Senior Manager

This is an Individual Contributor Role and not a team management role.

Overview

• Review medical records to ensure accurate assignment of Ambulatory payment classification (APC) codes and appropriate billing practices.
• Multi specialty exposure like podiatry, musculoskeletal, ophthalmology, neurosurgery, internal medicine
• Identify discrepancies, errors or potential fraud in coding and billing practices.
• Analyze coding trends and patterns to identify areas for improvement or potential risks.
• Collaborate with stakeholders to address coding and billing issues and improve documentation practices.
• Provide feedback and education to coding staff, providers on coding guidelines, documentation guidelines and regulatory changes.
• Prepare audit reports summarizing findings, recommendations, and suggesting corrective and preventative actions.
• Stay current with updates to coding guidelines, regulations and industry best practices.
• Assist in developing and implementing policies, procedures and tools to support accurate coding and billing practices.

Qualifications:

• Life science/Paramedical Degree
• CPC/CPMA
• Computer skill sets

Strong written (documentation) and oral communication skills