Coding Manager Resume Sample
Maudie Brekke
9146 Milo Groves,
Chicago,
IL
+1 (555) 335 4316
Work Experience
Coding Manager
11/2016
-
PRESENT
Dallas, TX
- Project & Change management experience
- Health information management experience in directing HIM in a large acute care facility or otherwise comparable healthcare setting
- License/Registration/Certification: Certification as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS)
- Maintains current information and working knowledge of Federal and State Coding/ Billing regulatory requirements, technology, and systems; communicates regulatory changes and updates to Coding staff as appropriate; monitors and responds to Fiscal Intermediary changes and other coding/ billing denials as they relate to ROC code assignment
- Manages staffing plans and work assignments to achieve and maintain established productivity thresholds
- Establishes and monitors the quality of the department’s coding to support accurate patient information, compliant billing, and minimized corrections and re-work
- Supervises and monitors daily work activities; evaluates, trains, and motivates the performance of subordinate staff
- Selects and develops qualified staff to perform the coding functions by providing guidance and counseling to improve employee performance; takes the appropriate disciplinary action when appropriate and conducts performance evaluations
- Implements departmental efficiencies through the use of coding and information technology resources
Clinical Coding Manager
05/2010
-
10/2016
Los Angeles, CA
- Works effectively through strong interpersonal communication with people who have an impact on documentation and patient information outside the coding department. This includes all Division and Departmental Administration, physicians, and mid-level providers
- Coordinates education and compliance activities in accordance with the Chief Compliance Officer
- Understands information systems and the transfer of patient care data between software applications
- Promotes and supports organizational change necessary to support changing governmental regulations, new information technology, and compliance requirements
- Proficient knowledge of technical/hospital inpatient coding
- Proficient knowledge of surgery coding
- Monitor and recommend staffing levels based on volumes and project goals to ensure seamless management of resources
- Monitor workload, daily queues, metrics and DNFB to properly manage the workload. Identify coverage issues and quickly resolve
Regional Coding Manager Days
06/2005
-
04/2010
Dallas, TX
- Daily P&L analysis and fact-based operational decision making that positively impacts the bottom line
- Monitor and enforce M Modal’s compliance and quality programs. Ensure adherence to State and National Practice Standards for coding
- Serve as a resource for coding related questions from the client. Coordinate with the coding integrity team, as needed
- In the event of a significant volume shift, process change or other impactful variable, work with the client directly to plan and collaborate a successful go-forward strategy
- Provide weekly productivity and quality metrics to client leadership
- Demonstrate the M Modal Core Values of: Integrity, Quality, Team, Continuous Improvement, Expertise, and Innovation
- Daily profit and loss (P&L) analysis and fact-based operational decision making that positively impacts the bottom line
- Extensive knowledge of Inpatient Rehab Facility Prospective Payment System (IRF PPS) and case-mix groups (CMG)
- Familiarity with Center for Medicare and Medicaid Services (CMS) quality reporting program (QRP) for inpatient rehab facilities
Education
Montana State University - Northern
2000 - 2004
Bachelor's Degree in Business
Professional Skills
- Ensures communication with Coding Quality and Education team for appropriate dissemination and communication of all regulation, policy, and guideline changes (e.g. Code updates, coding guidelines, Local Coverage Determinations (LCD), Transmittals) to affected personal
- CPT and ICD-10 physician coding experience with leadership and teaching skills
- Familiar with medical and coding terminology and have excellent analytical and detail-oriented organizational skills
- Possesses strong customer service skills (core competency/serve customer focus)
- Coding Technical Skills- extensive regulatory coding (ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRGs, APR DRGs) and associated reimbursement knowledge
- Upervisory/management experience; 5 years of experience in coding hospital inpatient/outpatient
- Proficiency in Computer skills (Windows, Word, Excel) and in specific databases (e.g., oracle/clinical, PIMS, laboratory databases)
How to write Coding Manager Resume
Coding Manager role is responsible for coding, insurance, research, customer, medical, health, analysis, finance, training, integration.
