issues.
  • Provide front desk support following go-live implementation of new electronic medical records.
  • Possess the ability to fill in as a Patient Service Representative as directed by the manager.
Reporting Structure
Reports To: Practice Office Manager
Supervises: None
Responsibilities: Not applicable
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Minimum Required Education
  • High School Diploma
Preferred Education
  • Courses in Medical Terminology and Ancillary Testing
Experience
  • One or more years of hospital and/or medical office experience.
  • Typing speed of 35+ words per minute.
  • Proficient knowledge of computer functions and operations.

Certification Requirement
Applicant must have current Certified Professional Coder (CPC) certification or obtain CPC certification within one year of hire date.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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