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Tag Archives: Needed

Coding Manager Needed

Coding Manager
The Coding Manager will be accountable for successfully managing the Medical Coding team, audit documentation and coding practices to ensure accuracy in the data provided to CMS. The Manager will provide coding expertise as well as administrative oversight to ensure successful integration of AHC’s HCC initiatives.
General Duties/Responsibilities:
• Monitors coding & abstracting productivity and quality to ensure coding quality & performance improvement standards are maintained, achieved & improved.
• Establish performance guidelines in terms of quality and productivity measures
• Manage and maintain a comprehensive tracking and management tool for Coding workload and prioritization.
• Manage Coding activities for all assigned coders and ensure that all tasks are completed in a timely manner.
• Maintain a comprehensive tracking and management tool for assigned IPA’s within Alignments Healthcare provider network.
• Ensures compliance with all applicable federal, state &local regulations, as well as with institutional/organizational standards, practices, policies & procedures.
• Assist with CMS Data Validation activities, including suggested record selections, tracking and submission, in conjunction with Risk Adjustment leadership team.
• Keep updated on new statutes/regulations/policies and distribute updates as required
• Provides guidance in the coding/abstraction, production, and quality assurance, auditing and training activities
• Ability to work independently in a fast-paced environment
• Excellent verbal, written, and interpersonal communication skills
• Dependable, great attitude, highly motivated and a team player
• Possess strong organizational skills and attention to detail
• Other duties as assigned to meet the organization’s needs.
• Some travel as necessary (>10%)
Supervisory Responsibilities:
Oversees assigned staff. Responsibilities include: recruiting, selecting, orienting, and training employees; assigning workload; planning, monitoring, and appraising job results; and coaching, counseling, and disciplining employees.
Minimum Requirements:
Minimum Experience:
• Three-five years of coding in a medical group or health plan setting required; Professional Coding experience required.
• Previous use of EMR systems
• Proficient user in MS office suite
Education/Licensure:
• Bachelor’s degree in Business Administration, health Care Management or in a related field or equivalent experience desired.
• Certified Coder required, CCS, CCS-P, CPC, Certified Auditor a plus.
Other:
• Experience with strategic planning in risk mitigation.
Essential Physical Functions:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
• The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Link to apply: www.http://gr.8job.co/bG2uy9Nm

Please copy and paste to browser.
For more information, please contact Tuyet Lu
Sr. Manager, Talent Acquisition
Alignment Healthcare
1100 W. Town & Country Road, Suite 1600
Orange, CA 92868
Office: 657-218-7537

Medical Billing and Coding Forum – Employment General Discussion

Clarification is needed Plz

Hi,
I’m confused with the wording on the CMS
doc below . Can someone please explain with a few examples on how to code and modify the charges for Medicare patients -especially sedation
99152/99153
https://www.cms.gov/Regulations-and-…ds/R3763CP.pdf

One more question,
If patients underwent an incomplete G0105-53
and returning within 12 month to complete the screening
In view of the coding regulations and all charges integrity, should the second visit be coded to G0105 or to 45378?

Thank you,
Booz, COC

Medical Billing and Coding Forum – Gastroenterology