To write great resume for coding manager job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Coding Manager Resume
The section contact information is important in your coding manager resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:
- First and last name
- Telephone number
Work Experience in Your Coding Manager Resume
The section work experience is an essential part of your coding manager resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous coding manager responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular coding manager position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Coding Manager resume experience can include:
- Demonstrated experience working in a coding capacity
- Demonstrates and drives the Thermo Fisher values – Integrity, Intensity, Involvement and Innovation (The Four I’s)
- Manage and monitor all activity related to Urology coding using existing or by developing internal controls. Deliver results with full accountability
- Presents professional appearance at all times, including adhering to the dress code and maintaining a neat work environment (core competency/serve)
- Serves as a key driver of company culture and attitudes while leading by example, fostering team member engagement and providing clear vision to the team
- Manages overall medical coding and billing operations, including
Education on a Coding Manager Resume
Make sure to make education a priority on your coding manager resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your coding manager experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.
Additional details to include:
- School you graduated from
- Major/ minor
- Year of graduation
- Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.
Professional Skills in Coding Manager Resume
When listing skills on your coding manager resume, remember always to be honest about your level of ability. Include the Skills section after experience.
Present the most important skills in your resume, there's a list of typical coding manager skills:
- Possess strong customer service skills. (core competency/serve customer focus)
- Analytical skills necessary in order to plan and prepare work schedules and determine work priorities
- Prior experience in submitting change requests, reviewing proposed complex changes from the coding dictionary vendors [MSSO, Uppsala Monitoring Centre]
- Prior experience working with technical teams including vendor support, coding set up, dictionary migration and resolution of systems issues
- Proficient computer skills (MS Word, Excel, and Outlook)
- Communicates courteously, professionally and effectively (core competency/communication excel)
List of Typical Experience For a Coding Manager Resume
1
Experience For Clinical Coding Manager Resume
- Analyzes nonconformance’s/customer complaints and observations in order to facilitate the identification and implementation of corrective actions through the department. Tracks and trends non-conformances, complaints, and internal investigations
- Participates in the identification of FTE resource needs and working with HR on sourcing and setting up and participating in interviews and hiring decisions
- Presents professional appearance at all times, including adhering to the dress code and maintaining a neat work environment. (core competency/serve)
- No. Direct Reports- Inpatient and Outpatient Coders, Coding Analyst, Coding Supervisor
- Provides accurate and appropriate answers to physician’s coding and billing questions on a timely basis
- Develop, coordinate, implement, and provide training on new coding programs
- Collaborate with outside vendors/payers on resolving system issues, reimbursement issues or other coding related functions
2
Experience For Remote Coding Manager Resume
- Complete operational requirements by scheduling and assigning teammates; follow up on work results
- Keep upper management informed by reviewing and analyzing special reports; summarize information and identify trends
- Identification of coder educational needs through continual monitoring and auditing of coder accuracy
- Is being mentored in the development of technological advancements that could facilitate improving processes and results
- Oversee Medical Billing and Coding Team to meet department metrics, develop personnel and drive process improvement
- Ensures that any potential issues and periodic coding/compliance updates are communicated to senior management and Medical Coding Team
- Update and maintain the coding compliance manual. Monitor industry publications and implement changes as necessary. 10%
- Gives input regarding section needs in preparation of annual budget and monitors expenditures for budget compliance. 5%
- Perform quality review on all hospital coders, providing feedback and education on areas identified as opportunities of improvement
3
Experience For Regional Coding Manager Days Resume
- Ensures all details of a task are accomplished meeting productivity standards set forth by HIM. (core competency/excel/initiative)
- Recommend quality and/or process improvement initiative in order to improve the efficiencies of Coding Services operations
