Director, PB Coding Operations & Education
Core
Provide coding oversight and standards to ensure coding accuracy, compliance, and appropriate reimbursement across BUMG, while managing operational execution and coding training.
Role type
Director, Professional Coding Operations & Education
Builds
Coding operations and training programs for healthcare services
Domain
Healthcare / Medical Coding
Required skills
ICD-9/ICD-10, CPT, E/M coding expertise; payer reimbursement methodologies; regulatory compliance; personnel management; training and mentoring
Preferred skills
Knowledge of MS, AP, and APR DRG systems; audit finding analysis
Technologies
ICD-9, ICD-10, CPT, E/M, MS, AP, APR DRG
Responsibilities
Facilitate accurate representation of professional coding through interaction with physicians and coders; Direct coding activities to ensure accurate, consistent, and compliant coding; Ensure quality reviews to validate coding accuracy; Participate in the rejections, denials, and claims review process; Identify trends in documentation and coding concerns; Evaluate the success of coding processes; Manage coding staff including training, directing, and mentoring
Seniority
Director, management level
