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

Date Posted: 10/2/2018

Job Snapshot

  • Employee Type:
  • Location:
    10010 Campus Point Drive
    San Diego, CA
  • Job Type:
  • Date Posted:
  • Job ID:

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 ensure compliance with policies/procedures and standards of care. You will resolve administrative and operational issues within department/Organization. Initiate improvement efforts, workflow design and validation as well as drafting policies and procedures. Manage department resources effectively. Ensure Patient Account targets are met while maintaining quality and compliance requirements. 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.
You will play in integral role in overseeing and performs 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 reviews 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.

Job Requirements

Required Education/Experience/Specialized Skills:
  • Requires 5 years coding or charge capture experience in ambulatory or professional fee billing with 2 year 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:
  • Requires certification from either Registered Health Information Technician (RHIT); Certified Coding Associate (CCA) or Certified Coding Specialist (CCS) from American Health Information Management Association (AHIMA) or a comparable certification from another accredited coding organization.(i.e. Certified Professional Coder from the American Academy of Professional Coders).
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.