Certified Medical Coder - Manager

Job Description

Job Description

About the Role :

The Certified Medical Coder - Manager plays a pivotal role in overseeing the accuracy and efficiency of medical coding and billing operations within a healthcare organization. This position ensures that all medical records are coded correctly according to established guidelines, facilitating proper reimbursement from insurance providers and patients. The manager will lead a team of AR billing specialists, providing training, support, and quality control to maintain compliance with healthcare regulations and payer requirements.

Minimum Qualifications :

• Certified Professional Coder (CPC) or equivalent certification in medical coding.
• Minimum of 3 years of experience in medical coding and billing, including experience with CPT coding and healthcare reimbursement.
• Proven experience managing a team or leading projects within a medical coding or billing environment.
• Strong knowledge of Medicare, commercial insurance billing, and patient collections processes.
• Familiarity with healthcare regulations and compliance standards related to medical coding and billing.

Preferred Qualifications :

Responsibilities :

Skills :

The required skills such as Medical Billing, Medical Coding, and CPT Coding are essential for ensuring that all healthcare services are accurately documented and billed according to regulatory standards. Patient Collections and Medical Insurance Billing skills are used daily to manage accounts receivable and ensure timely payments from both patients and insurance companies. Knowledge of Private Pay and Medicare billing processes allows the manager to navigate complex reimbursement environments and resolve payment issues effectively. These skills are applied in training and supervising staff to maintain high coding accuracy and compliance. Preferred skills like proficiency with EHR systems and advanced certifications enhance the ability to implement efficient workflows and improve overall revenue cycle management.