Experience Inc. Jobs

Employment Type:

Full time

Shift:

Day Shift

Description:

Certified Medical Coding Manager - Remote

Location: Trinity Health PACE Corp Michigan, Livonia, MI

Status: Full time Exempt

Shift: 7 am to 330 pm Eastern

Position Purpose:

The Certified Medical Coding Manager oversees the Coding Regional Team's daily operations, ensuring quality, accuracy, and compliance. Working with the Director of Coding, the manager provides direction, enforces standards, and audits practices to align with regulations. This role also ensures that team practices follow best industry standards and efficiently manages team operations. The manager directly supervises Certified Medical Coders.

Position Details:

This is a fully remote exempt position. Schedule is typically 7 to 330 Eastern.

Training will take place in person in Livonia, MI for two weeks (expenses paid). Onsite training is required for position.

What you will do:

• Provides tactical direction to the regional coding team, emphasizing quality, accuracy, and accountability. Partners with the Director of Coding, Clinical Documentation & HIM, and PACE leadership to develop and implement process improvement plans, technology, and procedures to achieve desired outcomes.

• Ensure the completion of reports, special projects, and EHR upgrade testing. Collaborate with the Director of Coding, Clinical Documentation & HIM in designing and implementing educational programs, evaluating regional coding team performance, and maintaining communication with coding staff and providers.

• Facilitate external auditing efforts, working closely with auditors and PACE Organizations to monitor, respond, and support during audits.

• Lead auditing efforts, coordinate communications with PACE Organizations on audit outcomes, and work with coders/providers to develop and implement corrective actions.

• Collaborate with the Director of Coding, Clinical Documentation & HIM to analyze the quarterly Semi-Annual Risk Adjustment Reporting Suite and develop strategies to reduce dropped HCCs.

• Assist in onboarding new coders by providing education, training, and orientation, in partnership with the Director of Coding, Clinical Documentation & HIM.

• Work with the Director of Coding, Clinical Documentation & HIM and PACE Organizations to provide onboarding education and training for new providers.

• Develop ongoing education programs for coders and providers in collaboration with the Director of Coding, Clinical Documentation & HIM.

• Ensure monthly revenue reports are validated and submitted to CMS in partnership with the Director of Coding, Clinical Documentation & HIM.

• Collaborate with Information Systems and other stakeholders to develop data standards, quality controls, and procedures related to the Electronic Health Record (EHR) and associated systems.

• Work closely with the Director of Coding, Clinical Documentation & HIM, providers, and medical records teams to coordinate record processing, physician notifications, medical record management, and coding practices. Contribute to the development of coding department policies and procedures.

• Plan, direct, and implement procedures to ensure coding aligns with established policies and guidelines.

• Provide coverage for the coding team as needed.

• Ensure accurate and complete client care documentation is timely and ready for billing.

• Meet or exceed productivity and quality standards for coding and abstracting.

• Continuously seek opportunities to reduce waste and improve processes.

Minimum Qualifications:

• Bachelor’s degree in healthcare related field required.

• CPC and CRC certifications required.

• RHIT certification strongly preferred.

• 8 years of coding using ICD-9-CM/ICD-10-CM or equivalent.

• 4 years of documentation excellence experience.

• Previous supervisory experience required.

• Strong knowledge of medical terminology, human anatomy, physiology, and disease processes.

• Extensive knowledge of medical codes involving selection of most accurate and descriptive code using CPT codes.

• Proficient in using Electronic Health Records to analyze encounters and notify providers of necessary data corrections.

• Action-oriented with strong business acumen, effective conflict management, and customer-focused decision-making. Adaptable to change with strong organizational agility and the ability to work independently.

• Excellent interpersonal skills for driving collaboration, commitment, and productivity in cross-functional teams, with comfort working in a virtual, shared leadership environment.

• Superior written and verbal communication skills

• Expert proficiency with Microsoft Office (Word, Excel, PowerPoint) and basic knowledge of electronic mail and calendaring systems.

• Occasional travel to Livonia, MI or other supported PACE locations may be required.

• Excellent organizational skills, capable of managing multiple tasks while maintaining high customer service standards. Adaptable to changing work priorities and skilled in problem-solving.

• Ability to research, analyze, and synthesize information from various sources, demonstrating critical thinking and effective workload prioritization.

Position Highlights and Benefits:

• Comprehensive benefit including 1st Day medical coverage, dental, vision, paid time off, 403B and educational assistance.

• Access to daily pay and employee referral incentives.

• Supportive environment with a patient-centered focus.

• Opportunities for professional development.

Ministry/Facility Information

Trinity Health PACE provides high-quality care to seniors in the communities we serve. Our interdisciplinary team offers comprehensive services, allowing seniors to remain independent at home.

We are guided by core values of reverence, commitment, safety, justice, stewardship, and integrity.

Apply now!

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran