Associate Product Manager- Denials AI

Job Purpose The Associate Manager, Production Coding & Charge Entry will provide leadership to Production Coding Department and Charge Entry including supervision of staff, reviewing of processes, and providing recommendations for improvement of operations. Goal is to meet or exceed national coding KPI benchmarks and client specific KPI’s. Maintain or exceed team productivity and quality standards.

Duties and Responsibilities

• Plan, organize and direct overall operations of the Production Coding Department and Charge entry team as it relates to billing, payer and client policies and protocols
• Ensure all client coding is completely within timelines both onshore and offshore.
• Oversee the coding of all client services to ensure accuracy and timeliness with our co-source
• Ensure that team stays current with billing/coding regulations
• Monitor and direct charge entry staff to be at a current status. Ensure quality and quantity standards are being met.
• Ensure work queues are worked timely and accurately
• Trend coding denials and provide written feedback by practice on areas of improvement
• Actively engage with and manage coding team, including routine productivity and quality reviews
• Provide management and supervisory duties related to educating and training staff, evaluating staff performance and monitoring productivity
• Interview, hire, train, evaluate, and develop subordinate staff, where applicable
• Develop and maintain quality control programs, including in-depth and individual performance reviews
• Orient new hires and provide in-services and training, continuing education, and development related to those functional areas of responsibility
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards

Qualifications

• Bachelor’s degree or equivalent combination of education and experience
• CPC certification
• 5+ years’ experience managing and leading a physician business office/professional services coding department
• Ability to work well individually and in a team environment
• Must be reliable, responsible, goal oriented and flexible
• Excellent interpersonal, communication and organizational skills
• High degree of integrity including ability to successfully deal with sensitive or confidential information
• Ability to exhibit poise, composure and confidence when confronting stressful or high-pressure situations

Working Conditions

• Occasional travel to client locations
• Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
• Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
• Work Environment: The noise level in the work environment is usually minimal.

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

Originally posted on Himalayas