Job Summary
A company is looking for a Manager, Professional Billing Coding Operations.
Key Responsibilities
- Oversee the operational functions of the Professional Coding Operations team, ensuring accuracy in coding and compliance with guidelines
- Supervise and mentor coding staff, providing training and feedback based on performance and coding updates
- Analyze coding denials and trends, collaborating with stakeholders to improve coding practices and resolve issues
Required Qualifications
- Bachelor's degree or equivalent combination of education and experience
- CPC - Certified Professional Coder certification required
- Minimum of five years of coding experience in an acute care hospital, with at least three years in a management role
- Strong knowledge of ICD-10-CM and CPT-4 coding conventions, as well as experience with claim edits and denials
- Extensive knowledge of hospital reimbursement methodologies and health records systems
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