Revenue Cycle Coding Manager

Who Are We:

NOMS Healthcare provides a different approach to healthcare. We are physician-owned and physician-led, with patient care as a top priority for all employees. Our goal is to continually improve our scope and depth of service based on the ever-changing needs of our patients. NOMS is also committed to enhancing our community, particularly regarding healthcare matters affecting our fellow citizens. We develop and support healthcare practices recognized for exceeding patient expectations, thereby setting the standard for excellence in Northern Ohio.

Company culture is at our core! Our core values are more than just words, they are a way of life. We believe in being patient-centered, providing high-quality service, teamwork, focusing on the communities we serve, and building trust. Do our values speak to you? We are rapidly expanding and want you to join our team!

The Challenge (Job Summary):

The Revenue Cycle Coding Manager supports the Central Billing Office (CBO) by analyzing and overseeing medical coding activities for NOMS Healthcare. This role involves collaboration with providers to address coding decisions and documentation inquiries while ensuring compliance with coding and documentation regulations. Additionally, the manager provides educational resources and supports compliance initiatives within the organization.

Your Day to Day & Essential Functions:

• You will comply with all HIPAA and OSHA regulations and policies.
• Provide support to providers, the central billing team, and the coding department within the CBO.
• Conduct coding reviews on denied claims for compliance with CPT, ICD-10, and HCPCS guidelines.
• Review and resolve coding errors on pending claims.
• Maintain thorough documentation of reviews, methodologies, outcomes, and actions taken.
• Assist with focused review projects, including data analysis and reporting.
• Identify trends and risks, reporting findings to the Compliance Department for further action when necessary.
• Participate in departmental meetings and provide expertise in compliance and coding as required.
• Prepare reports on a monthly, bi-monthly, quarterly, and annual basis, as directed.
• Foster cooperative relationships with corporate management, physician practices, and team members, providing expertise and training as needed.
• Perform additional administrative duties as assigned.