Billing and Coding Supervisor - FULLY REMOTEBalancehealth • New York, New York, United States
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Billing and Coding Supervisor - FULLY REMOTE
Balancehealth
- New York, New York, United States
- New York, New York, United States
À propos
ESSENTIAL FUNCTIONS
Monitors daily production, quality, and adherence to department standards regarding billing operations, coding, and compliance for the timely submission of clean claims
Identifies performance trends and recommends improvements
Provides training and education related to regulatory and billing requirements
The training and education responsibilities of this position include contributing to training material development, instructing current coders and coder trainees about coding guidelines, code changes and observed issues from the audits
Serve as a resource for staff on billing and coding issues, offering guidance and solutions
Collaborates with other departments to include operations, eligibility, and collections to identify and resolve issues impacting billing or coding.
Key Responsibilities
Provide leadership and development to the coding team members, fostering a positive and productive work environment
Identify training needs and coordinate ongoing education opportunities to improve team expertise and capabilities
Develop and present educational tools and procedures for billers and coders
Actively contribute to designing and developing training modules related to medical coding, documentation, physician queries, and EHR abstracting
Stay updated with company policies, procedures, and practices; participate in ongoing training and development to ensure skills remain current and comprehensive
Coordinate daily tasks and provide support to onshore and offshore billing and team members
Operational Oversight & Workflow Coordination
Exercises independent judgment on day-to-day operational matters; escalates complex, strategic, or cross-functional issues to the Manager or Director
Supervise and coordinate all daily billing and coding activities
Assist with weekly and month-end billing and charge reporting by preparing data and coordinating team completion
Establish and maintain positive working relationships across departments, divisions, and locations to support operational efficiency
Assist with coding inquiries from other departments and providers
Strong analytical ability to convert data into action
Quality Assurance, Compliance & Continuous Improvement
Conduct audits and reviews of coding processes to ensure adherence to regulatory standards and best practices
Stay current with industry trends, regulations, and updates to coding guidelines to support continuous improvement
Proactively identify workflow enhancement opportunities and collaborate with management to implement improvements
Project Leadership & Strategic Support
Lead special projects as assigned or identified through personal initiative, contributing to departmental improvement efforts
Requirements Required:
A High School Diploma or equivalent
Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification
Minimum 3 years direct leadership experience of more than 5 people
Minimum of 3 years’ experience as a medical coder
Extensive knowledge of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), International Classification of Diseases-10 (ICD-10), Local Coverage Determinations (LCDs), National Coverage Determinations (NCDs), Internet Only Manual (CMS.gov), and the National Correct Coding Initiative (NCCI), payor policies, etc.
Moderate ability in Microsoft Excel and Microsoft Office
Strong research skills to maintain current knowledge of regulatory changes
Effective oral and written communication
Legal eligibility to work in the United States without sponsorship now or in the future
Ability to successfully pass a background investigation / pre-employment screening
Preferred:
Podiatry or lower body orthopedic experience
Experience with California IPAs
(Any combination of academic education and professional training and development along with applied work experience that demonstrates the ability to successfully perform the essential functions of the position will be considered)
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Compétences linguistiques
- English
Avis aux utilisateurs
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