McLeod Health

Job Description

Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values.
Serve as the expert in E/M and Surgical coding and documentation guidelines with responsibility to educate coding staff, managers, practice administrators, and providers as necessary.
Responsible for maintaining current knowledge of coding guidelines and payor regulations through the use of CPT, HCPCS, ICD10, and other pertinent materials.
Manage and set productivity standards to ensure coding is within departmental goal.
Assist billing department with coding denials received from various payors to ensure optimum reimbursement for documented services.
Assist and work closely with compliance department with coding audits.
Assist and perform internal audits with department to ensure compliance with CMS, HIPAA, OIG, and other governmental and regulatory agencies.
Assist, monitor, and review of coding compliance audit activities including RAC Audits, CMS Cert requests, external vendor and/or payor audits for documentation requests.
Train new employees and provide continuing education to Coders so that employee performance and customer service is maximized.
Mentor employees, conduct performance evaluations, counsel and provide disciplinary actions to assigned personnel, and works to facilitate individual and team development that drive positive results.
Attends Quarterly AR meetings for assigned practices/providers to review the overall coding and documentation.
Prepare and maintain detail analysis and reports of coding activity and results, including performance matrices based on departmental goal.
Manage and maintains subscriptions to coding resource tools such as EncoderPro and corporate membership to AAPC.
Assist with the development and maintaining coding department policy and procedures, evaluation of current processes and development/implementation of consistent standards and streamlined functions
Responsible for daily review and timely completion of MPA assigned personnel attendance and payroll process.
Demonstration of effective Leadership and Teamwork with participation in ongoing education opportunities on these virtues.
Works closely with practice personnel and management staff to monitor ongoing compliance of policies and procedures relating to Revenue Cycle.
Travel to satellite offices and/or practices.
Completes special assignments as requested by department Director and/or AVP.

Qualifications /Training:

A minimum of 3-5 years of coding and billing experience required. Supervisory experience preferred. Related experience with a healthcare practice management software is needed. Strong computer background in Microsoft Excel/Office and possess excellent oral and written communication skills as well as strong analytical skills.


CPC Certification thru the AAPC or other nationally recognized coding credentialing is required.

Associates or Bachelors Degree Preferred

Employment Type