- Attend in-service and education programs; attend continuing education required for maintenance of professional certification or licensure
- Continual monitoring of charts not final coded. Establish DNFC targets by patient type and coder
- Routinely reviews and identifies any problems with the timely flow and processing of client accounts through timely resolution
- Responsible the development and maintenance of coding policies and process procedures in accordance with company protocol
4
Experience For Market Coding Manager Resume
- Act as the network’s liaison to provider representatives for insurance carriers
- Provides direct supervision to a large team of operational, production, service employees or a small staff of professional level employees; Assumes responsibility for accuracy, service and results of a team
- Undertakes tactical/strategic planning for the process and ensures optimal capacity utilization of the centre; Ensures team is effectively staffed to meet client SLAs; Monitors daily progress/status and makes adjustments/corrections to ensure optimal performance and service
- Manages two or more process or vertical end to end from a process delivery and quality offering perspective; Manage work volume, headcount forecast, cost-revenue analysis
- Interacts with customers and internal departments to resolve issues and accurately process transactions; Coordinate customer-client escalations
- Manages the hiring, staffing and maintenance of a diverse and effective workforce to ensure adherence to client SLAs; Has direct leadership responsibility for 2 or more reports
5
Experience For Regional Coding Manager Resume
- In Patient, Observation, Day Surgery, Emergency Department and Out Patient Coding
- Inpatient and Outpatient Coders
- Post discharge physician queries
- Monitor and report individual coder productivity. Coach and counsel under performers. 15%
- Assignment and reassignment of un-coded charts to specific coders as necessary to better manage the DNFC. 10%
- Review all DRG reclassifications before and after assigning correction to the coder who completed the original coding. Track and trend patterns by payer, coder, MS-DRG and physician. 10%
- Facilitate completion of outstanding physician queries through interaction with Clinical Documentation Improvement team members, physician extenders and CMO as needed. 5%
- Attend meetings within and outside the facility as needed r requested to provide input and act as a coding information resource. 5%
6
Experience For Optum Risk Adjustment Coding Manager Resume
- Approximately 2 to 3 years of progress responsibility related to the coding aspects of medical records
- Selects, assigns and sequences the appropriate ICD10-CM/PCS and CPT codes to patients’ current encounter of care according to established sequencing guidelines for optimal reimbursement and generation of the appropriate DRG and/or AP/APR/DRG. Abstracts inpatient records in an accurate manner according to established procedures and guidelines
- Is punctual and present as stipulated by appropriate Attendance Policy (core competency/serve)
- Breaks down barriers and develops influential relationships with and across teams (core competency/excel teamwork)
- Builds partnership with peers. Develops relationship within and across teams. (teamwork excel)
- Communicates in open, candid, clear, complete and consistent manner (core comp/communication/excel)
- Takes on extra work when necessary to ensure the team meets or exceeds its goals (core competency/excel teamwork)
7
Experience For Medical Coding Manager Resume
- Pays attention to all aspects of the job to achieve/support high quality standards set for by HIM (core competency/honor/quality)
- Ensures all details of a task are accomplished and meet productivity standards set forth by HIM (core competency/excel/initiative)
- Ensures all services documented in the patient’s chart are coded with appropriate diagnoses and procedure codes. When services are not documented appropriately, seeks to attain proper documentation in a timely manner. Works with Revenue Integrity (Charging) and ancillary departments as needed for correct claim components
- Interview, hire and train new staff
- Completion of evaluations as per Departmental and Corporate Policy
- Select, assign, and sequence the appropriate ICD10-CM/PCS and CPT codes to patients’ current encounter of care according to established sequencing guidelines for optimal reimbursement and generation of the appropriate DRG and/or AP/APR/DRG. Abstract inpatient records in an accurate manner according to established procedures and guidelines
8
Experience For Revenue Cycle & Coding Manager Resume
- Contact the appropriate health care provider when there is inadequate information on which to base code assignment; or clarify inconsistent, doubtful or non-specific information in a medical record by querying the responsible provider
- Provide the healthcare providers feedback and education on clinical documentation practices as identified through the review process
- Responsible for participation in departmental and hospital programs for Quality Assessment and Improvement and working with department management to improve the services provided
