SUMMARY :
- The Director of Medical Coding & Reimbursement manages and directs the daily functions of the Reimbursement / Coding Analysts, the Internal Documentation Auditor, and the Data Entry Operators;
- interprets and applies both internal and external policies and procedures; develops and implements new procedures as necessary;
- establishes, implements, and monitors Quality Control Procedures; provides continuing education regarding correct coding and documentation to Patient Care staff, including physicians;
- provides feedback to Patient Care Departments regarding Denial Patterns; maintains and distributes up-to-date coding information;
routinely investigates the impact of coding on insurance reimbursement.
PREFERRED QUALIFICATIONS :
- Director of Medical Coding & Reimbursement should haveformal training to be indicated by a high school diploma or equivalent;
- minimum two years coding and / or reimbursement activities; two years supervisory experience; knowledge of third party fee profiles and reimbursement mechanisms;
- completion of course in medical record terminology and certification as a Certified Professional Coder, or equivalent certification;
excellent judgment, communication and interpersonal skills; planning, implementing, controlling and evaluation skills; flexibility in problem solving and developing programs.
Preferred qualifications include college degree and proven experience directing multi-specialty coding functions for a large group practice.
Must be able to present to large groups and to create and communicate educational coding materials in a timely and effective manner.
PHYSICAL GUIDELINES :
Physical guidelines include to move, traverse, position self and remain in a stationary position and negotiate steps for up to eight hours per day;
visual and auditory acuity; full manual dexterity and motor coordination; travel between facilities. Employee must be able to drive and provide his / her own source of transportation.
NOTE :
This document is intended to describe the general nature and level of work performed. It is not intended to serve, as an exhaustive list of all duties, skills, and responsibilities required of personnel so classified.
Attendance is an essential function of the job.
LEXINGTON CLINIC IS AN EQUAL POPPORTUNITY EMPLOYER (EOE)
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