Medical and Health Services Managers Jobs Near Me in Wisconsin

Responsible for managing the Physician Coder/Auditors and Physician Coding Coordinator’s daily duties and performance.
Responsible for Human Resource related duties such as hiring, performance evaluations, developing staff schedules, and coordinating staff coverage.
Responsible for monitoring coding-related workqueues in Epic.
Responsible for Coder/Auditor training and cross training.
Responsible for reviewing and sharing pertinent information from insurance companies, AAPC and other reliable resources.
Responsible for scheduling and conducting new provider onboarding education and scheduling provider education training as related to coding.
Responsible for reviewing and communicating insurance guidelines to ensure coder/auditors are following proper coding/documentation practices.
Responsible for acting as a resource for Physicians Billing and Clinic staff with issues related to documentation and/or compliance.
Responsible for ensuring coder/auditors are interacting with their respective physicians to clarify diagnoses or procedures and reeducating when necessary.
Ensuring coder/auditors maintain their respective certifications.
Responsible for seeking out resources, including appropriate management staff, for questions or other issues.

POSITION SPECIFIC STANDARDS

Manage Physician Coder/Auditors and Physician Coder/Auditor Coordinator.
Responsible for hiring, performance evaluations and staffing coverage for the Physician Coder/Auditors.
Coordinates training and cross training opportunities the Physician Coder/Auditors.
Monitors coding related work queues in Epic. Work with coder when issues are found.
Assists Coder/Auditor with accurate coding of provider documentation according to documentation guidelines and evaluates proper use of inpatient and outpatient codes on all provider charges.
Consistently monitors the providers’ compliance with the established coding and documentation guidelines. Reports noncompliance to appropriate individual.
Monitor provider and coder understanding and compliance with annual coding updates.
Monitors providers’ compliance with the auditing program and reports noncompliance to the appropriate individual.
Monitors insurance guidelines to ensure coding/documentation compliance. Distributes updates in a timely manner with Physicians Billing staff and/or clinic staff.
Assists Physicians Billing staff and clinic staff with any coding or documentation related questions.
Researches and resolves coding related problems as they are identified.
Completes necessary continuing education to maintain certification.

Physician Coder Auditor Manager in Kenosha, Wisconsin at Froedtert South, Inc.