Billing and Coding Supervisor

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Balance Health

51 - 200 employees

⚕️ Healthcare Insurance

☁️ SaaS

🤝 B2B

Healthcare Insurance • SaaS • B2B

Balance Health is the nation’s premier comprehensive lower-extremity focused Physician Practice, having formed the largest majority physician-owned podiatric medical organization in the United States through its merger with Weil Foot & Ankle Institute. It offers operational support to podiatrists, orthopedic surgeons, and physical therapists, allowing them to concentrate on delivering high-quality patient care and growing their practices. Balance Health aids in recruiting, HR billing and collections, accounting, technology, marketing, regulatory compliance, and more, catering to private practice needs. Moreover, Balance Health provides partners access to ancillary services such as pathology labs, MRIs, physical therapy services, and orthotic labs, which contribute to convenient patient care and additional revenue streams. By leveraging its size to enhance contracts and decrease costs, it supports value-based care while promoting clinical autonomy for its physicians, making it a dynamic partner for medical professionals committed to providing exceptional foot and ankle care.

📋 Description

• Supports daily billing and coding operations by coordinating workflows, monitoring productivity and ensuring accuracy, compliance, and timely claim submission. • Supervise staff, provide training, resolve routine issues, and escalate complex matters to management. • Monitors daily production, quality, and adherence to department standards regarding billing operations, coding, and compliance for the timely submission of clean claims. • Identifies performance trends and recommends improvements. • Provides training and education related to regulatory and billing requirements. • Collaborates with other departments to identify and resolve issues impacting billing or coding. • Exercise independent judgment on day-to-day operational matters; escalate complex, strategic, or cross-functional issues to the Manager or Director. • Conduct audits and reviews of coding processes to ensure adherence to regulatory standards and best practices.

🎯 Requirements

• A High School Diploma or equivalent • Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification • Minimum 3 years direct leadership experience of more than 5 people • Minimum of 3 years’ experience with as a medical coder • Extensive knowledge of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), International Classification of Diseases-10 (ICD-10), Local Coverage Determinations (LCDs), National Coverage Determinations (NCDs), Internet Only Manual (CMS.gov), and the National Correct Coding Initiative (NCCI), payor policies, etc. • Moderate ability in Microsoft Excel and Microsoft Office • Strong research skills to maintain current knowledge of regulatory changes • Effective oral and written communication • Legal eligibility to work in the United States without sponsorship now or in the future • Ability to successfully pass a background investigation / pre-employment screening.

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