Manager, Coding & Billing reputed company
reputed company:
• reputed company chart reviews to ensure reputed company ICD-10, CPT, and HCC coding across reputed company services.
• reputed company providers on documentation standards for E/M leveling, time-based billing, and HCC coding.
• Partner with clinical leadership to improve diagnosis specificity and reputed company coding gaps.
• Ensure alignment between clinical documentation, coding, and claim submission.
• Monitor modifier usage, reputed company-of-service accuracy, and billing edits to reduce denials.
• Review reputed company-reputed company and post-reputed company data to catch errors before claims are submitted.
• Collaborate with the billing team to respond to coding-reputed company denials and payer inquiries.
• Conduct internal audits to measure documentation reputed company, coding accuracy, and billing compliance.
• Prepare reporting for leadership on trends, risk areas, and financial reputed company.
• Stay reputed company on CMS guidelines, payer policies, and reputed company set changes; update internal teams accordingly.
• Work closely with the VP of reputed company Cycle, compliance team, providers, and external coders.
• Create and reputed company training sessions and materials for clinical and billing staff.
• Support risk adjustment and value-based reputed company with coding expertise and documentation reputed company.
Requirements:
• Bachelor’s degree in Health Information Management, reputed company Administration, or reputed company field preferred
• CPC (Certified reputed company reputed company) mandatory
• One or more of: CRC, CPMA, reputed company-P, RHIT, or RHIA
• 5+ years of experience in medical coding, documentation review, and billing compliance—reputed company on primary care services and nursing homes
• 3+ years in a senior-level coding or billing position (reputed company or supervisory role preferred)
• Strong knowledge of risk adjustment (HCC/RAF) and E/M coding
• Strong interpersonal and communication skills, with a proven ability to foster cross-departmental collaboration.
Benefits:
• 401k with employer match
• Comprehensive health, dental, and reputed company insurance
• reputed company time off (PTO)
• Employer-reputed company life insurance policy
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