The HealthCare Initiative · 1 day ago
Coding Compliance Manager
The HealthCare Initiative is one of the largest faith-based, non-profit healthcare systems in Texas. They are seeking a Manager of Coding Compliance to lead auditing, monitoring, and education efforts to ensure billing and coding compliance with regulations.
Responsibilities
Lead auditing, monitoring, and education efforts to ensure billing and coding compliance with federal, state, and organizational regulations
Analyze audit data, partner with providers and leadership on findings, rebuttals, and corrective action plans
Serve as a trusted compliance resource, advising providers and key departments on coding accuracy, documentation standards, and regulatory requirements
Qualification
Required
Bachelor's degree in healthcare administration, business, or related field required
6 Years experience in conducting compliance coding and billing audits including supervising and managing coding/auditing in a medium to large healthcare system
Must include supervisory and/or leadership experience
Extensive knowledge of MS DRG, APC, ICD-10-CM/PCS, CPT, HCPCS coding, modifiers, NCCI edits, and official coding guidelines
Certifications Required Upon Hire: RHIT or RHIA or CCS or CPC
Preferred
Experience in Partnering with Providers on Coding, Documentation Improvement and Audit Findings would be awesome!
Company
The HealthCare Initiative
The Healthcare Initiative is an executive search firm specializing in finding healthcare professionals and job opportunities.