Billing And Coding Manager

Description
Demonstrates knowledge and skills necessary to provide services based on the physical, psychosocial, educational, safety, and other related criteria appropriate population in his/her assigned area Maintains required core competencies. Complies with set Policies and Procedures (i.e. name badge, dress code, parking, smoking, etc.) Provides second-level review of billing performances to ensure compliance with legal and procedural policies and to ensure optimal reimbursements while adhering to regulations prohibiting unbundling and other questionable practices. Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding, denials, and billable services, Interacts with physicians and other patients care providers regarding billing and documentation policies, procedures, and regulations; obtain clarification of conflicting, ambiguous, or non-specific documentation. Trains, instructs, and/or provides coding support to medical providers, and Medical Coding Analysts as appropriate regarding coding compliance documentation, and regulatory provisions, and third party payer requirements. Interacts with providers and management to review and/or implement codes and to update charge documents. Ensures strict confidentiality of financial records. Attends coding conferences, workshops, and in-house sessions to receive updated coding information and changes in coding and/or regulations. Requirements Education Preferred:
High School
Licenses & Certifications Preferred:
C-Heartsaver