Reports to the Professional Coding Manager. In collaboration with the Professional Coding Manager, is responsible for the effective coordination of all daily operational support functions of the Professional Coding Office and performs duties necessary to maintain a smooth functioning and efficient office. Responds to daily operational issues when the Professional Coding Manager is absent or unavailable.

MISSION, VALUES and SERVICE GOALS

• MISSION: We deliver outstanding care, inspire health, and connect with heart.
• VALUES: Trust. Respect. Integrity. Compassion.
• SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team.

Assists in the overall operational staffing support functions of the Professional Coding Office by:

• Supervising the Professional Office staff, coordinating the workload and billing functions for assigned team members.
• Assisting the Professional Coding Manager with the hiring/selections and (if necessary) termination of team members. Also evaluating the performance of the staff (being directly supervised) and recommending, preparing and administering disciplinary actions as needed.
• In collaboration with the Professional Coding Manager, planning, developing and coordinating ongoing training and education for the staff. Also, ensuring a comprehensive orientation and training for new team members.
• Maintaining overall responsibility for scheduling of staff in order to provide adequate coverage.
• Compiling information and performing team member performance appraisals; also assisting with employee relations matters, such as corrective actions and disciplinary actions.
• Contacting staff, patients, providers, and vendors when follow-up is necessary.
• Collaborating with Professional Coding Manager to maintain the highest level of customer satisfaction, timely responses to requests and key performance metrics.
• Maintaining smooth daily operations in the various functional teams and professional coding support activities.

Assists with maintaining a smooth-functioning and efficient Professional Coding Office by:

• Ensuring all charges are entered in a timely manner and within payer timelines.
• Assisting with the development of polices/processes of Professional Coding Office.
• Ensuring compliance with BMG and Professional Coding Office policies/procedures.
• Reconciling and ensuring capture of necessary data for reporting and system processes.
• Participating in the budget process with the Professional Coding Manager; also assisting with the effective management/control of expenses.
• Ordering, tracking and maintaining an inventory of supplies.
• Reviewing charge posting for timeliness and coding accuracy.
• Ensuring that coding staff are accurately capturing all necessary encounter data to properly bill for services
• Working closely with the Professional Coding Manager on monitoring revenue cycle metrics to identify problematic areas.

Plays a key role in the development and maintenance of the Central Coding Office information systems by:

• Making changes in relevant files and entries in billing system.
• Assisting in the development of plans for hardware and software needs.
• Facilitating the timely implementation of information system changes.
• Under the supervision of the Professional Coding Manager, implementing and ensuring review of reports, system changes, and providing meaningful feedback on changes.

Performs other functions to maintain personal competence and contribute to the overall effectiveness of the department by:

• Apprizing the Professional Coding Manager, in a timely manner, of unusual situations requiring additional assistance or support.
• Participating in continuous quality improvement by identifying areas of opportunity and initiating the necessary actions.
• Maintaining records, reports and files as required by established policies and procedures.
• Completing other job-related assignments and special projects as directed.

Providing the seamless operation of the Professional Coding Office in order to promote ongoing effective customer service by:

• Responding immediately to provider concerns/complaints; also ensuring that all are treated in a friendly and highly effective manner.
• Performing follow-up and ensuring the timely resolution of provider/coding matters while seeking assistance from the Professional Coding Manager as necessary.
• Keeping the Professional Coding Manager apprised of all issues which have the potential for a disruption of service or timely billing.
• Working collaboratively with the Professional Coding Manager to address concerns from BMG sites, directors/managers, providers, and patients.
• Serving as the communication resource (e.g., disseminating, explaining and interpreting policies/procedures and regulations), especially in the absence of the Professional Coding Manager.
• Collaborating with the Professional Coding Manager to identify inefficiencies and lapses in coding and charge posting.

ORGANIZATIONAL RESPONSIBILITIES

Associate complies with the following organizational requirements:

• Attends and participates in department meetings and is accountable for all information shared.
• Completes mandatory education, annual competencies and department specific education within established timeframes.
• Completes annual employee health requirements within established timeframes.
• Maintains license/certification, registration in good standing throughout fiscal year.
• Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position/department.
• Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.
• Adheres to regulatory agency requirements, survey process and compliance.
• Complies with established organization and department policies.
• Available to work overtime in addition to working additional or other shifts and schedules when required.

Education and Experience

• The knowledge, skills, and abilities as indicated below are normally acquired through the successful completion of a Bachelor's degree in Health Information Technology, Business or equivalent experience and/or education. A minimum of three years of medical coding in a healthcare setting experience is required. A minimum of two years of supervisory experience preferred. Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Coding Specialist-Physician Based (CCS-P) is required.

Knowledge & Skills

• Demonstrates an advanced knowledge of anatomy, physiology, disease processes and medical terminology to determine the assignment of correct procedure and diagnosis codes.
• Requires working knowledge of third-party reimbursement procedures and regulatory requirements, including Medicare/Medicaid and commercial insurance carriers
• Demonstrates proficiency in basic computer skills (i.e., data entry, word processing and spreadsheets). A basic understanding of database applications is desired.
• Requires solid office/administrative skills, including the ability to operate standard office equipment as required by the needs of the office.
• Demonstrates the strong leadership skills necessary to gain the cooperation and support from the staff and management.
• Requires the organization and analytical skills necessary to analyze situations/problems, provide timely resolution and work effectively with day-to-day problems.
• Demonstrates the interpersonal and communication skills (both verbal and written) necessary to deal effectively with a diverse group of people and provide clear and effective explanations.
• Demonstrates ability to prioritize work and positively impact the revenue cycle.
• Demonstrates a strong interest in the ongoing development of one's leadership skills and also the desire to participate in management development activities.
• Requires a strong working knowledge of revenue cycle practices and procedures, specifically professional coding and billing requirements.
• Demonstrates knowledge of healthcare compliance and regulatory requirements.

Working Conditions

• May need to vary days and hours scheduled, including working evenings and/or additional hours, as determined by the needs of the organization.
• Works in an office environment.
• Must be effective in a fast-paced, quality focused, multi-priority environment that frequently deals with challenging situation and deadlines.

Physical Demands

• Requires the physical ability and stamina to perform the essential functions of the position.