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MANAGER, MEDICAL CODING in San Diego, CA at Scripps Med Foundation Administration

Date Posted: 1/21/2019

Job Snapshot

Job Description

Change Lives, Starting with Yours 
At Scripps Health, you will experience the pride, support, respect that has been repeatedly recognized as one of the nation’s Top 100 Places to work.
You’ll be surrounded by people committed to making a difference in the lives of their patients and their teammates.  So if you’re open to change, go ahead and unlock your potential.
As Medical Coding Manager, you will perform a variety of medical specialty based charge capture and/or coding functions (entering charges, reviewing and resolving coding edits, adding/removing modifiers, validating medical necessity, appropriately selecting the correct codes (ICD9/ICD10, CPT/HCPCS add modifiers), ensuring completeness of clinical documentation supports medical billing, performs partial/full record abstraction of charges and other medical coding or charge capture related duties.  You will review, process and post transaction data from patient accounts.  Gather, classify, tabulate and proofread financial data.  You will perform arithmetic calculations.  Scan and electronically file documents.  Check items on reports, summarizing and posting the data to designated accounts, performs a variety of other fiscal office duties.  Perform regular coding monitoring and educational reviews for providers and coding team to support meeting billing requirements for governmental and commercial payers.  Provide timely and accurate updates to key stakeholders relative to coding updates and performance to maintain and/or improve reimbursement.  You will also be responsible for assisting with charge reconciliation and charge corrections.  
Additionally, you will be responsible for reviewing providers who are on continued coding holds (aka Concurrent Coding Reviews).  Responsible for assisting with the communication of annual coding updates to providers.  Play an integral role in evaluating patient related coding disputes. Be responsible for performance of assigned Patient Accounts department. Ensure compliance with policies/procedures and standards of care.  Resolve administrative and operational issues within department/Organization.  Initiate improvement efforts, workflow design and validation as well as drafting policies and procedures and manage department resources effectively.

As Manager, Medical Coding, you will ensure Patient Account targets are met while maintaining quality and compliance requirements.  You will collaborate with management teams from across the organization to improve patient satisfaction, increase collections and reduce denials.  Participate in department strategic planning and contributes to its success through effectively communicating goals and expectations to staff.  Oversee and perform quality audits providing retraining or action plans as needed to improve accuracy and meet production/patient satisfaction targets.   Ensure effective use of system resources while meeting budgetary targets.  Generate and review reports to track department outcomes, performs root cause analysis to identify and drive performance improvement needs.  Oversee staffing assignments and time card compliance, possesses ability to hire and, conduct performance evaluations.  Keep abreast of current policies, practices and procedures and provide guidance to staff.  Assist in urgent situations requiring immediate decision making as needed. 


This is a full time leadership position located at 4S, San Diego.
Relocation Assistance and New Hire Retention Bonus will be awarded for this Manager position.

Job Requirements

Required Education/Experience/Specialized Skills:
  • Requires 5 years coding or charge capture experience in ambulatory or professional fee billing with 2 years experience in utilization of spreadsheets, graphics, power point, analytics and database applications with focus on the performance of charge quality assessments.
  • Requires strong working knowledge of commercial and governmental payor policies.
  • Working experience in the use of medical terminology and Medicare regulatory requirements for coding, billing and reimbursement is required.
  • Familiarity with HIPAA privacy requirements for patient information.
  • Basic understanding of medical ICD9/ICD10 codes, CPT/HCPC codes and modifiers.
  • Ability to multitask, meet deadlines and stay organized.
  • Must have excellent verbal and written communication skills and customer service skills.
  • Must be detail oriented with the ability to prioritize work.
  • Requires a moderate level of interpersonal and problem solving skills.
  • Knowledgeable on medical coding and billing specific to insurance and reimbursement processes.
  • Must demonstrate the ability to establish/maintain cooperative working relationships with staff, operations and providers.
  • Proficient in preparation and presentation of summary information to provide clear and concise coding monitoring and quality updates to focused groups and finance leadership.
Required Certification/Registration:
  • RHIA, CCS, CCS-P, CDIP or CCDS certification.
Preferred Qualifications:
  • 2 years' leadership experience preferred.
  • AHIMA credentialed highly preferred.
Scripps Health is repeatedly named on the Fortune Magazine’s 100 Best Companies to work for, only San Diego-based Company and Becker’s Healthcare Top Hospitals. Scripps Health offers a robust Total Rewards Program designed to compensate and motivate you throughout your career. Scripps Health Total Rewards Program includes a broad range of plans and programs including market competitive pay and performance incentives, health and wellness benefits, financial wellness benefits, work-life resources, learning and development opportunities, and rewards and recognition. Unlock your potential with Scripps Health today. *LI-SH1

Scripps Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with disability.