HCA, Hospital Corporation of America Coding Manager I WFH in Brentwood, Tennessee
The HCA Physician Services Group (PSG) is the physician solution for the Hospital Corporation of America. PSG makes it easier for physicians to practice medicine by reducing the burdens of managing an independent practice and infusing the best clinical and operational standards in every office. With 13,000 employees that work in more than 790 practices across 21 states, PSG is leading the way by delivering high quality, cost effective health care in communities across the country.
We offer an excellent benefits package, competitive salary and growth opportunities. Join our team and share your skills and talents with the nation's largest private provider of healthcare services.
TheCoding Manager - Practiceis a key member of the Physician Practice and provides billing and coding expertise to ensure all patients receive high quality, efficient care.
DUTIES INCLUDE BUT ARE NOT LIMITED TO:
Coordinates employees’ schedules.
Educates and cross-trains coders.
Conducts in-service meetings, educational programs, and conferences to enhance professional growth and development.
Coordinates and reconciles multiple surgical schedules to ensure complete charge capture .
Reviews and codes complex operative procedures for surgical practices.
Works in conjunction with Accounts Receivable team on follow-up and resolution of coding related denials and rejections.
Tracks denial patterns for physician practices to address systemic issues.
Assists and directs the practice or other appropriate staff in surgical documentation, billing, coding, and reimbursement issues.
Monitors coders/AR to ensure the designated productivity and accuracy rate of 95%.
Assists in auditing of surgical practices.
Responsible for coding staff and tracking of hours of courses for compliance deadlines.
Performs related work and projects as required.
KNOWLEDGE, SKILLS & ABILITIES
This position requires the following minimal requirements:
Knowledge of surgical coding and reimbursement practices/strategies.
Knowledge of eCW billing system and/or other related billing system.
Familiar with third party fee profiles and reimbursement requirements.
Skill in exercising initiative, judgment, discretion, and decision-making to achieveorganizational objectives.
Aptitude for establishing and maintaining effective working relationships with physicians, clinic staff, and other Physician Services departments and personnel.
Must be computer literate, including Microsoft Excel and Word skills.
Experience with 3M encoding product or Encoder Pro preferred.
Must be detail-oriented and able to meet targeted deadlines.
Strong knowledge and understanding of surgical practice coding and regulatory compliance.
Knowledge of medical terminology, anatomy, and physiology preferred.
Minimum three years of experience in surgical coding and/or reimbursement activities is required.
Clinical background and previous chart abstraction experience is preferred.
- Must be a Certified Coding Specialist (CCS), Certified Coding Specialist – Physician (CCS-P), RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator) through AHIMA (American Health Information Management Association) or AAPC's (American Academy of Professional Coders) Certified Professional Coder (CPC®) credential or Certified Professional Coder – Hospital (CPC-H®)
Job: *Directors & Managers
Title: Coding Manager I WFH
Location: Tennessee-Brentwood-PSG Coding
Requisition ID: 21129-66335