Working mainly in a medical setting, the Coding Manager undertakes responsibility for coordinating the work of the medical coding staff, and handles patient’s medical records and discovers gaps in the patient’s records. A well-drafted Coding Manager Resume mentions the following duties – carrying out accurate and consistent data coding from clinical trials; performing tasks as per the company-wide project-specific guidelines and standard coding practices; providing assistance with the performance of clinical trial data supervision; giving a presentation on medical coding issues to third party vendors, and performing assessments of newly launched medical coding related technologies and recommending suggestions if any.
While hiring for this role, employers normally look for the following skills – strong experience with medical policies and procedures; work experience of two or more coding solutions; strong medical terminologies grasp; exceptional knowledge of the principles of SDTM and CDASH; and multitasking skills. while entry-level positions need only a degree, those in managerial capacities should consider a Master’s degree in health services administration to enhance job prospects.
Headline : As a Coding Manager, responsible for Developing, maintaining, and monitoring all billing functions to ensure proper coding, LCDs, NCCI edits, payer specific requirements, etc,.
Skills : Inventory Management, Medical Coding And Billing, Healthcare Administration, Business Administration.
Description :
Responsible for setting, monitoring, and meeting daily/weekly/monthly WQ target goals for the timely processing/editing of physician/AHP charges by coders.
Established strategies for operational optimization within the coding department, as well as coding revenue optimization within Primary Care clinical departments.
Designed and monitored daily/weekly/monthly metrics reports measuring the achievement of goals and assists in strategic planning.
Conducted encounter, CPT, and diagnosis analysis, compared to current coding and payer guidelines, to achieve maximum reimbursement of billed charges, the decrease of denials through root cause analysis and provider education.
Assisted, notified, and maintained contact with clinical departments in order to communicate coding & payer trends that affect compensation, audit & education opportunities.
Participated in clinical operation workflow initiatives to rectify denial and edit issues.
Maintained communication with Sutter Physician Services (SPS) to collaborate on and initiate means improvement initiatives that affect coding and the revenue cycle.
Experience
5-7 Years
Level
Executive
Education
GED
Coding Manager Resume
Objective : To obtain a Coding Manager with Outstanding experience in managing computerized encoding and technical coding records. Knowledge of hospital policies and programs, cardiac and surgery coding. Able to design presentations for clients and staff, etc,.
Dissected requirements and performed interviews and hired all coders.
Developed all systems and procedures for individual projects.
Designed training programs for coders for ICD-10 CM/PCS.
Managed coder productivity and maintained production standards.
Coordinated with clients and coders and ensured smooth methods.
Assisted clients to solve all issues within the timeframe.
Prepared report status for projects for coding division.
Experience
2-5 Years
Level
Executive
Education
MS
Coding Manager Resume
Summary : A dedicated health information project management, coding, and medical records quality assurance. With 18 years of medical records experience involving all specialties including both inpatient and outpatient settings.
Skills : Microsoft Office, Negotiation Skills, Coding Skills.
Description :
Facilitated and managed all activities associated with ICD-9, CPT, and abstracting of patient records for the purposes of billing and research.
Managed some staff of 16 people including the APC Coordinator and Coding Documentation Specialist.
Evaluated the performance and counseled coding staff on a routine bases.
Performed disciplinary action when necessary.
Participated in and conducted department staff and management meetings.
Monitored the DNFB for maintaining the goal of 4 days or less.
Performed DRG validation coding audits to ensure compliance with CMS regulations and guidelines.
Experience
10+ Years
Level
Senior
Education
MS
Coding Manager Resume
Objective : As a Coding Manager to ensure optimum reimbursement for Physician Services through accurate and timely coding of all inpatient and outpatient professional services. Strives for superior performance by consistently providing a product or service to leadership and staff.
Skills : Microsoft Office, Medical Coding And Billing, Healthcare Administration.
Description :
Responsible for maintaining the daily operational functions of the coding department for a 5 hospital system Monitored/Maintained DNFB/Bill Hold to stay within acceptable corporate target.
Advanced, and tracked required coding accuracy rates as defined per policy for each coder Executed educational and CAP/improvement plans as needed, such that all coders achieved required coding accuracy targets.
Managed communication with coding staff and customers.
Supervised production and turnaround time for staff.
Oversaw day to day operations of the Primary Care coding team in regards to the timely and correct processing of Charge Review, Follow-up and Claim Edit WQ's; support of the new provider on-boarding process; and support of overall coding communication from the Primary Care coding team with clinical departments, providers and the SPS billing department.
Provided physician and staff coding support.
Managed the daily functions of the Professional Coding Department.
Experience
2-5 Years
Level
Executive
Education
Diploma
Coding Manager Resume
Summary : Motivated individual with 19 years' experience in medical coding and billing. Talented for quickly mastering technology. Diplomatic and tactful with professionals and non-professionals at all levels. Accustom to handling sensitive, confidential records.
Skills : Microsoft Office Suite, Medical Skills, Researching Skills.
Description :
Responsible for the organization, supervision, and administration of the Medical Coding Department.
Oversaw the daily responsibilities for medical coding.
Reviewed electronic encounter forms to ensure that the codes provided by the practitioners are accurate per coding protocols and comply with all established coding guidelines.