- Is punctual and present as stipulated by appropriate Attendance Policy. (core competency/serve)
- Communicates in open, candid, clear, complete and consistent manner (core comp/communication/excel
- Takes on extra work when necessary to ensure the team meets or exceeds it goals (core competency/excel teamwork)
- Pays attention to all aspects of the job to achieve/support high quality standards set for by HIM. (core competency/honor/quality)
- Supervise and direct operations of Coding teammates in coding operations (Coding process, Coding Denials, Coding and Documentation Reviews/Audits, Coding Edits and Scrubbing)
- Interview, hire, train, and delegate work to teammates members. Prepare timely performance evaluations and take disciplinary actions or discharge personnel in coordination with Human Resources when necessary
9
Experience For Travel Coding Manager Resume
- Work with providers, administration, directors, and clinical teammates on issues related to Coding, Documentation and its operations
- Oversee ongoing audits of team members' work and maintain workload statistics for use in analyzing teammate needs. Monitor productivity statistics of teammates and address issues as necessary. Utilize ongoing audit results to provide feedback and training to teammates for performance improvements
- Maintain business services by organizing office operations and procedures
- Design and implement office policies by establishing standards and procedures; measure results against standards and make necessary adjustments as needed
- Provide maintenance of confidentiality of patient records and communications
- Monitor and report individual coder productivity. Coach and counsel under performers
- Assignment and reassignment of un-coded charts to specific coders as necessary to better manage the DNFC
- Review all DRG reclassifications before and after assigning correction to the coder who completed the original coding. Track and trend patterns by payer, coder, MS-DRG and physician
- Facilitate completion of outstanding physician queries through interaction with Clinical Documentation Improvement team members, physician extenders and CMO as needed
10
Experience For Billing & Coding Manager Resume
- Attend meetings within and outside the facility as needed r requested to provide input and act as a coding information resource
- Provides direct managerial oversight to
- Serves as the primary interface on day-to-day issues for assigned direct reports and clients
- Ensures customer satisfaction and reports performance concerns related to contractual obligations
- Includes leading by values and visibility to accomplish goals, ensure quality, and develop policy and procedures while mentoring team members to achieve success in their areas of responsibility
List of Typical Skills For a Coding Manager Resume
1
Skills For Clinical Coding Manager Resume
- V. EXPERIENCES AND/OR SKILLS REQUIRED
- Communicates courteously, professionally and effectively (core competency /communication excel)
- Demonstrated management and reimbursement/revenue cycle experience required
- Working knowledge and relevant experience with FQHC billing and coding practices
- Working experience in the use of medical terminology and Medicare regulatory requirements for coding, billing and reimbursement is required
2
Skills For Remote Coding Manager Resume
- Experience working on a study team including educating teams on coding processes, along with the structure and use of the coding dictionaries
- Experience in training, mentoring of staff
- Five years coding experience working with multi-specialty physician practices desired
- Experience managing a Medical Coding Staff
- Experience in medical insurance / healthcare coding
- Experience in the medical billing environment and knowledge of eCW billing system or equivalent
3
Skills For Regional Coding Manager Days Resume
- Good knowledge of the revenue cycle for the purpose of communicating corrective action recommendations
- Handle multiple priorities and increasing responsibility
- Establish systems to measure effectiveness, efficiency and service and create and maintain reporting mechanisms
- Set clear standards for performance, evaluate job performance and provides effective feedback
- Contributes to the efficient operation of the department by establishing priorities, eliminating obstacles, and resolving problems
4
Skills For Market Coding Manager Resume
- Five (5) years Healthcare management experience with supervisory/management responsibilities
- Five years management experience desired
- Three (3) years Healthcare management experience with supervisory/management responsibilities
- Maintain office teammates job results by coaching, counseling, and disciplining employees; planning, monitoring, and appraising job results
- Evaluate the training needs of Coding Services teammates and plan, develop, and conduct training programs as needed
- Responds to phone calls and emails from various physicians’ offices/billing offices regarding coding questions
- Design and implement training programs to ensure that the coding teams have appropriate tools and training, and are up to date on changes in the industry
