Bienville Orthopaedic Specialists
Please COPY & PASTE and APPLY through this USOP LINK:
https:
//recruiting2.
ultipro.
com/MIS1011MISMO/JobBoard/fe0dafe1-1171-49a5-ab2d-a1d681d658d2/?q=&o=postedDateDescJob
Summary:
The Coding Manager at BOS is responsible for the oversight of daily operations of the Coding/Charge-Entry Department.
The position manages coding review and data entry functions necessary for accurate and timely coding and input of daily charges.
Ensures coding services meet productivity and quality standards to support the organization's financial goals.
Responsible for identifying and evaluating regulatory questions or issues related to the coding and billing of patient claims and services.
This role will support the comprehensive strategy and growth plans to ensure that the coding team has a robust and proactive compliance program.
Essential Duties:
Provide leadership to coding review and charge capture staff.
Ensure that equity of workloads, productivity goals, and assignments are maintained.
Assigns monthly benchmarks, weekly activities, and daily priorities as appropriate to ensure timely completion of duties Establish protocols to ensure Revenue Integrity Owner of the chargemaster, fee schedules, and RVU updates in EHR Plan and direct audits to evaluate the adequacy and accuracy of documentation in support of services billed, including CPT/ICD-10/HCPCS and other third-party payer codes, medical necessity of services, compliance with other documentation and coding and billing standards Lead the evaluation of the adequacy and effectiveness of internal and operational controls designed to ensure that processes and practices lead to the appropriate execution of regulatory requirements and guidelines related to coding and billing, federal and state regulations and guidelines, CMS, and other third-party payer billing rules, and OIG compliance standards.
Establish and implement a physician education program to include documentation education Serve as a subject matter expert and authoritative resource on interpretation and application of documentation and coding rules and regulations, and conduct enterprise risk assessments of potential and detected compliance deficiencies Stay current on relevant coding and billing regulations and enforcement trends, specifically as they relate to provider-based coding and billing to include updates to key stakeholders Develop standards and guidelines for medical record documentation, including reporting on deficiencies and training to remediate Collaborate with Compliance Officer on compliance, coding documentation, and risk management when required Develop the annual compliance work plan sections relating to coding and billing Work closely with the company's physicians, Operations, and Revenue Cycle Leadership to validate controls and monitor high-risk areas Perform coding and billing documentation and charge audits according to best practices Responsible for coaching, professional development, and mentoring coding and data entry staff Develop documented policies and processes related to the management of coding and billing compliance matters Develop edits within claims scrubber EHR software, including testing and validation Prepare and provide coding education to organization physicians, providers, and staff Responsible for effective identification of staffing resources, recruitment, and allocation of resources Provide guidance and motivation to staff regarding the identification of activities/areas where performance can be improved Responsible for making recommendations and/or decisions for hiring, corrective actions, terminations, and performance evaluations Required
Qualifications:
Certified Professional Coder- AAPC Certifications Coding Compliance experience Bachelor's degree or equivalent work experience Physician practice and/or Surgery Center experience Advanced Knowledge of:
Documentation, coding, and billing rules/guidelines CPT/ICD-10/HCPCS coding rules Medical Terminology and healthcare compliance audit requirements CMS regulations and guidelines Minimum of 3-5 years of management experience in a physician organization Ability to manage and direct others in a fast-paced, team-oriented environment Independent judgment; effective, team-oriented leadership skills.
Excellent analytical, problem-solving, and decision-making skills Excellent communication skills (verbal, written & presentation) Excellent computer skills with strong proficiency in reporting, spreadsheet applications, and experience with Microsoft Office Preferred
Qualifications:
Certified Orthopedic Surgery Coder Physical Requirements:
Physical requirements for the position include the ability to frequently hear and communicate orally, see up close and at a distance, read and comprehend, stand, sit, walk, reach, handle, and/or feel objects.
Must be able to climb, pull, push, and kneel.
Maximum unassisted lift = 25 lbs.
The average lift is less than 10 lbs.
Must be able to work extended hours as necessary.
Please COPY & PASTE and APPLY through this USOP LINK:
https:
//recruiting2.
ultipro.
com/MIS1011MISMO/JobBoard/fe0dafe1-1171-49a5-ab2d-a1d681d658d2/?q=&o=postedDateDesc About Bienville Orthopaedic Specialists:
Bienville Orthopaedic Specialists is the largest Orthopaedic group in Mississippi.
Founded in 1981, Bienville Orthopaedics has now grown to 18 physicians who have admitting privileges at five local hospitals and over 300 employees,.
Our physicians offer the most up-to-date technology while maintaining personalized care.
Our dedicated staff, at all five of our locations, work hard to create a comforting atmosphere and an environment conducive to healing.
A history of excellence by a renowned team of physicians has made Bienville Orthopaedic Specialists the largest and most TRUSTED provider of orthopaedic care in Mississippi.
Bienville Orthopaedic Specialists delivers personalized care using the most advanced technology available with a compassionate understanding of our patient's individual needs.
Our success lies in the dedication of our employees as each one is selected for their commitment to our values, a strong focus on service, and a passion for the care of our patients.
Bienville Orthopaedic Specialists is an Equal Opportunity Employer and reports to E-Verify for proof of work eligibility and the State Directory of new hires.
We will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS) with information from each new employee's Form I-9 to confirm work authorization.
BIENVILLE OFFERS:
Excellent benefits package Competitive salary, health, dental and vision coverage Paid vacation, sick time and holidays Flexible schedules Long-term and short-term disability Life insurance 401(k) Profit-sharing plan And much more!About the Company:
Bienville Orthopaedic Specialists.
