Minimum three (3) years of supervisory or management experience managing professional coding operations.
Experience leading multi-site or enterprise-wide coding operations preferred.
Demonstrated experience with coding compliance, auditing, CDI collaboration, and operational performance improvement initiatives.
Expert knowledge of ICD-10-CM, CPT, HCPCS,, and OPPS reimbursement methodologies.
Experience with academic medical centers strongly preferred.
Epic experience a must.
License/Certification/Registration
Registered Health Information Administrator (RHIA)
OR
Registered Health Information Technician (RHIT) preferred
Certified Professional Coder (CPC) OR Certified Coding Specialist (CCS) required
Certified Professional Medical Auditor (CPMA) preferred
Certified Revenue Cycle Representative (CRCR) preferred
Epic Hospital Coding Operations preferred
Other Qualifications
Strong understanding of Medicare, Medicaid, commercial payer regulations, and professional coding best practices.
Knowledge of claims processing, denials management, and reimbursement analysis.
Ability to interpret regulatory requirements and translate them into operational processes.
Ability to manage multiple priorities and lead through organizational change.
Education
Bachelor's degree in health information management, Healthcare Administration, Business Administration, Finance or related field.
Master's degree preferred.
Ten (10) years of relevant experience in lieu of a degree.
Experience
Minimum seven (7) years of progressive healthcare professional coding experience.
Minimum three (3) years of supervisory or management experience managing professional coding operations.
Experience leading multi-site or enterprise-wide coding operations preferred.
Demonstrated experience with coding compliance, auditing, CDI collaboration, and operational performance improvement initiatives.
Expert knowledge of ICD-10-CM, CPT, HCPCS,, and OPPS reimbursement methodologies.
Experience with academic medical centers strongly preferred.
Epic experience a must.
License/Certification/Registration
Registered Health Information Administrator (RHIA)
OR
Registered Health Information Technician (RHIT) preferred
Certified Professional Coder (CPC) OR Certified Coding Specialist (CCS) required
Certified Professional Medical Auditor (CPMA) preferred
Certified Revenue Cycle Representative (CRCR) preferred
Epic Hospital Coding Operations preferred
Other Qualifications
Strong understanding of Medicare, Medicaid, commercial payer regulations, and professional coding best practices.
Knowledge of claims processing, denials management, and reimbursement analysis.
Ability to interpret regulatory requirements and translate them into operational processes.
Ability to manage multiple priorities and lead through organizational change.
