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Robert Half Coding Manager in Utica, New York

Description

Chris Preble from Robert Half is working with a Utica client of his in the healthcare industry that is looking to hire a Coding Manager. This company has awesome benefits and offers an opportunity for career growth. It's a very stable organization with low turnover. As the Coding Manager, you're responsible for overseeing the medical coding team, ensuring accurate and compliant coding of diagnoses, procedures, and services across the organization. This role is essential in optimizing the revenue cycle and ensuring that coding processes adhere to regulatory guidelines. The Coding Manager is also responsible for staff management, productivity monitoring, auditing, and providing education to the coding team and clinical staff to improve documentation quality.

Key Responsibilities:

Coding Supervision:

  • Oversee day-to-day operations of the medical coding team, ensuring accurate and timely coding of patient records and claims.

  • Ensure compliance with current coding regulations, payer-specific policies, and guidelines, including CPT, ICD-10, and HCPCS codes.

  • Perform periodic audits to ensure coding accuracy and identify areas for improvement.

Team Leadership & Development:

  • Manage, mentor, and develop a team of medical coders, ensuring that they stay up to date with changes in coding standards and best practices.

  • Conduct regular performance evaluations, set individual goals, and provide ongoing coaching and support to ensure the team meets performance metrics.

  • Organize and lead training programs to ensure continuous education in coding rules and updates.

Compliance & Quality Control:

  • Ensure compliance with national and local coding regulations, payer requirements, and healthcare laws (e.g., Medicare, Medicaid).

  • Monitor coding practices to maintain compliance with industry standards and regulatory agencies.

  • Lead coding audits, both internal and external, to ensure the accuracy and completeness of medical coding and documentation.

Productivity & Reporting:

  • Monitor and analyze coding team productivity and performance, ensuring timely and accurate coding for optimal revenue cycle performance.

  • Prepare and present reports on coding accuracy, productivity, and compliance to senior management.

  • Identify trends, areas for improvement, and implement process enhancements to improve coding operations.

System & Technology Management:

  • Ensure the effective use of coding software and technology, such as EMR/EHR systems, coding software (e.g., 3M Encoder, Epic), and other tools to streamline coding workflows.

  • Work with IT and revenue cycle management to optimize system functionality and address any technical issues.

Revenue Cycle Support:

  • Collaborate with the billing and revenue cycle teams to reduce denials, correct claim submissions, and ensure timely reimbursement.

  • Assist with coding-related inquiries from insurance companies or regulatory agencies.

    Requirements

• Must have current and relevant coding experience

• Must have staff management experience

• Excellent communication skills

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

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All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

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