LogixHealth ยท 7 hours ago
Senior Quality Applications Manager
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Responsibilities
Working through coding and denial trends found by the partner teams and internal teams
Research projects for escalated coding/billing related concerns
Communicate policies, concerns, etc. between departments and coding teams
Review and monitor team performance and ensure workflows are being followed
Monitor team dashboards/reports
Plan, organize, and direct completion on complex projects requiring multiple resources
Facilitate and attend all department related meetings
Look into coding related issues and research further for updates on procedures and policies
Research into payer rules and regulations for provider related guidelines
Help support different teams including coding, billing, and revenue integrity, in all areas including client audits and concerns, coder audits, billing trends, etc.
Ensure cooperative team environment by:
Effectively communicating with staff about department and company initiatives
Adjusting procedures as necessary to create process efficiencies
Resolving issues among staff
Encouraging constructive feedback from staff and between team members
Uphold company mission, vision, and values
Proactively monitor company policies and address transgressions appropriately
Monitor and enforce compliance with all pertinent local, state, and federal laws and regulations relating to operations and employment
Comply with all State and Federal Laws regarding an effective Compliance Program inclusive of HIPAA Privacy and Security
Adhere to the Code of Conduct and be familiar with all compliance policies and procedures stored in LogixGarden relevant to this position
Ensure departmental employees follow the Code of Conduct, compliance policies and procedures
Administer the appropriate sanction when an employee violates a compliance policy or procedure
Qualification
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Required
Ability to learn new and existing software
Ability to understand the capabilities and limitations and integrations within the entire infrastructure of the company
Ability to work effectively on a team
Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives and propose solutions
Must possess strong interpersonal skills
Ability to communicate effectively verbally and in writing
Ability to multitask and change direction at any given time
Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedural manuals
Ability to write routine reports and correspondence
Strong computer skills including prior word processing, spreadsheet, and internet software experience
Preferred
Prior medical Billing/Coding experience preferred
One or more years related management experience preferred
Benefits
Health, dental and vision
401(k)
PTO
Paid holidays
Life and disability insurance
On-site fitness center
Company-wide social events