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Coding Manager

ClearSky Health
Albuquerque, NM, United States
Full-time

We are looking for a Coding Manager to join our growing team! The Coding Manager coordinates coding activities - administrative and operational - across ClearSky Health, in accordance with established standards, policies, procedures, regulatory and legal requirements. This position is remote.

Essential Functions

  • Coordinates coding processes in relation to day-to-day activities and codes for facilities as identified.
  • Supervises and trains staff to ensure that the hospital receives appropriate reimbursement and conforms to applicable guidelines and regulations.
  • Ensures that medical coding within the Hospital is conducted in compliance with Federal, State, and payer regulations, guidelines, and requirements.
  • Provides advice and assistance to senior management in the planning, implementation, and evaluation of modifications to medical coding.
  • Serves as coding resource and subject matter expert. Serves as coding consultant to care providers.
  • Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.
  • Provides, oversees, and / or coordinates the provision of training for new and existing coding staff on applicable coding policies, protocols, systems and procedures, standards, and techniques.
  • Ensures field working knowledge of government current prospective payment system and ensures facility compliance.

Minimum Job Requirements

Minimum Education & Experience

  • Five years' recent experience in healthcare coding required.
  • Two years in Medical Records preferred.
  • Associates degree in related field preferred.
  • Experience in a management role preferred.

Required Licenses, Certifications, and / or Documentation

  • AAPC or AHIMA coding certification required.
  • Must maintain acceptable driving record, current driver's license, and insurability.

Required Knowledge, Skills, and Abilities

  • Knowledge in ICD-10 and CPT-4 coding required.
  • Demonstrates an understanding of treatment costs and financial support as they relate to quality and efficiency.
  • Knowledge of Medicare's PPS guidelines preferred.
  • Knowledge of privacy regulations, such as HIPAA.
  • Ability to travel as needed

Physical Requirements over the course of a shift

  • A significant amount of sitting, often for long periods of time
  • Both gross and precise motor functions
  • Lifting / exerting of up to 25 lbs, 0-30% of the time
  • Close vision and the ability to adjust focus
  • 27 days ago
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