Director, PB Coding Operations & Education
Role Overview
The Director PB Coding Operations and Education functions primarily on providing coding oversight and standards to ensure coding accuracy, compliance and appropriate reimbursement across BUMG, along with managing operational execution of these standards in areas reporting to Revenue Cycle.
The Director has responsibility for managing coding operations and overall success of an effective program, including oversight for coding training across BUMG.
The Director manages coding staff to ensure compliance with coding guidelines, regulatory agencies and that appropriate reimbursement is received for the level of service rendered.
Key Skills for This Role
Full Job Posting
EXPERIENCE:
- Minimum of 10 years related experience in professional coding with ICD-9/ICD-10, E/M and CPT. Previous management experience required; experience must include education/mentoring/training.
- Expertise knowledge of ICD-9/ICD-10, CPT and E&M coding principals and guidelines
- Knowledge of MS, AP, and APR DRG systems APG, EAPGs
- Knowledge of payer reimbursement methodologies, federal, state and payer specific regulations, policies and compliance standards
- Excellent written verbal and communication skills
- Excellent critical thinking skills
- Excellent skill in providing hands-on education to providers including audit finding and improvement opportunities.
- Excellent organizational skills, including ability to multi-task, prioritize essential tasks, follow-through and meet timelines.
- Ability to work cooperatively with members of the healthcare delivery team and staff,
- Ability to adapt to changes in workload and priorities, responding quickly to urgent requests.
- Ability to mentor, guide and motivate direct reports through demonstration of best practices and leading by example.
- $122,000.00- $177,000.00
- This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being.
- NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location.
- Equal Opportunity Employer/Disabled/Veterans
- According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.
KNOWLEDGE AND SKILLS:
- Expertise knowledge of ICD-9/ICD-10, CPT and E&M coding principals and guidelines
- Knowledge of MS, AP, and APR DRG systems APG, EAPGs
- Knowledge of payer reimbursement methodologies, federal, state and payer specific regulations, policies and compliance standards
- Excellent written verbal and communication skills
- Excellent critical thinking skills
- Excellent skill in providing hands-on education to providers including audit finding and improvement opportunities.
- Excellent organizational skills, including ability to multi-task, prioritize essential tasks, follow-through and meet timelines.
- Ability to work cooperatively with members of the healthcare delivery team and staff,
- Ability to adapt to changes in workload and priorities, responding quickly to urgent requests.
- Ability to mentor, guide and motivate direct reports through demonstration of best practices and leading by example.
- Compensation Range:
- $122,000.00- $177,000.00
- This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being.
- NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location.
- Equal Opportunity Employer/Disabled/Veterans
- According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.
About Boston Medical Center
Academic medical center providing comprehensive healthcare and medical education.
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