Job Information
One Health Coding Manager in Hardin, Montana
This is a remote position, but the successful candidate should live within driving distance to any one of our sites across Montana or Wyoming. Occasional travel to the clinic site(s) may be required.
POSITION SUMMARY:
The coding manager will be responsible for the daily operational management of the coding department, including coding, compliance, and provider/coder education.
COMPENSATION: $58,215.35-$60,320 hr/DOE
EMPLOYMENT TYPE: Full Time
AVAILABILITY: Monday to Friday
BENEFITS: We offer a competitive compensation package that includes paid time off, nine paid holidays, discounted health care for employees and their family members, as well as health, dental, & vision insurance, disability insurance, health savings account, and matching retirement plan for all employees working at least 20 hours/week.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.
About One Health:
With multiple clinic sites across Montana and Wyoming, One Health provides medical, dental, pharmacy, behavioral health, and community and public health services to rural populations through an integrated approach to health care.
One Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
MINIMUM JOB QUALIFICATIONS:
Education/Certificates/Licenses :
Required
Bachelor’s degree or in lieu degree, of eight (8) years’ experience or a combination of associate’s degree and four (4) years of experience
AHIMA(CCS) or AAPC(CPC) Coding certification
Valid driver’s license
Preferred
RHIT/RHIA certification-AHIMA in addition to CCS certification
CRC and/or CEMC-AAPC in addition to CPC certification
Experience:
Required
Three (3) years of experience in outpatient coding or at least two (2) years working at One Health as a coder.
Minimum one (1) year experience in direct supervision of employees
Preferred
Experience working in a Federal Qualified Health Center
ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES:
Reasonable accommodation may be made to enable individuals with disabilities to perform the essential job functions.
Manager Duties and Responsibilities
Provides day-to-day management of all operations of assigned service line or business site(s).
Responsible for application of policy and procedure at local clinic or administrative site(s) and employee’s adherence to policy and procedure.
Leads and supervises direct reports as required, which includes, but is not limited to:
Hiring, firing, and managing employee time, attendance, conflict, and disciplinary measures as required.
Evaluating employee performance.
Coaching, mentoring, reinforcing positive behaviors, and accountability for employment expectations and policy and procedure adherence.
Serves in a middle management role, providing a vital link between front line staff and senior leadership.
Implements and leads change management activities effectively, as defined by senior leadership.
Provides decisive authority over tasks assigned to direct reports.
Models’ leadership qualities by instilling trust, providing clear communication, and actively building relationships across organizational units.
Oversees and supervises leadership activities, as assigned, within their field of work.
Position Specific Duties and Responsibilities
Monitors, assists and audits professional coding and processes to ensure accurate and timely preparation and submission of claims to third-party payers and self-pay patients. This includes productivity, coding errors/trends, peer review, incomplete provider documentation, best practices and compliance with government and payer regulations.
Reviews and critiques patient visit records/encounter records for accuracy and completeness regarding the nature of the visit in comparison to appropriate CPT, ICD-10-CM and HCPC’s codes.
Serves as a resource person on CPT, ICD-10-CM and HCPC’s coding for healthcare providers, coders and other appropriate staff. Requiring the ability to research problematic areas in coding and developing appropriate solutions and maintain current understanding of state/federal, NCCI, CPT, ICD 10, and HCPC guidelines.
Provides support to billing team as necessary regarding insurance billing and review of processing of claim denials.
Attends appropriate meetings to provide input on charting, coding practices, and new rules/regulations.
Develops procedures and educational tools for coders and providers. Ideally presenting to provider teams at least quarterly if not more frequently on current identified services, topics, denials, or upcoming changes.
Reports and tracks coding/documentation related IT and/or compliance issues if applicable. Collaborating with EHR team and/or compliance as appropriate.
Assists with value-based reporting. Taking an active role in the Value Based Pay (VBP) process and procedures helping to educate all staff as appropriate to maximize effectiveness of the programs.
Devotes time to exploring and implementing new coding practices to maximize revenue.
Implements HIPPA regulations and supports staff to do the same. Reports as appropriate.
Competencies:
Analytic and problem-solving skills
Communication, verbal/written
Confidentiality and discretion
Conflict resolution and diplomacy
Ethical conduct/practice
Initiative/Self-Driven/Motivated
Professionalism/personal effectiveness/credibility
Program development, administration and evaluation
Relationship management, collaboration, and teamwork
Stress management/composure
Department
Finance & Administrative
Employment Type
Full-Time
Compensation
$58,215.35-$60,320 hr/DOE