The Medical Coding Manager will lead the development, coordination and management of Auditing Division including Auditing, Production, Client Relations, Quality Assurance, Training and Provider Education as required. The incumbent will directly supervise and provide technical expertise to the Clinical Reading Staff to assure target quality and production levels of coded and abstracted clinical data within the Company databases. He/she will work with senior management to improve work flow processes that will facilitate coding/abstraction accuracy and data quality.
This position will direct and develop multi-level projects to improve and support business goals and critical business strategies. This position will report directly to the Vice President of Auditing Services based in the Philippines.
SUMMARY OF RESPONSIBILITIES:
- Directs the coding/abstraction, production, and quality assurance, auditing and training activities (as required) of the Auditing Division.
- Develops detailed requirements and documents for all processes and training within the Auditing Division.
- Maintains oversight of certification requirements for the various disciplines within the division’s departments and monitors professional information for up-dates and changes in professional standards.
- Develops and updates enterprise-wide reports.
- Trouble shoots and collaborates with other managers to problem-solve and advance the processes of the division and the Company as a whole.
- Reports progress, obstacles, etc. to Vice President on a regular basis.
- Interacts regularly with executive team and individual department heads
Requirements:
- Extensive knowledge of medical billing and payment methodologies, including all coding guidelines for ICD-9, DRGs, APCs, emergency department, and/or evaluation and management coding (demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements preferred);
- Knowledge of multi-specialty physician practices and academic settings (inpatient and outpatient)
- Proven medical background in anatomy, physiology, pathology, medical terminology and pharmacology
- Ability to perform in a high production environment
- Ability to make administrative and procedural decisions and judgments
- Ability to foster a cooperative work environment and build high performing work teams
- Ability to plan, develop and coordinate multiple projects
- Skill in budget preparation and fiscal management, conflict resolution and/or mediation skills
- Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community
- Must be willing to work on flexible schedule including night shift
- Must be willing to work in The Fort, Taguig
The job package consists of:
- Private HMO coverage
- Competitive Pay
On top of these, MicroSourcing offers you the chance to work in a professional, international, and fun working environment where you will get the chance to meet and work with people from different parts of the world. |
