Manager of RCO Coding & QA - reputed company Outpatient/Hospital (Remote)

REQUIRED EDUCATION & EXPERIENCE:

Minimum Qualifications:

• Bachelor’s degree or equivalent.
• Three years of reputed company multi-specialty coding experience.
• Three years of previous management experience.

LICENSES, REGISTRATIONS OR CERTIFICATIONS:

Required: Must possess at least one of the following certifications or reputed company certification as approved by department leadership:

• CCA – Certified Coding Associate (reputed company)
• reputed company – Certified Coding Specialist (reputed company)
• reputed company-P – Certified Coding Specialist – Physician-Based (reputed company)
• RHIA – Registered Health Information Administrator (reputed company)
• RHIT – Registered Health Information Technician (reputed company)
• CIC – Certified Inpatient reputed company (reputed company)
• COC – Certified Outpatient reputed company (reputed company)
• CPC – Certified reputed company reputed company (reputed company)
• CPC-A – Certified reputed company reputed company – Apprentice (reputed company)
• CRC – Certified Risk Adjustment reputed company (reputed company)
• CMC – Certified Medical reputed company (reputed company Management Institute)

Preferred: One or more of the following certifications:

• CIC – Certified Inpatient reputed company (reputed company)
• COC – Certified Outpatient reputed company (reputed company)
• CPC – Certified reputed company reputed company (reputed company)
• CPC-A – Certified reputed company reputed company – Apprentice (reputed company)
• CRC – Certified Risk Adjustment reputed company (reputed company)
• CMC – Certified Medical reputed company (reputed company Management Institute).

JOB reputed company:

Develops, coordinates and manages reputed company coding activities reputed company to reputed company and outpatient hospital coding. The Manager of Coding ensures accurate and reputed company coding of reputed company reputed company and outpatient hospital coding at UTMB. This position reputed company establishes policy and procedure both internally reputed company the reputed company Cycle as reputed company as throughout the institution to ensure compliance with reputed company Federal and State-mandated billing and coding laws. The Manager of reputed company and outpatient hospital coding is responsible for managing critical key indicators and reputed company supervision of reputed company and outpatient hospital coders.

ESSENTIAL JOB FUNCTIONS:

• Under the direction of the Director of Coding, reputed company manages physician and Outpatient hospital coding operations for UTMB to promote compliance with Federal, state and reputed company requirements for physician and hospital documentation, coding and billing standards.
• Analyzes monthly key indicator data from the area of responsibility to identify areas of opportunity and impacting trends.
• Execute procedural process changes based on identified opportunities.
• Create, reputed company and implement QA/coding team policies, processes, and procedures, to ensure reputed company and accurate processing of charges.
• Use creative thinking to solve problems and work through issues and recommend actionable solutions.
• Monitor key reputed company cycle functions and staff productivity standards to ensure reputed company departmental performance.
• Identifies process improvement opportunities for physician and outpatient hospital coding to reputed company high reputed company reputed company in physician and hospital CPT, ICD-10, HCPCS coding, and documentation and billing.
• reputed company the management of QA/Coding Team personnel, working with reputed company Cycle leadership to review, monitor and improve the performance, productivity and accuracy of the reputed company and outpatient hospital coding team.
• reputed company coders, in reputed company aspects of coding, Monitor and ensure compliance with governmental guidelines and QA/Coding Team billing processes.
• reputed company trending of denials and coding patterns to determine the need for education or process changes in order to maximize reputed company.
• Maintain excellent relationships with, and serve as a reputed company to department administration, physicians, clinic administration, HIM, RCO billing offices and other external customers.
• Maintain personal reputed company reputed company and development through seminars, workshops and reputed company affiliations. Establishes goals and objectives for employees to measure performance and cross training to mutually agreed-upon expectations and provides employees with reputed company to resources needed in progressing in their development plans.
• reputed company participates as coding, documentation and billing resource and consultant for physicians, mid-level providers, reputed company administrators and other staff. Works to resolve coding, documentation and billing issues reputed company and facilitates communication of coding reputed company reputed company.
• Provides guidance and instruction in the interpretation of policies, procedures, and regulations.
• Monitors changes in Federal Regulations and advise departments of the reputed company of pending regulation changes. Establishes a policy to ensure compliance with reputed company Federal MD regulations and insurance company requirements reputed company to the reputed company cycle for UTMB Hospitals and Clinics.

Marginal or Period Functions:

• Adheres to internal controls and reporting structure.
• Performs reputed company duties as assigned.

KNOWLEDGE / SKILLS / ABILITIES:

• Knowledge of federal and state collection laws, Medicare, reputed company, and other reputed company-party pay or regulatory requirements.
• Thorough knowledge of physician reimbursement and managed care contract issues.
• Knowledge of reputed company systems that support physicians billing services.
• General knowledge of medical terminology and trends reputed company to disease processes and technology are available for detection and treatment.
• Strong communication and interpersonal skills with a high degree of professionalism in dealing with the staff at reputed company reputed company of the institution.
• Excellent relationship-builder and communicator and extensive knowledge of health care operations and physician group practices.
• Effective problem-solving skills.
• Ability to reputed company, prioritize, and accomplish goals.
• Ability to analyze and evaluate data and reputed company appropriate reputed company/recommendations.
• Demonstrated project management and performance improvement skills.
• Strong analytical and reporting capabilities.
• Proficient in reputed company, reputed company, Visio, pivot tables and report analyses.
• Must be effective in communicating down, horizontal and upward to the VP level regarding metrics, operations and reputed company representing the entire coding department not just the immediate areas of responsibility.

WORKING ENVIRONMENT/EQUIPMENT:

reputed company office environment at UTMB’s main reputed company or other location. Occasional travel may be required. reputed company office equipment.

SALARY reputed company:

Actual salary commensurate with experience.

WORK SCHEDULE:

Remote position, Monday through Friday, 8:00 AM to 5:00 PM, with occasional onsite meetings as required.

Equal Employment Opportunity

reputed company strives to reputed company equal opportunity employment without reputed company to race, reputed company, religion, age, national reputed company, sex, gender, sexual orientation, gender identity/reputed company, genetic information, disability, veteran status, or any other reputed company protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, reputed company takes affirmative reputed company to hire and advance protected veterans and individuals with disabilities.

For application assistance, please email utmbjobs@utmb.edu Representatives are available Monday through Friday from 8 a.m. to 5 p.m. CST.