Assistant Manager - Coding — TMG Billing (Days)

Area Of Responsibilities

• Analyzes work on hand for Coders and Charge Posting staff on a daily basis.
• Works TMG CBO Operations Manager to troubleshoot workflow issues.
• Works with appropriate TMG CBO staff to ensure 95% clean claim submission.
• Analyzes individual accounts within area of responsibility and develops workflow which will result in payment of benefits in the shortest time possible.
• Success in this area will contribute to lower AR days and improved cash flow for Tanner Medical Group.
• Provides high quality service to all customers, which includes, but is not limited to patient, physicians, physician practice employees, coworkers, and insurance companies.
• Works with Providers and physician practices in suggesting workflow improvements.
• Recommends process improvements which may reduce denials.
• Maintains good relationships with physician practices for the purpose of resolving billing, coding, and charge posting problems.
• Develops and maintains working knowledge of Commercial and Government payer rules and regulations for medical billing.
• Maintains expertise knowledge of CPT and ICD coding.
• Participates in IT and Operational conference calls and meetings.
• Remains alert for process improvements and recommends changes when change would be beneficial.
• Maintains strict confidentiality.
• Remains up to date on coding, insurance rules and regulations for all insurances by subscribing to newsletters, attending seminars and webinars.
• Participate in educational activities and communicate denial trends and promote educational awareness.
• Provides comprehensive analysis and provides feedback to TMG CBO Operations Manager regarding issues that impact financial viability.
• Communicate with third party coding company and participate in provider audit exit meetings.

Qualifications

• Four years of supervision experience.
• Requires broad knowledge of complex systems and procedures.

Required Knowledge & Skills

• Education: High School Diploma or GED & CPC
• Experience: Four years of supervision experience.
• Licenses and Certifications: CPC