Manager Professional Billing Coding Operations - Remote

POSITION SUMMARY: Responsible for the operational functions of the Professional Coding Operations team for BUMG. Plays a strategic role in validating the accuracy of CPT, HCPCS and diagnosis code assignment by coders, physicians and non –physician practitioners. Works closely with key revenue cycle stakeholders to understand reasons for denials, root cause analysis, and feedback to providers. Supervises professional billing coding staff. Partners with Coding Education Team to identify trends in coding practices and assists with developing feedback and education to providers. Reviews coding denials to resolve and identify trends and provides feedback to providers and departments. Performs quality assurance reviews of inpatient and outpatient records to assess and report on the effectiveness of training programs and quality of coders. Provides in-service training and feedback to coding staff regularly, including coding changes and updates. Oversees coding operations to ensure organizational goals are being met. Partners with the Coding Education Team to design and implement programs on coding and clinical documentation audit and education to improve performance and efficiency. Enforces correct application of Official Coding Rules and Regulations and follows appropriate guidelines. Oversees the coding edits and denials and ensures compliance with payer guidelines. The Manager, PB Coding Operations is responsible for supporting coding related, RAC, other external coding reviews,