- Vast knowledge in Long-term care coding and MLTC CMS coding guidelines
- Identification of coder educational needs through continual monitoring and auditing of coder accuracy. 15%
5
Skills For Regional Coding Manager Resume
- Work with the Coding Operations and Clinical Operations Performance Standards teams and market coding team to complete pre-bill clearance audits
- Manage Coding supervisors for teams reporting to them
- Assists in completing monthly client reports and coordinating the delivery of the invoices and reports with the Client Services Director
- Includes monitoring profit and loss and the preparation of internal monthly reports and client invoicing
- Directs the activities related to the receipt, assembly, coding, and abstracting of medical records
- Regulates the accuracy of the coding abstracting, and data entry of discharged medical records
- Responds to coding-related questions from HSC coding staff
6
Skills For Optum Risk Adjustment Coding Manager Resume
- Accountable for ensuring that the professional coding team consistently meets quality and productivity expectations
- Monitors coding performance to meet HIPAA, legal and risk management implications of health information and coding compliance guidelines
- Develop team members, creating and supporting department process flows
- Implement processes designed to drive accuracy and integrity of coding and the appropriate code assignment based on recognized coding conventions
- Abides by the Standards of Ethical Coding as set forth by the American Academy of Professional Coders and adheres to official coding guidelines
- Basic understanding of medical ICD9/ICD10 codes, CPT/HCPC codes and modifiers
- Dissemination of coding changes and updates
- Continual monitoring of charts not final coded. Establish DNFC targets by patient type and coder. 15%
- Evaluate individual coder accuracy through focused audits. Identify education needs to facilitate coding accuracy improvement. 10%
7
Skills For Medical Coding Manager Resume
- Oversight of job performance, attendance and quality issues of the hospital coding staff
- Evaluate individual coder accuracy through focused audits. Identify education needs to facilitate coding accuracy improvement
- Gives input regarding section needs in preparation of annual budget and monitors expenditures for budget compliance
- Includes staff management responsibility for hiring and resource allocation
- Oversees coordination of coding and DRG review program
- Actively participates in the evaluation, selection and purchase of information systems for HIM Coding services and hospital wide systems
8
Skills For Revenue Cycle & Coding Manager Resume
- Manages coding services within the revenue cycle and works collaboratively with the HIM Clinical Documentation team and other RCM and hospital leadership
- Participates in the development of the coding budget and prepares budget variance reports
- Conducts periodic review and revision of the departmental coding policy and procedure manual
- Seeks clarification from physicians or other staff in cases when documentation is absent, ambiguous, or contradictory
- CPC or CCS certification through AAPC or AHIMA
9
Skills For Travel Coding Manager Resume
- Audit and/or abstract code medical records for proper assignment of diagnoses specificity (including HCC/risk adjustment concepts) procedure codes, units, sites, modifiers, drugs, supplies, etc
- AAPC Certified Professional Coder (CPC) and/or AHIMA Certified Coding Specialist
- Vast Knowledge in ICD-9, ICD-10 CM, HCPCS and CPT-4 codes
- International Classification of Diseases, Ninth Edition, Clinical Modification (ICD 9 CM)/ International Classification of Diseases, Tenth Edition, Clinical Modification (ICD-10-CM) diagnosis and Current Procedural Terminology/HealthCare Common Procedure Coding System (CPT/HCPCS) procedure codes
- Extensive knowledge of state, federal and Medicare regulations related to coding
- Travel between facilities as necessary
- Handle a flexible work schedule
- Confidence in their subject mastery and point of view. This individual has an opinion on most everything in the coding world, they talk the talk because they’ve walked the walk
- Experience with Epic electronic medical record functionality and 3M Coding Reimbursement products recommended
10
Skills For Billing & Coding Manager Resume
- Knowledge of state and federal legislation for HIPAA Privacy, medical record access, and regulatory and accreditation agencies; retention of medical records; storage and retrieval systems
- Leading coders and managers on completion of daily work tasks
- Epic Physician Billing Coding functionality
- Manager works with the Director and formulates and discusses coding / auditing needs to send proposal from Xtend
- Reviews client technology and processes to implement coding, auditing and medical documentation services by Xtend coders
- Knowledge of current medical record technology, statistics, data presentation and reporting
List of Typical Responsibilities For a Coding Manager Resume
1
Responsibilities For Clinical Coding Manager Resume
- Excellent organizational and computer technical skills
- Experience with Oracle’s Central Coding, InForm or other coding applications
