Director, PB Coding Operations – Education

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🕒 April 16

🍂 Massachusetts – Remote

🍂 Massachusetts – Remote

💵 $122k - $177k / year

⏰ Full Time

🔴 Lead

⚙️ Operations

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Boston Medical Center (BMC)

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1996

Boston Medical Center (BMC) is a 511-bed, equity-led academic medical center and a proud member of the Boston Medical Center Health System. BMC delivers a model of healthcare where innovative and equitable care empowers all patients to thrive. As a premier academic medical center in Boston, a national leader in clinical care, and the largest essential hospital in New England, BMC’s world-class clinicians provide comprehensive care in more than 70 specialties and subspecialties.

📋 Description

• Provide coding oversight and standards to ensure coding accuracy, compliance and appropriate reimbursement across BUMG. • Manage operational execution of coding standards in areas reporting to Revenue Cycle. • Facilitate accurate representation of professional coding and clinical documentation through interaction with physicians, coders and practice staff by providing ongoing education. • Direct coding activities to ensure accurate, consistent and compliant coding for all services. • Ensure quality reviews to validate coding accuracy. • Participate in the rejections, denials and claims review process with billing team to ensure compliance and accurate reimbursement. • Identify trends in documentation and coding concerns and collaborate with Leadership and Compliance to assess and implement corrective action. • Evaluate the success of coding processes on an ongoing basis. • Serve as contact for professional coding across BUMG. • Work with Human Resources and department managers on the selection of qualified candidates for employment following all policies, guidelines and applicable laws. • Responsible for effective personnel management including training, directing, mentoring and instilling a commitment to quality and excellence. • Monitor department productivity and performance to identify and evaluate program/department strengths and training opportunities in relation to operative effectiveness. • Encourage staff and personally advances professional growth and development through participation in educational programs, workshops and maintaining knowledge of industry standards and practices.

🎯 Requirements

• Bachelor’s degree or equivalent combination of formal education and experience. • CPC – Certified Professional Coder • Minimum of 10 years related experience in professional coding with ICD-9/ICD-10, E/M and CPT. • Previous management experience required; experience must include education/mentoring/training. • Expertise knowledge of ICD-9/ICD-10, CPT and E&M coding principals and guidelines • Knowledge of MS, AP, and APR DRG systems • Knowledge of payer reimbursement methodologies, federal, state and payer specific regulations, policies and compliance standards • Excellent written verbal and communication skills • Excellent critical thinking skills • Excellent skill in providing hands-on education to providers including audit finding and improvement opportunities. • Excellent organizational skills, including ability to multi-task, prioritize essential tasks, follow-through and meet timelines. • Ability to work cooperatively with members of the healthcare delivery team and staff • Ability to adapt to changes in workload and priorities, responding quickly to urgent requests. • Ability to mentor, guide and motivate direct reports through demonstration of best practices and leading by example.

🏖️ Benefits

• medical, dental, vision, pharmacy • discretionary annual bonuses • merit increases • Flexible Spending Accounts • 403(b) savings matches • paid time off • career advancement opportunities • resources to support employee and family well-being