
Director of Healthcare Operations
1 day ago
The position of Senior Medical Coding Director is a key role in our organization, requiring strong leadership and strategic thinking to oversee medical coding operations. The successful candidate will be responsible for ensuring compliance with industry regulations, maintaining high accuracy and productivity standards, and managing a team of coders.
Key Responsibilities:
- Operational Oversight:
- Oversee daily medical coding operations to ensure timely and accurate coding of healthcare services.
- Monitor workflow to meet departmental goals, including productivity targets and quality assurance standards.
- Ensure adherence to regulatory requirements, such as HIPAA.
- Team Leadership & Management:
- Lead and manage the medical coding team to achieve high performance, engagement, and professional growth.
- Conduct regular training sessions to maintain staff's up-to-date knowledge of coding practices and industry standards.
- Provide coaching and feedback to improve productivity and accuracy.
- Quality Control & Compliance:
- Review coding work for accuracy, completeness, and adherence to current coding guidelines (ICD-10, CPT, HCPCS).
- Implement corrective actions and develop strategies to enhance coding accuracy and minimize denials.
- Conduct audits and internal reviews to identify issues and implement solutions.
Required Skills and Qualifications:
- Education:
- Bachelor's degree or Master's degree in any field.
- Certification in Medical Coding (e.g., CPC, CCS, CCS-P) is required.
- Experience:
- At least 15 to 18 years of experience in medical coding, with a minimum of 8 to 10 years in a managerial role.
- Experience in managing large coding teams and driving operational efficiency.
- Familiarity with ICD-10, CPT, HCPCS coding systems and compliance regulations.
- Skills:
- Strong leadership, communication, and interpersonal skills.
- In-depth knowledge of medical coding practices, healthcare reimbursement, and regulatory requirements.
- Ability to analyze large sets of data and make informed decisions.
Personal Attributes:
- Attention to detail with a focus on accuracy and compliance.
- Ability to work under pressure and manage multiple priorities.
- Strong problem-solving and decision-making skills.
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