Manager - Professional Audit & Education
Job title: Manager - Professional Audit & Education in California at
Company:
Job description: Manager of Professional Audit and Education CodingAID, a division of Managed Resources Inc. is a nationwide leading provider of medical coding support, coding and compliance reviews, educational programs, recruitment, revenue cycle management, and many other managed healthcare solutions. Were proud to have served healthcare organizations and medical groups for over 25 years with proven success in meeting their operational challenges. Learn more about our mission and vision here. Purpose: The Manager of Professional Audit and Education is an exempt, full-time remote position. The Manager will serve as the Company Representative for Audit and Education clients in fulfilling coding project needs and resolving service issues as they arise. They will oversee the Audit and Education team by monitoring quality, productivity and client deliverables and oversee the preparation of internal and external reporting. The Manager will also perform and oversee staff performing both internal and external education. This job may be performed remotely. Occasional travel to client sites and company/industry conferences. Reports to:Director of Professional Coding and Audit Accountabilities:
- Oversees Audit and Education clients and projects.
- Collaborates with clients to develop and maintain long term partnerships.
- Manages Audit and Education Supervisor(s) and the operations of the department.
- Oversees the workflow for all Audit and Education staff to provide high quality and consistent deliverables.
- Subject matter expert (SME) for coding questions from the Supervisors, Leads, Coders, Sales and Clients
- Produce data analytics, dashboards and reports as instructed for both internal and external stakeholders.
- Perform Quality Assurance Audits on Internal Coders and Auditors as needed.
- Develops and maintains relationships with both internal and external stakeholders.
- Assists with development and creating content of educational materials for both internal and external stakeholders.
- This role will be client facing and will need to lead client calls and perform meetings/education to coders, providers, and high-level management.
- Will oversee a dynamic team of auditors and manage multiple audit clients, ensuring seamless coordination and successful project outcomes.
- Assists with developing and maintaining company Audit and Education clients.
- Leads client meetings, training and presentations which could include client leadership, providers and/or coders.
- Ensure both internal and external stakeholders goals are met by overseeing staff availability, productivity and quality goals are met.
- Serves as liaison between the Client, internal Sales and Recruiting, Director, Supervisors and Staff to ensure adequate staffing levels based on the clients needs and expectations.
- Oversees company auditors. Monitoring staff workloads. Setting turnaround time, productivity, and client deliverable expectations
- Hires, trains, onboards, and oversees new Audit and Education supervisors, leads, educators and auditors.
- Performs new employee orientation.
- Advises on opportunities to improve audit processes.
- Helps create and maintain internal and external coding processes and protocols.
- Provides coding training to internal coders.
- Reviews or prepares reports on auditor/educators time, quality, and productivity.
- Subject matter expert and resource to internal and external stakeholders. Multi-specialty coding experience in both E/M and surgeries.
- Performs periodic quality assurance audits on audit staff.
- Assists with the creation and maintenance of coding exams and screening assessments to assist recruiters in hiring staff.
- Assists Sales with proposals, presentations, statement of work, and RFPs as needed for new clients.
- Review of monthly reports for client invoicing.
- Review and approve timesheets for audit/education staff.
- Prepare and conduct annual evaluations of team performance, as directed by HR.
- Comply with policies regarding the use and disclosure of protected health information which includes accessing and using protected health information.
- Maintains up-to-date knowledge of regulatory changes impacting coding requirements and ensures audit staff are appropriately educated.
- Other duties as assigned.
- B.S. or associate degree (or equivalent knowledge) in Health Information Management or related field.
- Five (5) years of recent experience as a Manager or Supervisor of Audit and Education as well as consulting, operations management, and QA are required for this position.
- Certified Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC) required.
- Certified Professional Medical Auditor (CPMA) certification (AAPC) recommended.
- 10 years of experience in professional coding that includes experiences in advanced level of ICD-10, CPT and HCPCS professional coding in a large, complex clinic, hospital setting or consulting firm at a lead or senior level.
- Minimum of five (5) years experience performing high level education/training to both internal and external stakeholders.
- Minimum of five (5) years experience performing audits for both internal and external stakeholders
- Demonstrated leadership skills and abilities including team building, conflict resolution, project management and effective decision making.
- Exceptional knowledge of ICD, CPT and HCPCS coding guidelines. Advanced knowledge of medical terminology, anatomy, and physiology.
- High level of experience researching and deciphering coding policies and regulations.
- Strong oral and written communication skills. Experienced in report writing.
- Advanced computer skills including the use of Microsoft office products, especially Excel, electronic mail, including experience with electronic coding systems or applications.
- Must be able to move quickly in a fast paced, changing environment. Candidate must be quick learner, ready to learn on the job and be ready to take on any task needed for client satisfaction and produce high level, quality audits.
- Possess strong organizational skills and attention to detail.
- Ability to multi-task and meet multiple deadlines.
- Proven ability to prioritize.
- Strong communication, administrative and organizational skills
- Ability to multi-task and act effectively under pressure with initiative, tact, and poise
- Adaptive and flexible to new ideas and change
- Ability to work in a changing environment.
- Remote work environment experience
Expected salary:
Location: California
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