Estimated Salary: $20 to $28 per hour based on qualifications.
https:
//recruiting2.
ultipro.
com/MIS1011MISMO/JobBoard/fe0dafe1-1171-49a5-ab2d-a1d681d658d2/?q=&o=postedDateDescJob
Summary:
The Coding Manager at BOS is responsible for the oversight of daily operations of the Coding/Charge-Entry Department.
The position manages coding review and data entry functions necessary for accurate and timely coding and input of daily charges.
Ensures coding services meet productivity and quality standards to support the organization's financial goals.
Responsible for identifying and evaluating regulatory questions or issues related to the coding and billing of patient claims and services.
This role will support the comprehensive strategy and growth plans to ensure that the coding team has a robust and proactive compliance program.
Essential Duties:
Provide leadership to coding review and charge capture staff.
Ensure that equity of workloads, productivity goals, and assignments are maintained.
Assigns monthly benchmarks, weekly activities, and daily priorities as appropriate to ensure timely completion of duties Establish protocols to ensure Revenue Integrity Owner of the chargemaster, fee schedules, and RVU updates in EHR Plan and direct audits to evaluate the adequacy and accuracy of documentation in support of services billed, including CPT/ICD-10/HCPCS and other third-party payer codes, medical necessity of services, compliance with other documentation and coding and billing standards Lead the evaluation of the adequacy and effectiveness of internal and operational controls designed to ensure that processes and practices lead to the appropriate execution of regulatory requirements and guidelines related to coding and billing, federal and state regulations and guidelines, CMS, and other third-party payer billing rules, and OIG compliance standards.
Establish and implement a physician education program to include documentation education Serve as a subject matter expert and authoritative resource on interpretation and application of documentation and coding rules and regulations, and conduct enterprise risk assessments of potential and detected compliance deficiencies Stay current on relevant coding and billing regulations and enforcement trends, specifically as they relate to provider-based coding and billing to include updates to key stakeholders Develop standards and guidelines for medical record documentation, including reporting on deficiencies and training to remediate Collaborate with Compliance Officer on compliance, coding documentation, and risk management when required Develop the annual compliance work plan sections relating to coding and billing Work closely with the company's physicians, Operations, and Revenue Cycle Leadership to validate controls and monitor high-risk areas Perform coding and billing documentation and charge audits according to best practices Responsible for coaching, professional development, and mentoring coding and data entry staff Develop documented policies and processes related to the management of coding and billing compliance matters Develop edits within claims scrubber EHR software, including testing and validation Prepare and provide coding education to organization physicians, providers, and staff Responsible for effective identification of staffing resources, recruitment, and allocation of resources Provide guidance and motivation to staff regarding the identification of activities/areas where performance can be improved Responsible for making recommendations and/or decisions for hiring, corrective actions, terminations, and performance evaluations Required
Qualifications:
Certified Professional Coder- AAPC Certifications Coding Compliance experience Bachelor's degree or equivalent work experience Physician practice and/or Surgery Center experience Advanced Knowledge of:
Documentation, coding, and billing rules/guidelines CPT/ICD-10/HCPCS coding rules Medical Terminology and healthcare compliance audit requirements CMS regulations and guidelines Minimum of 3-5 years of management experience in a physician organization Ability to manage and direct others in a fast-paced, team-oriented environment Independent judgment; effective, team-oriented leadership skills.
Excellent analytical, problem-solving, and decision-making skills Excellent communication skills (verbal, written & presentation) Excellent computer skills with strong proficiency in reporting, spreadsheet applications, and experience with Microsoft Office Preferred
Qualifications:
Certified Orthopedic Surgery Coder Physical Requirements:
Physical requirements for the position include the ability to frequently hear and communicate orally, see up close and at a distance, read and comprehend, stand, sit, walk, reach, handle, and/or feel objects.
Must be able to climb, pull, push, and kneel.
Maximum unassisted lift = 25 lbs.
The average lift is less than 10 lbs.
Must be able to work extended hours as necessary.
Please COPY & PASTE and APPLY through this USOP LINK:
https:
//recruiting2.
ultipro.
com/MIS1011MISMO/JobBoard/fe0dafe1-1171-49a5-ab2d-a1d681d658d2/?q=&o=postedDateDesc About Bienville Orthopaedic Specialists:
Bienville Orthopaedic Specialists is the largest Orthopaedic group in Mississippi.
Founded in 1981, Bienville Orthopaedics has now grown to 18 physicians who have admitting privileges at five local hospitals and over 300 employees,.
Our physicians offer the most up-to-date technology while maintaining personalized care.
Our dedicated staff, at all five of our locations, work hard to create a comforting atmosphere and an environment conducive to healing.
A history of excellence by a renowned team of physicians has made Bienville Orthopaedic Specialists the largest and most TRUSTED provider of orthopaedic care in Mississippi.
Bienville Orthopaedic Specialists delivers personalized care using the most advanced technology available with a compassionate understanding of our patient's individual needs.
Our success lies in the dedication of our employees as each one is selected for their commitment to our values, a strong focus on service, and a passion for the care of our patients.
Bienville Orthopaedic Specialists is an Equal Opportunity Employer and reports to E-Verify for proof of work eligibility and the State Directory of new hires.
We will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS) with information from each new employee's Form I-9 to confirm work authorization.
BIENVILLE OFFERS:
Excellent benefits package Competitive salary, health, dental and vision coverage Paid vacation, sick time and holidays Flexible schedules Long-term and short-term disability Life insurance 401(k) Profit-sharing plan And much more!About the Company:
Bienville Orthopaedic Specialists.
Estimated Salary: $20 to $28 per hour based on qualifications.
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