Job Description

Job Summary:

The RCM Coding Manager is responsible for overseeing the accurate and compliant coding of medical records and procedures for reimbursement. This role ensures that coding is aligned with current healthcare regulations, payer policies, and the organization's coding practices. The manager will build and supervise a team of coders, ensuring high-quality standards and efficiency in the coding process. This position will also collaborate with other departments to address any coding discrepancies, facilitate education, and contribute to the optimization of revenue cycle processes.

Key Responsibilities:

Lead, supervise, and train a team of medical coders. Ensure continuous professional development of the coding team through ongoing training and education on coding standards and compliance regulations. Oversee the day-to-day operations of coding activities for various specialties (e.g., inpatient, outpatient, surgical, etc.). Perform regular audits of medical records to ensure the accurate application of ICD-10, CPT, and HCPCS codes. Resolve coding discrepancies by reviewing charts, payer policies, and collaborating with healthcare providers. Work with the compliance team to ensure all coding is aligned with federal and state healthcare regulations. Stay current with coding updates, including those related to payer policies, insurance companies, and government regulations. Ensure compliance with HIPAA, CMS, and other regulatory bodies' coding guidelines. Keep up to date with changes in coding regulations, and advise the team accordingly. Assist in coding-related audits (internal and external), including preparing responses to requests for information.

Qualifications:

Extensive knowledge of ICD-10, CPT, HCPCS coding systems, and the latest healthcare regulations. Bachelor's degree in Health Information Management. Certified Professional Coder (CPC) certification from AAPC (or equivalent certification) is required. Minimum of 5 years of experience in medical coding, with at least 2 years in a supervisory or management role. Strong leadership skills. Excellent communication skills, both verbal and written. Strong analytical and problem-solving skills. Proficiency in medical coding software, electronic health records (EHR), and Microsoft Office suite. Previous experience in Revenue Cycle Management (RCM) or healthcare finance. In-depth understanding of payer rules, regulations, and reimbursement processes. Knowledge of health information management systems.
Job Types: Full-time, Permanent

Pay: ?50,000.00 - ?80,000.00 per year

Benefits:

Provident Fund
Work Location: In person