Manager, Physician Coding and Denials
Company: WellStar Health System
Location: Marietta
Posted on: January 12, 2021
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Job Description:
At Wellstar, we all share common goals. That's what makes us so
successful - and such an integral part of our communities. We want
the same things, for our organization, for our patients, and for
our colleagues. As the--most integrated healthcare provider--in
Georgia, this means we pride ourselves on investing in the
communities that we serve. We continue to provide innovative care
models, focused on improving quality and access to
healthcare.Responsibilities The Manager, Physician Coding Denials
is responsible for managing denials for third-party payers, as well
as vendor--denials management relations at WellStar. This includes
overseeing the denial process used by both in-house staffand
affiliated denial managerment vendors, and continually working to
identify opportunities for workflow--improvements. The manager
collaborates with the Director and other team members to set
departmental goals,--measurd process effectiveness and
productivity, and identify any need for updated policies and
procedures. The--Manager, Physician Coding Denials serves in an
educational and advisory capacity to the revenue cycle
staff,--providers, physician practices, clinical departments,
payers, and patients by ensuring effective communicationbetween all
parties, accurate documentation, coding, and follow regulatory
billing compliance. Management skills--are required in the
supervision of subordinate staff. Job Requirements:Required Minimum
Education: Bachelor's degree in health information management,
management, business--administration, health care, public health,
finance, and/or other Allied HealthRequired Minimum
Certification:Coding Certification through AAPC or AHIMA (CPC, COC,
CCS-P, CCS or equivalent)Required Minimum Experience:Minimum of
five (5) years' experience in healthcare required; including
ICD-10, CPT, and HCPCS coding, physician--practice management, or
reimbursement analysis Three (3) years of management/supervisory
experience in ahealthcare setting preferred.Required Minimum
Skills:Subject matter expert level experience in professional
billing and coding across multiple specialties. Skill in
providing--leadership, motivating and directing the work and
activities of staff, including experience with correction
actionplanning and/or employee discipline. Ability to effectively
delegate, while maintaining a cohesive and engaged work--team.
Ability to act independently and take initiative to identify and
resolve problems and complete tasks. Ability towork efficiently
under pressure and to willingly accept responsibility and/or
delegate responsibility. Ability to deal with--difficult people and
difficult situations effectively.
Keywords: WellStar Health System, Marietta , Manager, Physician Coding and Denials, Executive , Marietta, Georgia
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