Coding Operations lead
WFA Digital Insight
The demand for skilled coding professionals in the healthcare industry is on the rise, with a 25% increase in job postings over the past year. As a Coding Operations Lead at Gastro Health, you'll be at the forefront of this trend, overseeing coding teams and ensuring seamless operations. With the company's commitment to providing high-quality patient care, this role offers a unique opportunity to make a real impact. Before applying, candidates should be aware of the importance of staying up-to-date with the latest coding guidelines and regulations, as well as the need for strong leadership and analytical skills.
Job Description
About the Role
The Coding Operations Lead is a key position at Gastro Health, responsible for the daily oversight and supervision of designated coding teams. As a leader in this role, you will be responsible for ensuring efficient workflows, compliance with coding guidelines, and the achievement of key performance indicators (KPIs). You will work closely with the coding team to prioritize workloads, support denial management efforts, and ensure that all coding operations are running smoothly.The successful candidate will have a strong background in healthcare coding, with a minimum of 5 years of experience and 2 or more applicable coding certificates. You will also have experience with large practice management systems and be able to analyze productivity reports to assure action plans and expectations are met by the coding team.
Gastro Health is a growing healthcare organization that values collaboration and teamwork. As a Coding Operations Lead, you will be part of a dynamic team that is dedicated to providing high-quality patient care.
What You Will Do
- Directly oversee and supervise day-to-day operations of designated coding teams
- Prioritize, assess, and re-prioritize daily workflows to ensure timely execution of coding and meeting/exceeding goals/KPI
- Assist with creation of front-end scrubs/edits based on coding guidelines and denial management review
- Effectively manage the team through streamlined improvement initiatives to ensure the team is highly effective for the providers
- Actively participate and maintain strong new hire training process and assist with policy/procedure documentation and process workflow
- Conduct audits of team members to ensure quality initiatives are being met and exceeded
- Identify and document trends in underpayments, denials, aging receivable that compromise the ability of the coding team to meet established goals
- Assist with resolution of complex claims or projects and train team to improve follow-up efforts
- Prepare project data with external payors and partners using strong analytical skills
- Motivate, train, evaluate, record, and report team members' performance and progress
- System matter expert of all coding functions across the team to maintain a highly efficient and productive team
- Assist management in establishing weekly/monthly goals, ensuring coding team members are utilizing all resources and meeting and/or surpassing weekly/monthly KPI’s
What We Are Looking For
- More than 5 years of experience in healthcare billing
- 2 or more applicable coding certificates (CPC, COC, CRC, CPMA, CGIC)
- Associate's or Bachelor's degree is highly preferred but experience may be substituted for education
- Experience with a large, growing healthcare organization supporting 100 or more providers and overseeing 10+ team members
- Experience with a large practice management (PM) system, eCW (E Clinical Works) is a plus but not required
- 5+ years of experience in the healthcare industry and 1+ year of supervisory experience/leading a team in billing/coding roles
- Ability to run open claims reports in Visiquate for coder distribution and analyze productivity reports
- Extensive knowledge of patient registration, coding guidelines, billing, regulatory requirements, and billing compliance
Nice to Have
- Experience with Visiquate, Power BI, and reconciliation reports to upload and analyze data
- Knowledge of front-end scrubs/edits based on coding guidelines and denial management review
- Experience with creating and maintaining policy/procedure documentation and process workflow
Benefits and Perks
- Collaborative team environment
- Consistent hours and paid holidays per year
- Paid time off
- Opportunities for career advancement
- Remote work options
- Professional development opportunities
- Competitive salary and benefits package
How to Stand Out
- Be prepared to discuss your experience with coding guidelines and regulations, as well as your analytical and leadership skills.
- Make sure your resume and cover letter are tailored to the specific requirements of the role, highlighting your relevant experience and certifications.
- Practice your coding skills and be prepared to complete a coding test or provide examples of your work.
- Research Gastro Health and be prepared to discuss their mission and values, as well as how you can contribute to the organization.
- Be prepared to discuss your experience with practice management systems and your ability to analyze productivity reports.
- Consider creating a portfolio of your work, including examples of your coding projects and any relevant certifications or training.
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