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)
Job Overview:
We are seeking a meticulous Medical Records Quality Assurance Manager to join our team. The ideal candidate will ensure that our systems and processes meet the highest standards of quality and efficiency. This position is not a remote opportunity.
Duties and Responsibilities:
Duties and Responsibilities:
· Run insurance eligibility every Monday, 1st, and 15th of the month for approx. 900 clients. Report on spreadsheet, update EMR, and notify staff of changes.
· Run and follow-up on Clinic Schedule Discrepancy report within a 3-week period
o Check for current auth
o Check for current tx plan
o Check for consistency of services
· Track and submit monthly ISRs to referral sources of DFCS, DJJ, Probation and other requested referral sources
· Track current and expiring Verified Diagnosis
· Assign Verification of Diagnosis to staff, monitor, and process once completed
· Enter authorizations into EMR for non-PA’s
· Process routine non-PAs as well as upon request
· POC for Biller when inquiring about diagnosis
· Serve as POC for Furniture Bank requests
· Serve as internal auditor for contact logs and service frequency issues.
o Ensure contacts logs are compliant with accrediting bodies and funding sources
o Communicate medical record discrepancies to responsible staff and/or contractors
§ Request missing document with identified deadlines
· Serve as Point of Contact for CMO audits/pre-pay reviews
o Gather all required documents for time-frame requested
o Review progress notes for accuracy of time, service code and content
o Communicate discrepancies with Program Clinical Director
o Organize audit-ready documents in preparation for delivery
· Track discharges and complete discharge letters to send to clients.
· Performs at established quantitative and qualitative work standards to meet company goals and objectives.
· Assist with paper file transfers to EMR as needed and during special projects.
· Complete medical records requests as needed/as back up.
· Other duties as required
Requirements:
- Minimum Job Requirements:
Bachelor’s Degree
If you are passionate about ensuring the quality of healthcare systems and processes, we invite you to apply for this rewarding opportunity.
Job Type: Full-time
Pay: $50,000.00 - $55,000.00 per year
Benefits:
Schedule:
Experience:
Ability to Commute:
Work Location: In person