Assistant Manager Coding - 2

Location

Bangalore | India

Job description

• Provide coding support, education and training related to, quality of documentation, level of service and diagnosis coding consistent with established coding guidelines and standards
• Maintain a comprehensive tracking and management tool to track all HCC activities and ensure that all tasks are completed in a timely manner
• Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered
• Review medical record information to identify all appropriate coding based on CMS HCC model
• Comprehensive understanding of data systems and reporting for health record coding
• Serves as a resource and subject matter expert to coding staff
• Responsible for training and performance management
• Assists with any coding related audits
• Manage the coding workflow for efficiency
• Support and participate in process and quality improvement initiatives
• Performs AHIMA compliant queries to providers when necessary
• Apply post-query response to make final determination
• Participate in ongoing training and education within assigned timeframe
• Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations
• Educate and mentor others to improve medical coding quality
• Participate in audits of coded data to validate documentation support services rendered for reimbursement and reporting purposes
• Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors
• Demonstrates ability to work independently with minimal supervision
• Manages special projects as requested by leadership
• Communicates to leadership issues and barriers to completing all work processes
• Provide excellent customer services skills, including consistently displaying awareness and sensitivity to the needs of internal and/or external clients
• Proactively ensuring that these needs are met or exceeded
• Consistently demonstrates attention to detail and accuracy in work product by meeting or exceeding productivity standards and maintaining a company standard of accuracy

Qualifications, knowledge, skills, and abilities:

• Advanced understanding of medical terminology, body systems/anatomy, physiology, and concepts of disease processes
• In-depth knowledge of coding process, coding system software, workflow management and electronic medical records
• Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information
• Interpersonal skills necessary to provide effective leadership to departmental personnel
• Knowledge of the principals of supervision and directing of personnel
• Ability to adapt to change in workload and work functions and effectively prioritize
• Promotes positive co-worker relationships through teamwork and cooperation
• Progressive work experience in the Healthcare Industry
• Understand, adhere to, and implement the Company s policies and procedures and Code of Conduct to ensure adherence in a manner that reflects honest, ethical, and professional behavior
• Strong follow-up & organizational skills required
• Must possess high degree of accuracy, efficiency, and dependability
• Take personal responsibility for personal growth including acquiring new skills, knowledge, and information
• Engage in excellent communication which includes listening attentively and speaking professionally
• Set and complete challenging goals
• Consistently demonstrates attention to detail and accuracy in work product by meeting or exceeding productivity standards and maintaining a company standard of accuracyÂ

Minimum Experience

• 5+ years of progressive coding and in-depth multispecialty coding experience in assignment of diagnostic coding. (CPT, ICD-9/10, HCPCS)
• Previous leadership or supervisory experience that includes conducting coaching/training of coding staff
• Working knowledge of multiple medical specialties and proper assignment of clinical conditions documented.
• Risk Adjustment and/or HEDIS experience preferred

Education/Licensure:

• Minimum of High School Diploma, Associates Degree preferred
• Two of the following Coding Certifications CCS, CCS-P, CCA through AHIMA or CPC, COC, CIC, CPMA, CRC through AAPC) required
• Prefer AAPC CRC or AHIMA RHIT/RHIA certification or pursing certification

Language Skills: Strong communication skills both written and verbal to work with multiple internal and external clients in a fast-paced environment

Mathematical Skills:

• Ability to work with mathematical concepts such as probability and statistical inference
• Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations
• Reasoning Ability: Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems
• Computer Skills: Ability to create and maintain documents using Microsoft Office (Word, Excel, Outlook, PowerPoint)

Job tags

Salary