Responsible for assigning applicable codes and auditing medical records as necessary to ensure correctness and completeness.
Assisted in implementing coding education and required documentation criteria to practitioners and their staff and participate in job-related research projects.
Responsible for reviewing insurance claims to determine possible coding errors and researching coding guidelines to support any insurance claim denials based on coding guidelines.
Coded accounts in ICD-10 using 3M software.
Experience
10+ Years
Level
Senior
Education
GED
Coding Manager Resume
Headline : Seeking a Coding Manager position with an outstanding career opportunity that will offer a rewarding work environment along with a winning team that will fully utilize management skills., etc,.
Managed the appeal process for a rapidly evolving healthcare cost-containment company contracted by a third-party. administrators and self-insured plans.
Responsible for management of up to 11 direct reports.
Ensured proper edit application to professional and ASC claims.
Responded to client inquiries regarding edit logic.
Researched correct coding guidelines including but not limited to CMS guidelines, AMA guidelines, Affordable Care Act regulation, and specialty societies recommendations.
Collaborated with vendors for software enhancements and corrections.
Implemented productivity standards for coding staff.
Experience
5-7 Years
Level
Executive
Education
GED
Coding Manager Resume
Headline : Motivated and highly productive Coding Manager professional with a coding background. Detail-oriented with strong skills in multi-tasking and efficient management of day-to-day office operations. Adept at building and maintaining effective working relationships with co-workers and outstanding interpersonal skills.
Skills : Interpersonal Skills, Effective Communication Skills.
Description :
Reviewed and analyzed physician documentation with the intent of increasing the remittance opportunity by ensuring compliant coding and billing to the highest degree.
Provided patients with guideline specific communications to ensure the most current regulations are adhered to.
Built and communicated workflows to coding staff to ensure the highest output and jobs-sets are leveraged to foster productivity thereby hitting performance targets (48-hour turnaround) for both labor costs and client reimbursement rates.
Talked, hired, trained and disciplined staff in conjunction with corporate guidelines while partnering with Human Resources.
Followed by advances in medicine, computerized diagnostic and treatment equipment, data processing technology, government regulations, and health insurance changes.
Aided in the development and implementation of organizational policies and procedures.
Worked on the reports to determine where coding audits and education should are focused on.
Experience
5-7 Years
Level
Executive
Education
GED
Coding Manager Resume
Objective : To serve as the expert and champion over coding compliance education and onboarding. Responsible for ensuring top-quality Coders and Coding Auditors are entered into United's coding operations and compliance program and that they complete mandatory education and training according to the coding compliance work plan, policies, and procedures.
Skills : Medical Skills, Researching Skills, Microsoft Office.
Description :
Responsible for maintaining the daily operational functions of the coding department for a 5 hospital system Monitored.
Advanced, and tracked required coding accuracy rates as defined per policy for each coder.
Executed educational and CAP/improvement plans as needed, such that all coders achieved required coding accuracy targets.
Managed a staff of 12 FTE's and 3 PT/PRN remote coding staff.
Interfaced with and educated the coding, medical, and other departmental staff concerning documentation, coding, and charging requirements.
Ensured the timely turnaround and availability of scanned records for the off-site/remote coding staff.
Demonstrated and incorporated a working knowledge of data analysis of the DRG(s) through benchmarking, and to bring forth outliers and trends as appropriate.
Experience
2-5 Years
Level
Executive
Education
Diploma
Coding Manager Resume
Objective : Coding Manager professional with over ten years' experience in medical coding. Dedicated and impact Trainer/Learning Specialist with extensive experience training and coaching team members and creating associated instructional materials.
Oversaw daily coding department operations for staff of 12 employees - including recognition of accomplishments, coding education, and discipline due to job performance, tardiness, and absenteeism.
Responsible for reviewing and reporting annual provider documentation audits.
Accompanied physician and staff meetings to review and update on coding issues and help with compliance guidelines.
Identified coding trends and reimbursement events, participate in HCC audits.
Contributed to the EMR and ICD-10 implementation.
Collaborated with the Compliance Manager to ensure all procedures and guidelines are being met and sit on the Compliance Oversite Committee.
Worked with edit reports to assist with billing, claim edits.
Experience
2-5 Years
Level
Executive
Education
BS
Coding Manager Resume
Objective : Responsible for daily operations, management, financial data reports, the implementation of procedures for coding, and further growth in the area with the medical practices. Strive to provide trainees with tools to help them develop professionally and maximize their potential.
Skills : Microsoft Office, Effective Communication Skills, Coding Skills.
Description :
Oversaw a team of 10 tasked with reading guests' responses to survey questions regarding their Disney experience, applying numeric values to provide structure to data, and entering results into computer.
Familiarized team members with the experiences that are the subject of the surveys.
Managed hiring, monthly one-on-one meetings, and team motivation/morale.
Coordinated learning development timeliness, town hall meetings, recognition meetings, and social events for the team and the larger department.
Identified individual employees with significant potential and helped them find the best role for them at Disney.
Negotiated contracts, such as the agreement with Language Logic and contracts with third-party software developers.
Provided continuing education and training to the coding staff.
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