Physician Practice Billing and Coding Manager
Description
Join EmergeOrtho as a Coding Manager (Physician Practice) - Work from Home!
EmergeOrtho is committed to being the trusted leader in innovative, quality-focused comprehensive musculoskeletal care. With offices across North Carolina, we are seeking a Coding Manager to join our Remote team. The Coding Manager is responsible for oversight and management of the assigned coding team in the Virtual Business Office (VBO). Supervises and trains coding staff to ensure that the practice receives appropriate reimbursement and conforms to applicable guidelines and regulations. The individual must be able to process large quantities of data to monitor Key Performance Indicators (KPI) and research any and all barriers to successful and accurate coding. Ensures the accuracy and timeliness of the coding process. Monitors missing tickets to ensure timely entry of all charges, both office and surgical. Routinely audits coding and charge entry staff for coding accuracy. Performs physician audits as requested by Management. Collaborates with all VBO Management staff.
Why Join EmergeOrtho?
- Hiring Immediately - Start your new career without delay
- Flexible Schedule - Designed to fit your lifestyle and promote work-life balance
- Remote Work Environment - Work comfortably from home while staying connected to a dedicated and collaborative team
Who Should Apply?
If you're detail-oriented and passionate about healthcare, this is your opportunity to shine! Join a collaborative team where your expertise ensures compliance, supports patient care, and drives operational excellence - apply today and make your mark! This position is remote within the United States.
Requirements
Qualifications and Experience
- High school diploma or equivalent
- CPC or equivalent credentials required
- Requires three years' experience in the related field in healthcare or medical practice setting
- Management experience preferred, but not required
Responsibilities include, but are not limited to, the following
- Oversight and management of assigned Coding Team
- Successful distribution of work among staff members to drive work allocation and productivity management
- Serve as an information resource and guide to clinicians, champion the need to change coding behaviors, and serve as a subject matter expert
- Complete staff performance review processes: leadership approval required
- Measure and monitor the efficiency and effectiveness of staff
- Monitor benchmarks and expectations in relationship to associated Custom Claim Worklist(s), reporting, projects, or team / department goals
- Review performance statistics weekly, monthly, and quarterly leveraging athenaNet reporting tools, including overall performance metrics (e.g., Charge Entry Lag, Missing Tickets), key driver metrics (e.g., MGRHOLD lag), and staff productivity metrics (e.g., MGRHOLD productivity, Claims created)
- Ability to research and process large quantities of data, analyze trends and identify areas where behavior is not compliant with expectations. Communicate accordingly through VBO Director based on organizational policy and process
- Identify improvement opportunities based on performance metrics and trends
- Monitor KPIs for assigned staff across all regions.
- Research and assist VBO with any/all barriers to successful and accurate coding, including provider education
- Define root cause analysis and drive claims resolution
- Utilize all available reporting tools to provide insight into the financial health of the organization
- Work with individual departments and practice staff, alone or in conjunction with the VBO Director, to support the goals and protocols of revenue cycle workflow or revenue tasks
- Pursue relevant continuing education and disseminate learned information to downstream teams
- Create an "open door" policy and environment for staff to raise billing-related issues as they happen; provide support as needed
- Manage new staff onboarding, including compliance, training, testing, and shadowing
- Maintain CEUs and credentials (CCS, CPC, RHIA or RHIT required)
- Utilize resource materials, including coding tools/rules within athenaNet to support accurate coding practices
- The Coding Manager should be able to perform all functions outlined in the Coding Specialist job description
- Performs other duties as required and assigned by Management
From the mountains to the coast, EmergeOrtho is North Carolina's premier provider, recognized for offering world-class, comprehensive, and compassionate care serving patients with 60 locations in 28 counties. As the largest physician-owned orthopedic practice in the state and the 6th in the country, EmergeOrtho's medical team includes upwards of 170 highly trained orthopedic specialists and nearly as many advanced practice providers. Our subspecialty orthopedic teams offer advanced expertise in conditions of the bones, muscles, and joints. Providing multiple locations, extensive orthopedic services including therapy, and focusing on continuity of care are among the top priorities of EmergeOrtho. Please visit [click to reveal website link] for additional information or to apply directly.
EmergeOrtho, P.A. complies with applicable civil rights laws and does not discriminate based on race, color, religion, national origin, age, sex, gender identity or expression, sexual orientation, pregnancy, childbirth and related conditions, including but not limited to, lactation, disability, veteran status, genetic information, or any other class protected by the state or local law.
We are committed to the core values of Quality, Innovation, Compassion, Community, Education, Integrity, Teamwork, Diversity, and Inclusion. [click to reveal website link]
Benefits:
- 401(k) Retirement plan
- Health Insurance
- Dental Insurance
- Vision Insurance
- Flexible spending account
- Health savings account
- Paid time off
- Holiday Pay
- Employee Assistance Program
- Life Insurance
- Short Term Disability
- Long Term Disability
- Pet Insurance
- Milestone Bonus Program
- For more information: [click to reveal website link]
Note: Available benefits based on hours worked per week.