Manager, Professional Billing Coding Operations

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🍂 Massachusetts – Remote

🍂 Massachusetts – Remote

💵 $78k - $113k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Operations

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Boston Medical Center (BMC)

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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

• Responsible for the operational functions of the Professional Coding Operations team for BUMG • Plays a strategic role in validating the accuracy of CPT, HCPCS and diagnosis code assignment by coders, physicians and non-physician practitioners • Works closely with key revenue cycle stakeholders to understand reasons for denials, root cause analysis, and feedback to providers • Supervises professional billing coding staff • Partners with Coding Education Team to identify trends in coding practices and assists with developing feedback and education to providers • Reviews coding denials to resolve and identify trends and provides feedback to providers and departments • Performs quality assurance reviews of inpatient and outpatient records to assess and report on the effectiveness of training programs and quality of coders • Provides in-service training and feedback to coding staff regularly, including coding changes and updates • Oversees coding operations to ensure organizational goals are being met

🎯 Requirements

• Bachelor’s degree or equivalent combination of formal education and experience • CPC – Certified Professional Coder • Must have at least five years of experience in coding; experience must include education/mentoring/training • Minimum of five years acute care hospital experience coding with ICD-10-CM and CPT-4, academic medical setting or trauma center preferred • Minimum of three years management experience required; five years preferred • Prior experience working claim edits and denials • Knowledge of ICD-10-CM and CPT4/HCPCS coding conventions, E&M coding • Strong knowledge of health records, computerized billing and charging systems, Microsoft applications, data integrity, and processing techniques

🏖️ Benefits

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