System Professional Coding Provider Review and Education Manager

Job Title : Manager

Location : System Business Office

Department Name : HIM - Professional

Req # : 0000207266

Status : Salaried

Shift : Day

Pay Range : $110,681.00 - $156,337.00 per year

Pay Transparency :

The above reflects the anticipated annual salary range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

Job Overview :

The System Professional Coding Provider Review and Education Manager is responsible for onboarding, educating, and reviewing medical record documentation and coding processes of the Medical Group physicians, APNs and other billing providers across all medical centers within the RWJBH enterprise. This includes onboarding education, medical record reviews, targeted education to physician groups and individual physicians, annual and quarterly updates, and ongoing scheduled education sessions as determined in collaboration with coding and physician management. Education will be available in both live on-site and remote presentation formats.

The selected candidate for System Professional Provider Review and Education Manager must be prepared to engage in cross-functional duties for the Coding Quality and Review Manager, as aligned with organizational priorities and leadership guidance. These may include conducting medical record audits, supporting coding operations and contributing to administrative functions as needed. Managers must also be prepared to support each other in cross-functional oversight of coding staff as needed and directed.

Qualifications : Required :

• CPC, COC, or CPC-I (aka AAPC approved instructor) required, with at least 8-10 years of combined coding, teaching, and auditing experience.
• Associate's Degree or equivalent experience required.
• Minimum 3 to 5 years of experience in a managerial position.
• Proficiency in Microsoft Office Suite ( Excel, PowerPoint, Word )
• Must have advanced coding education and training with strong foundation in E / M coding.
• Prior experience in teaching and auditing E / M coding for physicians is required.
• Must have extensive knowledge of CPT, HCPCS, and ICD-10-CM Official Coding Guidelines, with a comprehensive understanding of diagnosis and procedure coding systems
• Must have in-depth knowledge of coding processes, workflow management, and electronic health record (EHR) systems
• Must be proactive and work independently to prioritize multiple tasks and changes in work assignment to meet established deadlines.
• Must be able to work in a fast-paced healthcare environment, work well under pressure and have the ability to adapt to a constantly changing environment.
• Must possess organizational and planning skills, excellent verbal and written communication skills, and excellent interpersonal relationship skills.
• Must maintain active certification(s) and participate in continuing education as required by credentialing bodies.

Preferred :

Scheduling Requirements :

Essential Functions :

Other Duties :

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Benefits and Perks :

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees' physical, emotional, social, and financial health.

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey—whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer

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