Medical Records Coding Manager supervises and trains a team of medical coders to ensure medical records are coded with accuracy and completeness. Ensures medical records coding operations follow the latest guidelines and compliance standards. Being a Medical Records Coding Manager maintains required documentation and confidentiality of patient records. Implements processes for coding operations that support the needs of other healthcare partners. Additionally, Medical Records Coding Manager develops and maintains up-to-date knowledge of the latest ICD and CPT coding versions and ensures coders receive updates and training on classification or guideline changes. Is a certified medical coder and the exact type of coding certification may vary based on the clinical setting or a medical specialty focus. Typically requires a bachelor's degree in healthcare administration, a related field, or equivalent. Depending on the setting typically requires the Certified Coding Specialist (CCS) certification. May additionally have the Registered Health Information Administrator (RHIA) credential. Typically reports to a manager or head of a unit/department. The Medical Records Coding Manager supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/production environments. Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. To be a Medical Records Coding Manager typically requires 3-5 years experience in the related area as an individual contributor. Thorough knowledge of functional area and department processes. (Copyright 2024 Salary.com)
About us
Texas Modern Gastroenterology is a rapidly growing Gastroenterology practice looking for a Medical Billing and Coding Specialist in Sulphur Springs, TX. We are professional, agile and fast-paced.
Our work environment includes:
Responsibilities:
- Responsiblle for interpreting and coding Gastroenterology services provided utilizing standardized medical coding practices ensuring that all claims are billed and collections meet all government or payer mandated procedures for accuracy, integrity, and compliance
-Review and analyze medical records to ensure accurate coding and billing
- Assign appropriate ICD-10, DRG, and CPT codes to medical procedures and diagnoses
- Verify patient insurance coverage and process claims for reimbursement
- Communicate with healthcare providers to obtain missing or incomplete documentation
- Follow up on denied or rejected claims and resolve billing discrepancies
- Maintain patient confidentiality and adhere to HIPAA regulations
- Stay updated on changes in coding guidelines and regulations
Requirements:
- Proven experience as a Medical Biller or in a similar role (2-3years required)
- Proficient in ICD-10 coding and DRG classification systems
- Familiarity with ICD-9 codes is a plus
- Experience in Gastroenterology medical billing and coding (preferred)
- Knowledge of medical terminology, anatomy, and physiology
- Strong attention to detail and accuracy in coding and billing processes
- Excellent communication skills to interact with healthcare providers, insurance companies, and patients
- Ability to work independently and meet deadlines in a fast-paced environment
- Knowledge of insurance claim submission procedures and reimbursement processes
Note: Certification in medical billing or coding is preferred but not required.
Job Type: Full-time
Pay: From $16.50 per hour
Expected hours: 36 per week
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Work Location: In person
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