About the role
Grant Funded:
No
Department:
HIM - Clinical Reimbursement Services
Work Shift:
Day
Work Days:
MON-FRI
Scheduled Hours:
8:30 AM-5 PM
Scheduled Daily Hours:
7.5 HOURS
The Manager of OP Coding Practice must provide direct oversight of the day to day operations of the coding process. This requires efficient throughput to avoid delays in billing that impact medical center cash flow. The Manager must be knowledgeable of coding classifications, reimbursement methodologies and understand the regulatory and accrediting reporting requirements for all patient types in order to provide guidance, monitor quality of work and address problems and issues.
The coded and abstracted information plays a major role in obtaining optimal reimbursement and in achieving regulatory and accreditation compliance. The information also forms the basis for decision support, research, education and performance improvement. The manager must therefore be knowledgeable in all aspects of this process in order to conduct education sessions and perform quality review audits.
This position also requires knowledge of denial and error management as received from internal and external review agencies and a clear understanding of billing, charge master operations for hard coded vs soft coded charges and reporting requirements.
The Manager of OP Coding Practice must collaborate with physicians, nursing, case management and quality improvement staff.
Qualifications:
- Bachelors Degree Required
- Professional Certification is required in: RHIA /RHIT /CCS /CPC
- Minimum of three (3) years related Management experience in a complex healthcare environment with experience in a variety of care environments.
- This position requires in-depth knowledge of coding classifications, regulatory requirements and reimbursement methodologies.
- Critical thinking, analytical and problem solving skills, excellent knowledge of disease process, diagnostic and surgical procedures.
- Excellent interpersonal skills for professional communication with all levels of staff - peers, clinical staff and physicians - is a critical component for this position.
- Candidate must have the ability to manage multiple projects, deadlines and competing priorities and ensure target dates are met.
Montefiore Medical Center is an equal employment opportunity employer. Montefiore Medical Center will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.
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