Clinical Coding Education Manager | South Portland, Maine

Job Description

Job Description

CORE RESPONSIBILITIES :

• Education

Designs and implements education plans for physicians, Advanced Practice Providers (APPs) and staff related to procedural coding based on audit results and organizational initiatives and goals; Coordinates with the CDIS team with respect to diagnostic coding education. Includes provider onboarding training, as well as ongoing continuous learning opportunities.

Develops audit plans based on annual coding compliance plan, coding guideline changes, coding trends and OIG work plan. Determines audit scope, presents audit findings to physicians, committees and leadership. Creates and monitors corrective action plans per coding compliance plan.

Sets clear accuracy measures and productivity goals for the Coding Education Team; monitors progress to achieve results in accordance with InterMed Strategic goals.

Personnel Management

Overall accountability and management of staff.

Models behaviors that demonstrate service excellence to staff and focus on the patient as the primary customer.

Works in partnership with the clinical teams, practice leadership, and senior leadership teams.

Assess current state of department with relation to existing InterMed goals and plans.

Demonstrate knowledge and understanding of patient privacy rights under HIPAA (Health Insurance Portability and Accountability) guidelines. Maintain confidentiality related to financial, or other sensitive materials and information in printed, electronic, or verbal form, which may jeopardize the privacy of patients and / or employees. Accesses and uses the minimum necessary patient identifiable information to perform job responsibilities and duties and only for authorized purposes.

MISSION AND VALUES :

KNOWLEDGE, SKILLS, AND ABILITIES :

Bachelor’s Degree or equivalent relevant experience required; Business or Healthcare degree preferred.

At least four years’ revenue cycle experience required.

Certified Professional Coder (CPC) certification or ability to obtain certification within one year from date of hire.