Manager, Physician Coding and Denials

Company: WellStar Health System
Location: Marietta
Posted on: January 12, 2021

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