- Medical coding experience in a pharmaceutical or biotechnology company
- As required, coordinates staff orientation and performance evaluation of coding staff to build a strong team and ensure quality of service
- AHIMA or AAPC Coding Credential with 5+ years’ of coding experience
2
Responsibilities For Remote Coding Manager Resume
- Proficiency with typing and computer experience
- Three (3) year experience in a physician practice or medical billing or insurance carrier office
- Experience ICD9 / ICD10 coding
- Provider education/query experience, communicating directly with providers
- Experience with remote coding and associated software applications
- Experience with various Encoder, CAC and EHR software applications
- Experience in the development and maintenance of process documents [SOPs, SWPs, guidelines]
- HS Diploma and certification or licensure with significant experience in an allied health care field is required
3
Responsibilities For Regional Coding Manager Days Resume
- Coding Compliance Plan
- Understanding of physician query processes
- Extensive knowledge of medical terminology, CPT and ICD coding, and general billing
- Works with Revenue Integrity (Charging) and ancillary departments as needed for correct claim components
- Reviews records to ensure compliance with coding and documentation guidelines and governmental requirements
- Responsible for the day to day operations of the Coding functions for MSDUS Administration
- Assess risks during audits for each practice
- Performs account reviews for appeals that are part of the HIM Coding PART process
4
Responsibilities For Market Coding Manager Resume
- Enters all applicable changes that occur as a result of appeals in C-PART, into the appropriate abstracting system
- Provides Coding Integrity Specialist (CIS) and CQR education as needed
- Initiates the rebilling process as required per policy on special projects
- CPC (Certified Professional Coder) or any other coding certification through AAPC/AHIMA
- Knowledge of medical insurance filing rules, NCCI/PTP edits and LCD rules
- A health care professional with understanding of the pathophysiology of diseases
- Extensive knowledge of medical terminology, CPT and ICD coding
5
Responsibilities For Regional Coding Manager Resume
- Certification as an accredited Health Information Technician or Health Information Administrator and Certified Coding Specialist
- Approximately 2-3 years of progress responsibility related to the coding aspects of medical records
- Identify quality control and training gaps
- Client and Xtend Project Interaction to Implement and Manage Coding Projects
- Certified Coding Specialist (CCS) by the American Health Information Management Association (AHIMA)
- Leads by values, the activities of up to 20 team members
6
Responsibilities For Optum Risk Adjustment Coding Manager Resume
- In mentoring to administrate, or administrates hiring, counseling, disciplinary actions, or terminations after coordination with the Director/Associate Director and HR
- Primary administrator of work assignments/schedules. Consults with direct report to ensure productivity and performance goals are met. Recommends and schedules overtime usage and monitors for appropriate usage, effectiveness, etc
- Reviews monthly expense and revenue with Director and makes recommendations if improvement is required while participating in budget development and ongoing review
- Assists Director with information to substantiate the monthly budget variance
- Prepares an accurate and timely monthly client invoice
- Includes involvement in professional organizations and relationship management
- Ensures all services documented in the patient’s chart are coded with appropriate diagnoses and procedure codes. When services are not documented appropriately, seeks to attain proper documentation in a timely manner
7
Responsibilities For Medical Coding Manager Resume
- Escalates issues to Audit area as needed for further review
- Responsible for reviewing CPT codes for potential changes on an annual basis. Work with the billing and systems teams to ensure that appropriate changes are updated in billing systems
- Leverages technology to ensure that automated solutions and applications support functional objectives. Identifies gaps and proposes solutions where necessary
- Create monthly communications and agenda
- Provides guidance and direction to subordinate and supervisory personnel, ensuring their compliance to the policies and procedures, goals and objectives of the department
8
Responsibilities For Revenue Cycle & Coding Manager Resume
- Monitors workflow to ensure the timelines and efficiency in processing discharged records
- Oversee and perform audits for practices within MSDUS
- Communicates with the Patient Financial Services and Central Billing Office and superiors the outstanding accounts for inpatient, ambulatory and emergency department cases
- Oversees coordination of coding and DRG review program and ensures compliance with State, Federal and regulatory requirements
- Oversees the receipt and distribution of the service schedules used to assign physician deficiencies
