Fulltime | Remote | Permanent
Managed Resources is a leading consulting group assisting healthcare organizations nationwide in optimizing its revenue cycle management through review, recovery and educational programs. Please read the below description and apply if you meet the requirements and would like to hear more about this opportunity with Managed Resources!
The Outpatient Coding Denials Supervisor will lead a team of coding professionals tasked with identifying, analyzing, and resolving coding related denials. This position will work closely with revenue cycle management coding, billing, and clinical staff to ensure accurate and timely resolution of coding related denials. The supervisor ensures compliance with coding guidelines, regulatory requirements, payer policies, and client policies while optimizing revenue cycle efficiency.
Reports to: Director of Clinical Denials
Accountabilities:
- Supervise the workflow for all coding denials staff.
- Subject matter expert for coding denials questions from coders and clients.
- Foster a collaborative and supportive team environment to optimize productivity and accuracy.
Essential Job Functions:
Complete the following functions in accordance with Managed Resources policies:
- Provide guidance to a team of coding denial specialists. Coordinate workflow, set priorities, and ensure timely resolution of denials.
- Train, Coach, and develop staff.
- Perform quality assurance audits and provide feedback on overall employee performance.
- Ability to analyze coding denial reason codes, review documentation and respond appropriately regarding what is needed to resolve the denial issue and based on payer guidelines.
- Manage assigned work relating to all denials and ensure deadlines are met to achieve maximum reimbursement for services rendered.
- Responsible for coding: outpatient /professional/Inpatient services
- Review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal, and external reporting.
- Monitor changes in outpatient coding guidelines, payer policies, and regulatory requirements to ensure compliance and optimize appeal success rates.
- Proficient in working denials for multispecialty coding, along with E&M coding for all places of services.
- Stay updated on coding regulations, payer policies, and industry best practices to mitigate compliance risks.
- Problem solves, troubleshoots, and appropriately escalates issues to higher level management (Director of Clinical Denials) as necessary.
- Performs other Coding functions as appropriate, including assisting with coding backlogs as necessary.
- Performs other duties as assigned.
Ideal candidate will possess the following:
- Must hold the following credential: CPC
- A minimum of (3-5) years previous coding experience with experience working claim edits and denials
- 3-5 years ICD-10 and CPT coding experience
- Experience working with Clients
- Must have experience working in systems such as EPIC, Cerner, Next Gen, Allscripts or other EHR
- Excellent verbal and written communication skills
- Ability to interact with management personnel
- Possess strong organizational skills and attention to detail
- Adaptive and flexible to new ideas and change
- Ability to work in a changing environment
- Participate in special projects as needed
Check Out Our Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Disability insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Referral program
- Vision insurance
- Pet Insurance
- Monthly Internet Stipend
Our Vision: To become the most trusted, innovative and consultative revenue cycle partner in the nation.
Visit http://jobs.managedresourcesinc.com to find more jobs and sign up for job alerts
Managed Resources is an Equal Opportunity Employer (EOE) M/F/D/V/SO
Job Types: Full-time, Part-time
Pay: $65,000.00 - $75,000.00 per year
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Experience:
- CPT & ICD-10 coding: 3 years (Required)
- Leadership: 2 years (Required)
License/Certification:
Work Location: Remote