Director, PB Coding Operations & Education
总结：PB 编码运营和教育主任主要负责提供编码监督和标准，以确保 BUMG 中编码准确性，合规性和适当的退款，并管理对这些标准在报告给收入周期领域的经营执行。该主管负责管理编码运作和有效计划的整体成功，包括监督 BUMG 内的编码培训。该主任管理编码人员，以确保遵守编码指导方针，监管机构以及获得适当的退还服务。总监，PB 编码运营与教育部：企业 PBO 总表：全职重要责任/义务：专业编码运作和教育总监主要负责提供编码监督和标准以确保 BUMG 中编码准确性，合规性和适当补偿，并管理在报告收入周期领域的这些标准的运行执行。·通过通过与医生，编码人员和实践工作人员进行互动来促进专业编程和临床文档的精确表示。· 直接编码活动，以确保所有服务的准确，一致和合规编码。· 确保质量审查来验证编码精度。· 与发票团队参与拒绝，否认和索赔审查过程，以确保遵守和准确退款。· 确定文档和编码方面的趋势，并与领导和合规合作评估和实施纠正行动。·持续评估编码流程的成功。· 在 BUMG 范围内作为专业编码的联系人。·与人力资源和部门管理人员合作，以遵循所有政策，指导方针和适用法律来选择合格的就业候选人·负责有效的人员管理，包括培训，指导，辅导和对质量和卓越承诺；监督部生产力和绩效，以确定和评估项目/部门强大因素以及相关工作效率的培训机会；通过参与教育计划，研讨会并保持行业标准知识，鼓励员工和个人促进专业增长和发展。
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POSITION SUMMARY:
The Director PB Coding Operations and Education functions primarily on providing coding oversight and standards to ensure coding accuracy, compliance and appropriate reimbursement across BUMG, along with managing operational execution of these standards in areas reporting to Revenue Cycle.The Director has responsibility for managing coding operations and overall success of an effective program, including oversight for coding training across BUMG.The Director manages coding staff to ensure compliance with coding guidelines, regulatory agencies and that appropriate reimbursement is received for the level of service rendered.
Position: Director, PB Coding Operations & Education
Department: Corporate PBO General
Schedule: Full Time
ESSENTIAL RESPONSIBILITIES / DUTIES:
The Director, Professional Coding Operations and Education functions primarily on providing coding oversight and standards to ensure coding accuracy, compliance and appropriate reimbursement across BUMG, along with managing operational execution of these standards in areas reporting to Revenue Cycle.
- Facilitate accurate representation of professional coding and clinical documentation through interaction with physicians, coders and practice staff by providing ongoing education
- Direct coding activities to ensure accurate, consistent and compliant coding for all services.
- Ensure quality reviews to validate coding accuracy.
- Participate in the rejections, denials and claims review process with billing team to ensure compliance and accurate reimbursement
- Identify trends in documentation and coding concerns and collaborate with Leadership and Compliance to assess and implement corrective action
- Evaluate the success of coding processes on an ongoing basis
- Serves as contact for professional coding across BUMG.
- Works with Human Resources and department mangers on the selection of qualified candidates for employment following all policies, guidelines and applicable laws
- Responsible for effective personnel management including training, directing, mentoring and instilling a commitment to quality and excellence
- Monitors department productivity and performance to identify and evaluate program/department strengths and training opportunities in relation to operative effectiveness
- Encourage staff and personally advances professional growth and development through participation in educational programs, workshops and maintaining knowledge of industry standards and practices.
- Must adhere to all of BMC’s RESPECT behavioral standards.
JOB REQUIREEMNTS
EDUCATION:
Bachelor’s degree or equivalent combination of formal education and experience.
CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:
CPC – Certified Professional Coder
EXPERIENCE:
Minimum of 10 years related experience in professional coding with ICD-9/ICD-10, E/M and CPT. Previous management experience required; experience must include education/mentoring/training.
KNOWLEDGE AND SKILLS:
- Expertise knowledge of ICD-9/ICD-10, CPT and E&M coding principals and guidelines
- Knowledge of MS, AP, and APR DRG systems APG, EAPGs
- Knowledge of payer reimbursement methodologies, federal, state and payer specific regulations, policies and compliance standards
- Excellent written verbal and communication skills
- Excellent critical thinking skills
- Excellent skill in providing hands-on education to providers including audit finding and improvement opportunities.
- Excellent organizational skills, including ability to multi-task, prioritize essential tasks, follow-through and meet timelines.
- Ability to work cooperatively with members of the healthcare delivery team and staff,
- Ability to adapt to changes in workload and priorities, responding quickly to urgent requests.
- Ability to mentor, guide and motivate direct reports through demonstration of best practices and leading by example.
Compensation Range:
$122,000.00- $177,000.00This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being.
NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location.
Equal Opportunity Employer/Disabled/Veterans
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Originally posted on Himalayas