- Monitors staff using Computer Assisted Coding (CAC) for coding comprehension and workflow proficiency. Validates user error vs CAC natural language processing (NLP) improvement
- Oversees daily workflow and reports (financial, EPIC - pending accounts, etc.) to ensure timely coding completion for billing, as well as ensuring the acceptable balance between productivity and quality of individual coder work assignment in various specialties with coder skill and individual competence always in full view
- Initiates communication to providers related to documentation improvement opportunities, coding guidelines, or other issues
9
Responsibilities For Travel Coding Manager Resume
- Participates in the review of claims returned from Professional Billing Services due to edit and process corrections for clean claim submission
- On a daily basis works to obtain complete documentation for coders when necessary, and helps to identify areas of documentation that need improvement
- Participates in the review and correction of charge review edits in EPIC
- Works to implement new regulatory changes related to coding and reimbursement. Works with the Coding Quality and Education Team in educating coders & providers on these changes
- Evaluates results of internal and external audits and works with to finalize action plans and disseminate findings and education to the coders
- Participates in HHC system-wide work groups related to professional coding and reimbursement and works closely with staff members of various outpatient clinics, physician offices, Finance/Billing and Ancillary Departments
- Responsible for the ongoing development of meaningful goals and objectives for the outpatient coding team that aligns with the vision of the entire HHC Rev Cycle Team
- Advances the Professional Coding team by influencing desired H3W Leadership Behaviors
10
Responsibilities For Billing & Coding Manager Resume
- Abides by HHC’s Guiding Principles of Safety, Integrity, Caring and Excellence
- Responsible for personnel management, strategic planning and process improvement activities related to Coding processes
- Meets established coding Key Performance Indicators for coding quality and productivity
- Use coding references such as (Coding Clinic, CPT assistant, etc.)
- Works closely with Professional Billing Services to maintain unbilled Key Performance Indicators (KPI), track and report unbilled amount for all HHC entities
Related to Coding Manager Resume Samples
Coding Resume Sample
Work Experience
• Perform routine and special audits of par and no-par provider claims to determine payment accuracy
• Make recommendations regarding the accuracy of claim payments and process improvements
• Utilize Excel and Access to launch theoretical claim queries into the system
&nb...
Professional Skills
• Excellent oral & written interpersonal ski...
• Experience using time management skills su...
• Excellent computer skills including experi...
Coding Compliance Resume Sample
Work Experience
• Adheres to AHIMA’s Standards of Ethical Coding; AHIMA’s Code of Ethics; AHIMA’s Ethical Standards for CDI Professionals, ACDIS’ Code of Ethics, and the AAPC’s Code of Ethics, in addition to Conifer’s Ethics Standards
• Participates as a member of the National Compliance Office (NCO) Team Leader gro...
Professional Skills
• Coordinate meetings, develop meeting agend...
• Excellent time management, decision-making...
• Good interpersonal skills to deal effectiv...
Coding Consultant Resume Sample
Work Experience
• Typically works remotely, accessing work related tasks via VPN access
• Reports to work as scheduled
• Willing and able to travel when necessary, if applicable
• Complies with all CIOX Health and HIM Division policies and procedures
• &...
Professional Skills
• Excellent oral & written communication ski...
• Excellent oral and written communication s...
• Clinic or hospital experience and / or man...
Analyst / Senior Quantitative Analyst Resume Sample
Work Experience
• Chartered Financial Analyst (CFA), Financial Risk Manager (FRM) designation
• Monitor the effectiveness of models in use and continually update model parameters with actual results and changing trends
• Create, enhance and maintain models and model parameters for various mode...
Professional Skills
• Hands on experience with credit risk model...
• Other programming/software familiarity: st...
• Excellent interpersonal and communications...
Full Stack .NET Developer Resume Sample
Work Experience
• Design and development of software applications (primarily web based) used in various areas of the bank (such as Loans processing, Treasury, Middle Office etc.)
• Unit and Integration Testing – planning, execution and evaluation
• Production Release preparation and coordinati...
Specialist, BI Resume Sample
Work Experience
• Understands logical and physical data models, data modeling methodologies
• Experience in data reporting and visualization area with atleast 2-3 years’ experience on Tableau development
• Experience as BI/DW consultant
• Intelligence, analytical mindset...
Professional Skills
• Attention to detail and strong interperson...
• Strong skills and experience with scriptin...
• Strong project management skills including...