Billing Assistant Manager & Certified Coder

Description

The Billing Assistant Manager & Certified Coder supports the Valley View Health Centers revenue cycle by assisting with supervision of billing operations and providing certified coding support as needed. This role helps maximize cash flow, ensures compliance with payer and regulatory requirements, and strengthens internal controls across the billing and coding functions. Serving as back-up to the Billing Manager and Certified Coder, this position plays a key role in maintaining efficient, accurate, and compliant revenue cycle operations.
Essential Functions
Functional Area: Leadership and Management of the Billing Department

Estimated Effort: 65%

Responsibilities, Deliverables, Outcomes and Expectations:

• Ensure billing staff are adequately trained and competent in assigned duties
• Assist in supervising daily billing operations to ensure productivity and efficient revenue cycle flow
• Contribute to performance evaluations of billing personnel and recommend corrective or developmental actions
• Motivate and mentor billing staff to achieve high levels of accuracy, productivity, and performance
• Ensure billing activities comply with internal protocols and payer, state, and federal regulations, including FQHC requirements
• Review billing policies and procedures regularly and recommend updates to ensure compliance and revenue maximization
• Compile and analyze monthly billing ratios, metrics, and performance data; identify trends, risks, and improvement opportunities for leadership
• Participate in risk assessment activities related to billing operations
• Continue performing Billing Specialist duties as needed, including customer service, claim submission, EOB reconciliation, payment posting, and denial resolution
• Serve as back-up to the Billing Manager as required

Functional Area: Coding

Estimated Effort: 30%

Responsibilities, Deliverables, Outcomes and Expectations:

• Serve as an advocate for providers and patients regarding coverage, coding accuracy, and medical necessity
• Audit denied claims and prepare, submit, and track appeals
• Collaborate with providers to correct coding issues and improve documentation quality
• Provide training and education to providers and staff regarding coding standards and documentation requirements
• Scrub claims prior to submission to ensure proper coding and compliance
• Maintain current ICD-10, CPT, and other required code sets within billing software
• Work closely with billing staff to resolve reimbursement issues with insurance companies
• Serve as back-up for the Certified Coder during absences or periods of high volume

Functional Area: Collaboration and Support

Estimated Effort: 5%

Responsibilities, Deliverables, Outcomes and Expectations:

• Attend meetings, conferences, and training sessions related to billing and coding responsibilities and share relevant information
• Serve as a representative of the Fiscal Department on assigned CAC committees
• Maintain effective working relationships with internal departments, providers, payers, and external partners
• Perform additional duties as needed to support the organization's mission, vision, and values

Minimum Requirements
Education:

High School Diploma or equivalent.
Job-Related Experience:

• Minimum two (2) years of billing supervisory experience
• Minimum two (2) years of ICD-9, ICD-10, and CPT coding experience
• Minimum two (2) years of experience in a medical or healthcare setting, or equivalent education

People Management Experience:

Minimum one (1) year of demonstrated people management experience.
Licenses, Certifications, and Accreditations:

• Coding Certificate from an accredited program

Preferred Qualifications

• Two (2) or more years of FQHC billing and supervisory experience

Working Conditions

This position operates in a well-lit office environment. Telecommuting may be available, though regular on-site presence is required as operational needs dictate. Work is fast-paced and involves managing multiple competing priorities and complex revenue cycle processes. The role may involve moderate levels of stress during peak billing periods.