Coding Manager

Posted 10 Days Ago
Be an Early Applicant
Atlanta, GA
Mid level
Healthtech
The Role
The Coding Manager oversees coding operations, manages coding specialists, reviews denials, ensures compliance, trains staff, and collaborates with departments to improve coding accuracy.
Summary Generated by Built In

Join Our Team at Peachtree Orthopedics and Help Others "Get Better"

At Peachtree Orthopedics, we're on a mission to make a difference in healthcare, and we're looking for dedicated individuals to join our team. With nine convenient offices across Greater Atlanta, we're committed to providing top-notch care and your skills and passion can make a real impact. We're not the largest practice in Atlanta, but we take pride in delivering dedicated and compassionate care to everyone who walks through our doors. If you're ready to be part of a team that values your contribution and offers room for growth, consider joining us in our mission to help others "Get Better."

Our Culture

Peachtree Orthopedics has a rich history of 70 years in business and has earned recognition as a Top Workplace by the Atlanta Journal Constitution for five consecutive years. We take pride in our family-oriented, dedicated, passionate, and hardworking culture. When you join our team, you become a part of a community that values excellence in healthcare while working in a supportive and nurturing environment.

Why Choose Peachtree Orthopedics?
At Peachtree Orthopedics, we offer more than a job; we offer an opportunity to be part of something extraordinary:

  • Limitless Growth: Propel your career with abundant professional development opportunities within our dynamic organization.
  • Empathetic Culture: Immerse yourself in a supportive, lively work culture that values your well-being and celebrates your contributions.
  • Dedication to Excellence: Join a team of like-minded individuals who share your commitment to delivering top-notch care to our cherished patients. 

Your Impactful Role
This position manages and oversees daily coding operations and requires expertise in CPT, HCPCS, and ICD-10 guidelines for orthopedics and ambulatory surgery centers.  The Coding Manager will have responsibility to oversee all coding activities in compliance with applicable laws, regulations, standards, internal policies and procedures and the Code of Business Conduct and Ethics (“Code of Conduct”). 

  • Oversight of coding specialists.
  • Assigns CPT, HCPCS, and ICD-10 guidelines in accordance with authoritative coding standards and guidelines.
  • Review and resolve coding denials.
  • Implement policies and procedures to promote accurate and compliant coding and reduce coding denials.
  • Monitor and update payer specific coding and coverage guidelines.
  • Conduct routine monitoring of provider and coding specialist coding accuracy.
  • Develop and deliver coding education and training to applicable stakeholders.
  • Oversight of coding vendors.
  • Conduct research of authoritative coding policies and guidelines and provides guidance in response to coding questions from stakeholders.
  • Collaborate with other departments and senior leadership to ensure ongoing alignment of priorities and drives measurable improvement in coding accuracy.
  • Ensure proper reporting of violations or potential violations to Compliance and Leadership.
  • Maintain current knowledge of applicable coding guidance, policies laws, and regulations.

Competencies

  • Thorough knowledge of musculoskeletal anatomy, disease processes and diagnostic/surgical procedures.
  • Thorough knowledge of CPT, HCPCS, and ICD-10-CM coding principles, rules and reimbursement structures.
  • Demonstrated leadership skills.
  • Excellent oral and written communication skills and excellent time management abilities.
  • Ability to independently manage and set priorities in a fast-paced environment often with competing demands on time.
  • Ability to prioritizes multiple, ongoing initiatives and efficiently re-prioritizes such responsibilities, as may be required in a changing business environment.
  • Ability to analyze and interpret complex data.
  • Demonstrates initiative, exercises good judgment, and possesses the ability to achieve results through others.
  • Is an intelligent, articulate, and persuasive leader who can serve as an effective member of the senior leadership team in a highly dynamic work environment.
  • Is comfortable interacting with all levels of employees.
  • Has strong research skills and a desire to continue learning.
  • Has the ability to rapidly expand subject matter knowledge base.
  • Demonstrates the ability to work with sensitive information and maintain confidentiality.
  • Values and respects the diverse contributions by other members of the company.

Qualifications 

  • Bachelor’s Degree in related field
  • 3 years of experience in physician and outpatient coding in leadership position
  • Well versed in orthopedics, pain management, physical and occupational therapy coding
  • Well versed in physician practice and ambulatory surgery center coding guidelines
  • Well versed in coding and billing compliance

Preferred Qualifications:

  • 5 years of experience in physician and outpatient coding in a leadership position
  • Specialty coding certification (ASC, Orthopedics, E/M)

Certificates, Licenses, Registrations

  • Registered Health Information Administrator (RHIA)
  • Registered Health Information Technician (RHIT)
  • Current CPC, COC, or CCS-P certification

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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is regularly required to sit; use hands to handle or feel; reach with hands and arms; and to talk or hear.  The employee is occasionally required to stand, walk; and stoop, kneel, crouch, or crawl. These duties could require the ability to lift files, open file cabinets and bend or stand as necessary. The employee must occasionally lift and/or move up to 30 pounds.  The employee will operate a keyboard, calculator, telephone, copy machine, computer and other office equipment as necessary. Specific vision abilities required by this job include close vision. It is necessary to view and type on computer screens for long periods of time and to work in an environment which can be very stressful.
Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. Must be able to deal with aggressive, hostile and sometimes irrational behavior of patients and family members and have the ability to respond to all patients in a calm and professional manner.
Peachtree Orthopedics is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Top Skills

Cpt
Hcpcs
Icd-10
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The Company
HQ: Atlanta, GA
395 Employees
On-site Workplace
Year Founded: 1953

What We Do

With Peachtree Orthopedics, you’re set for life. No matter your age or orthopedic issue, we’ll get you back to doing the things you love. Atlantans have trusted us to do just that for more than 65 years, and we look forward to providing a lifetime of care for you and your family as well.

From head to toe, we’ve got you covered. Our 35 doctors are fellowship trained, going beyond their general orthopedic training to specialize in a specific part of the body. You’ll be treated by physicians who are experts in your area of need, leading to higher quality care, less pain, a shorter recovery and a better outcome.

You can be confident knowing that your doctors are leaders in their field, providing cutting-edge technology in state-of-the-art facilities. We are proud to offer you nine convenient locations, as well as nine physical rehabilitation locations, two surgical centers and four MRI facilities.

We’ve grown over the years, but our high standards of excellence and commitment to personalized care have remained the same. Throughout every phase of your life, you can depend on us to provide you with the best orthopedic care possible.

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