PERM POSITION: Remote Professional Fee Manager Physician and Coding Auditor/Educator
DEPARTMENT: Health Information Management
START: ASAP
LOCATION: Remote

POSITION SUMMARY: This is Profee (PB) Manager position reporting to the Senior Director of Enterprise Coding. The PB Manager Physician and Coding Auditor/Educator that oversees auding, education, and training for Physicians, APPs, and the Professional Fee Coding Team. The Manager will oversee the Provider Educator and PB Physician and Coding Auditor/Educators. The Manager will integrate training and development strategies and programs for Physicians, APPs, and Medical Coders employed by the CommonSpirit Health Mountain Region. Develops and implements strategic needs analyses and training plans for the Mountain Region; coordinates and evaluates curriculum development and conducts the preparation and delivery of training. Oversee all program development and administrative aspects of the activity, to include development, technical coordination, and management of internal and/or external professional training and development and support staff. Provides guidance and leadership to coding audit and education management in the implementation and administration of effective systems, processes, and procedures..


JOB RESPONSIBILITIES (Essential functions identified with a *):
• Provides consultation, leadership, and expertise to internal management in the planning, implementation, and delivery of coding education. *
• Must possess the leadership and analytical ability to guide the auditing team through planning, research, reporting analysis and summary documentation activities throughout the audit continuum, while meeting expectations and deadlines as assigned. *
• Assesses the educational needs of coding staff, management, and physicians/APPs and develops programs or researches educational resources to meet those needs. *
• Develops all training materials and coding aids for both formal training and use by providers and coders in daily work. *
• Identifies and evaluates innovative educational methodology that may be appropriate for the targeted audience; incorporates new methodology as appropriate to enhance and update the effectiveness of education and skills development programs. *
• Serves as a technical resource for all involved personnel; ensures that information is accurate and current, meeting professional coding standards. *
• Develops and implements a comprehensive educational plan for all clinical specialty coding. *
• Participates in the hiring process and educational planning for coding staff. *
• Ability to identify and interpret strategic and operational training/development needs. *
• Demonstrated ability to develop and implement strategic, responsive training and development plans and programs. *
• Knowledge of curriculum development and preparation procedures. *
• Ability to design, develop, implement, and evaluate training plans, curricula, and methodology. *
• Knowledge of adult learning theory and methodologies.
• Familiarity with professional coding societies and resources.
• Strong oral communication skills and the ability to deliver presentations to large groups.
• Experience working in an academic medical center.
• Advanced verbal and written communication skills.
• Employee development and performance management skills. *
• Experience working with physicians regarding medical coding practices. *
• Experience working in team environment and/or developing teams.
• Ability to share knowledge in an effective way that enhances learning and application of new skills.
• Uses appropriate tools, code books, references, and systems to determine proper coding for services based upon documentation in the patient record. *
• Understands, retains, and can research coding billing rules, regulations, and requirements. *
• Able to critically think through processes in coding to recognize errors and / or problems. Understands reasons for actions on edits. *
• Advanced knowledge of anatomy and physiology, medical terminology, and CPT and ICD10 coding guidelines. *
• Assists Revenue Management team with crafting language for appeals as needed. * Meets productivity and accuracy standards established by management. *
• Participates in ad hoc workgroups to improve operations as needed. *


MINIMUM REQUIRED QUALIFICATIONS:
• A minimum of 5 years’ recent experience in provider and coder audits, education, and training.
• A minimum of 5 years’ supervising/managing coding in a medium to large health system.
• Knowledge of professional fee coding rules and guidelines.
• Understand rules and regulations governing Medicare billing.
• Knowledge of NCCI, ICD-10-CM, CPT, and modifiers.
• Demonstrate knowledge of medical terminology and anatomy and physiology
• Experience with Epic and health care applications required. Epic experience required.
• Demonstrate advanced computer skills.
• Demonstrate excellent interpersonal, organizational and communication skills.
• Associate degree or equivalent work experience in lieu of degree, preferred
• 7 years of experience coding professional fee records.
• Required one or more of the following: CPC Source: AAPC or CCS or CCS-P, or RHIT, or RHIA Source: AHIMA Certified Professional Coder (CPC Certification) CCS (Certified Coding Specialist), CCS-P (Certified Coding Specialists – Physician based), RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator)

PREFERRED QUALIFICATIONS:
• 7yrs of recent Professional Fee Audit, Education, and Training to Physicians experience.
• 10yrs of’ experience coding professional fee records.


WORKING HOURS NEEDED:
• M – F 8hrs per day, 40hrs a week, hours 6a-6p in whatever time zone they live in
• Flexible hours during training


COMPENSATION & BENEFITS:
• Pay Range: TBD very competitive, based on experience.
• Health & Dental
• PTO, Sick Time, 6 paid holidays
• 401K, Weekly Pay