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Gastro Health

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Coding Operations Manager

OperationsOperationsFull TimeRemoteSeniorTeam 1,001-5,000H1B No SponsorCompany SiteLinkedIn

Location

Florida

Posted

20 days ago

Salary

0

Seniority

Senior

Bachelor Degree5 yrs expExperience acceptedEnglish

Job Description

Coding Operations Manager

Gastro Health

• Hands-on management of all billing programs, systems, processes, and third-party vendors to ensure accurate, timely and well-controlled activities related to coding departments • Prepares weekly and monthly RCM reporting metrics to remediate any items outside established KPI including status report of projects. • Effectively implement denial management reduction through process improvements, coordinating direct or indirectly, with internal team and offices to improve workflows and provide training and education. • Maintain understanding and communicates coding guideline changes across the markets • Meet with Care Center Managers for timely remediation of care center hold items • Formulate and execute policies and procedures to ensure the billing workflow is highly effective. • Daily reviews of the following programs: Incoming claim/denial volumes, daily billing, rejections, evaluate clean claim rates, and team workflow. • Develops quality control program to meet the company’s quality initiatives. • Ensure productivity goals are monitored and quickly re-mediates barriers to achieving those goals at the individual and/or team level. • Counsels and disciplines employees in accordance with department goals and policies. • Concentrated effort to develop and mentor team leads and Coding team members to allow for internal growth. • Maintain compliance with directives from all regulatory agencies and third parties. • Lead team meetings focused on collaboration and process improvement.

Job Requirements

  • Bachelor’s Degree highly preferred but experience can be substituted for education
  • 1 or more applicable Coding Certificates (CPC, COC, CRC, CPMA, CGIC)
  • More than 5 years’ experience/Seniority with healthcare billing
  • Experience with a large, growing healthcare organization supporting 100 or more providers
  • Experience with HR policies/Procedures/Payroll/Timesheet management for staff
  • Extensive knowledge of patient registration, coding, billing, regulatory requirements, billing compliance, business operations, financial systems and financial reporting.

Benefits

  • Competitive compensation
  • 401(k) retirement plans
  • Profit-Sharing
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance
  • Disability insurance
  • Pet insurance
  • Comprehensive benefits package including Cigna healthcare, dental, vision, life insurance, 401k, profit-sharing, short & long-term disability, HSA, FSA, and PTO plus 7 paid holidays.

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