Coding Operations lead

About Coding Operations Lead Position

Do you love to care for patients in a warm and welcoming environment?

Gastro Health is currently looking for an enthusiastic full-time Coding Operations Manager to join our team!

Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours – and we enjoy paid holidays per year plus paid time off.

This role is responsible for the daily oversight and supervision of designated Coding Department teams, ensuring efficient workflows, compliance with coding guidelines, and achievement of key performance indicators (KPIs). Key duties include prioritizing workloads, supporting denial management efforts,

Job Description:

• •Directly oversees and supervises day to day operations of designated Coding Department teams.
  •Prioritize, assess, and re-prioritize daily workflows to ensure timely execution of Coding and meeting/exceeding goals/KPI.
  •Assist with creation of front-end scrubs/edits based on coding guidelines and denial management review.
  •Effectivity manages the team through streamlined improvement initiatives to ensure the team is highly effective for the providers.
  •Actively participates and maintain strong new hire training process and assist with policy/procedure documentation and process workflow.
  •Conduct audits of team members to ensure quality initiatives are being met and exceeded.
  •Identify and document trends in underpayments, denials, aging receivable that compromise the ability of the Coding team to meet established goals.
  •Assists with resolution of complex claims or projects and trains team to improve follow up efforts.
  •Strong analytical skills to prepare project data with external payors and partners.
  •Motivate, train, evaluate, record and report team members performance and progress.
  •System matter expert of all Coding functions across the team to maintain a highly efficient and productive team and to ensure process can be trained effectively.
  •Assist Management in establishing weekly/monthly goals, ensure Coding team members are utilizing all resources and meeting and/or surpassing weekly/monthly KPI’s.
  •Assist manager with preparing weekly and monthly RCM reporting metrics to remediate any items outside established KPI including status report of projects.
  •Research and maintain understanding of policy changes across the RCM markets.
  •Daily reviews of the following programs: Incoming claim/denial volumes, daily billing, rejections, evaluate clean claim rates, and team workflows.
  •Assist manager in the interview process.
  •Assist with preparation of team meetings focused on collaboration and process improvement.
  •Assist Manager with employee performance appraisals and work with the coding team on skill development.

Minimum Requirements;

•More than 5 years’ experience/Seniority with healthcare billing
•2 or more applicable Coding Certificates (CPC, COC, CRC, CPMA, CGIC) *Does not apply to data entry Lead*
•Associates or Bachelor’s Degree is highly preferred but experience may be substitued for education

•Experience with a large, growing healthcare organization supporting 100 or more providers and overseeing 10+ team members
•Experience with a large Practice Management (PM) System, eCW (E Clinical Works) is a plus but not required
•5+ experience in healthcare industry and 1+ years of supervisory experience/leading a team, in Billing/Coding roles

•Able to run open claims reports in Visiquate for coder distribution. Analyze productivity report to assure action plan and expectations are met by coding team. Responds to RCM Care Center and Internal Request smartsheet. Provides routing coder audit for quality assurance
•Utilizes Visiquate, Power BI and reconciliation reports to upload and analyze data to align all Coding benchmarks and identify support areas and coverage

•Extensive knowledge of patient registration, coding guidelines, billing, regulatory requirements, billing compliance

Gastro Health is the largest gastroenterology multi-specialty group in the country. We are over 300 physicians strong with over 100 locations throughout the nation, including Florida, Alabama, Ohio, Maryland, Washington, Virginia, and Massachusetts. We employ the finest gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals. Gastro Health is always looking for talented individuals who share our mission to provide outstanding medical care and an exceptional healthcare experience.

This position offers a great work/life balance!

We are growing rapidly and support internal advancement

We offer competitive compensation

401(k) retirement plans

Profit-Sharing

Dental insurance

Health insurance

Life insurance

Paid time off

Vision insurance

Disability insurance

Pet insurance

We offer a comprehensive benefits package to our eligible employees, which includes: Cigna healthcare, dental, vision, life insurance, 401k, profit-sharing, short & long-term disability, HSA, FSA, and PTO plus 7 paid holidays.

Gastro Health is proud to be an Equal Opportunity Employer. We do not discriminate based on race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

We thank you for your interest in joining our growing Gastro Health team!