Medical Coding Manager

Medical Coding Manager

Job Summary

At Carewell Health, we rely on powerfully insightful data to ensure the delivery of excellent healthcare services, and we’re seeking an experienced medical coding Manager to deliver this insight daily. The ideal candidate will have thorough knowledge of anatomical and medical terminology, as well as natural curiosity and an analytical mindset. As the coding Manager oversees production, quality and consistency of the inpatient / outpatient / ED / SDS and other cases coding by the internal coding team. mines and interprets patient medical records, transcriptions, test results, and other documentation; we’ll rely on them to ask questions, connect the dots, and uncover information that may be difficult to find — all to ensure a smooth billing process. The medical coding manager will abide by standard protocols of the profession while using their own methods to compile the most accurate information and promote organizational growth.

Essential Functions

• Manage high-quality, timely coding of diagnoses and procedures for inpatient and outpatient accounts, using ICD-10, CPT-4, and HCPCS classification systems
• Work closely with physicians, technicians, insurance companies, and other integral parties to uncover and discuss coding analysis results
• Develop and execute policies and procedures that affect immediate operations and may also have organization-wide impact
• Analyze issues in which the situation or data requires in-depth knowledge of organizational objectives
• Implement strategic policies by selecting methods and evaluation criteria for accurate results
• Responsible for day-to-day operations, productivity, quality, education, employee management and development, and clients within a specific client group or geography of clients.
• Maintains productivity benchmarks, assists in the development of productivity benchmarks.
• Is responsible for weekly productivity log management, tracking, trending and dashboard creation.
• Provide feedback and mentoring as needed to achieve productivity standards.
• Audits inpatient and outpatient cases on a consistent basis to ensure continued quality.
• Consistently reviews coded cases for accuracy.

Other Duties

Interact with claims staff, attorneys, and physicians regarding reports

Minimum Education / Certifications

Bachelor’s degree (or equivalent) in health information systems or related field

Must have one of the following certifications : Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA)

Minimum Work Experience

Experience : Minimum five years medical office experience in coding preferred. Some auditing experience preferred. Working knowledge of ICD-CM, CPT and HCPCS coding standards and practices.

Position Type / Expected Hours of Work :

8AM-4PM, 40 hours per week.

Physical Demands Analysis :

Long periods of sitting may be required. Repetitive motion of wrists required. Lifting requirements are minimal to none. Corrected vision and hearing to normal range is required

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