Coding Manager at OnPoint Medical Group

OnPoint Medical Group is searching for an outstanding Coding Manager to join our team! Come join a great group of medical professionals as our network continues to grow!

OnPoint Medical Group is a physician-led network of skilled Primary and Urgent care providers who are committed to expanding access to quality healthcare in the most effective and affordable manner possible.

Our "Circle of Care" has one primary goal – to ensure the health and wellness of members and their families. We do this by providing access to a comprehensive menu of medical services from one unified physician group in their neighborhoods. With doctors, nurses, specialists, labs and medical records all interlinked and coordinated, patient care has never been in better hands.

Summary/Objective

This position will strategize for continued improvement in coding compliance and billing operations. Responsible for the overall Coding Practices, Coding Education, and Coding Compliance/Regulatory programs for OnPoint Medical group. This will include but is not limited to educating Providers and Staff, identifying & evaluating coding practices & trends by payer, analyzing reports, auditing and & verifying appropriate coding practices, and researching, updating, and providing education for new coding guidelines.

This position will identify opportunities, develop, and implement coding processes and evaluate outcomes such as improved diagnostic Coding of the senior population and enhanced revenue stream for the individual providers.

Essential Functions

• Responsible for developing monthly metrics for proactive and reactive chart and billing audits while working with the Leadership in maintaining corporate goals and initiatives, including RAF/HCC coding education and reporting.
• Responsible for creating and hosting educational webinars, seminars, and forms of communication. This includes but is not limited to authoring Payer Bulletins/Communications, hosting coding educational series, and coding educational materials as needed.
• Monitors coding accuracy and productivity by coder analyzes audit findings and identifies improvement opportunities.
• Work within Coding Guidelines, including following local, state, and federal coding and billing rules and regulations and Billing Department guidelines.
• Maintain current certifications.
• Contributes and supports OnPoint’s quality initiatives by collaborating with internal departments to achieve a positive outcome for OnPoint’s quality improvement efforts.
• Provider documentation review and provide timely feedback to providers.
• Collaborate with internal and external clients to identify opportunities for system enhancements regarding coding and coding compliance.
• Work with internal teams to develop workflows for provider documentation.
• Other administrative duties as assigned

Competencies

Business Acumen: Demonstrates the knowledge, skills and abilities needed to understand the organization’s operations, functions, and external environment, and to apply business tools and analyses to the overall strategic direction of the organization.

Interpersonal Skills: Builds strong relationships, is flexible/adaptable, works well with others, solicits feedback

Communication: Communicates well, delivers presentations, has good listening skills

Consultation: Ability to diagnose problems or identify opportunities, develop effective solutions, win support for the solutions, and then implement them effectively.

Judgment: Uses sound judgment to make good decisions based on information gathered and analyzed

Ethics: Honest, accountable, maintains confidentiality

Dependability: Meets deadlines, works independently, is accountable, maintains focus, is punctual, good attendance record

Self-Development: Looks for opportunities to increase knowledge, works to increase responsibility, strives to achieve personal goals

Quality: Strives to eliminate errors, accurate work is a priority, seeks opportunities to improve product/services

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below represent the knowledge, skill, and/or ability required for this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Required Education and Experience

• Candidate must have at least five (5) years, (7 preferred) of Medical Coding Experience.
• CPC, CPMA Certifications with expert knowledge of ICD-10, CPT, and HCPCS coding.
• Must have exceptional ability to build and maintain positive provider relationships.
• Extroverted team leader with critical thinking skills; and demonstrated experience making process improvements in support of business objectives

Supervisory Responsibility: Responsible to staff department, progressive discipline, and training of staff members. This position will manage the coding staff, including performance evaluations and employee time management. Identify opportunities for performance improvement.

Work Environment

While performing the duties of this job, the employee regularly works in an office setting. This position will travel between locations.

Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is regularly required to use hands and fingers to handle, feel or operate objects, tools, or controls, and reach with hands and arms. The employee is frequently required to talk and hear.

Position Type/Expected Hours of Work: This is a full-time position. Scheduled Monday through Friday 8am -5pm but may require adjustment to hours based on clinic and business needs.

Travel: Local travel to various worksites is required

Benefits Offered

• Health insurance plan options for you and your dependents
• Dental, and Vision, for you and your qualified dependents
• Company Paid life insurance
• Voluntary options for short-term disability, and long-term disability coverage
• AFLAC Plans
• FSA options
• Eligible for 401(k) after 6 months of employment with a 4% match that vests immediately
• Paid Time-Off earned

Salary: $65,000 to $80,000

The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role.

OnPoint Medical Group is an EEO Employer.

OnPoint Medical Group is an EEO Employer.

This position will be posted for a minimum of 5 days and may be extended.

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