Manager, APG Coding Reimbursement Job in Manhasset, New York US
Manager, APG Coding Reimbursement
As the Manager of APG Coding Reimbursement you will manage, plan, organize and evaluate the staff and activities related to Ambulatory Payment Groups (APG) clinic revenue. You will also manage documentation, coding and billing, education, auditing and reporting activities. Responsibilities Include: Oversees, monitors and reports on Key Performance Indicators for APG billing to Hospital, PAANS and clinic leadership. Implements and chairs APG revenue committee meetings. Conducts and monitors initial and subsequent training and education on E/M documentation, coding and billing guidelines for physicians and staff providing services in clinics. Develops and monitors schedule for internal chart reviews and conducts reviews of documentation/coding and billing utilizing advanced, specialized knowledge of medical codes and coding procedures for clinic billing to assign and sequence appropriate diagnostic/procedure billing codes in compliance with governmental payer requirements. Reports results to Hospital, PAANS and clinic leadership. Coordinates internal (Corporate Compliance) and external audits (Government and Private payers) for Medicare Part A and Part B services associated with clinics. Maintains and updates charge documents with new and deleted codes in cooperation with clinic leadership, PAANS and Finance IT systems. Educates staff and physicians based on yearly code changes. Utilizes IDX and Invision billing system to obtain, analyze and interpret coding, denial and other reimbursement data. Collaborates on site with clinical staff to help maximize their financial benefit with comprehensive documentation and accurate completion of encounter forms. Conducts research on coding for proposed new services to ensure accurate coding and billing. Maintains knowledge of coding and billing requirements. Attends periodic coding meetings and training sessions. Selects, develops, manages and evaluates direct reports. Conducts training and education sessions on coding and regulatory updates for Coding/Compliance staff. Additional Requirments / Information