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Job Summary:

Plans, manages, organizes, controls, and oversees all daily functioning of the Virtua Medical Group Coders.  Duties include ensuring ethical, accurate, and compliant coding for VMG, maintaining unbilled accounts at acceptable levels to support A/R, development of compliance and education programs, and oversight and engagement of colleagues.  Responsible for workflow design, as well as formulation of and adherence to policies and procedures.  Identifies process opportunities to enhance coding and reimbursement, and compliance. 

Position Responsibilities:

Plans and manages daily functions of the VMG Coders.  Ensures compliance with federal, state, and payer requirements.  Ensures ethical and accurate coding, as well as review of provider assigned codes.  Responsible to maintain A/R at an acceptable level and determine remediation plans for backlogs or workload increases.  Responsible for implementing use of vendor services when departmental needs warrant additional staffing.

Maintains quality, productivity, and workflow standards within VMG’s coding department.  Identifies opportunities for enhancement of coding processes and develops workflow to support improvements.  Ensures appropriate use of technology to support best practices.  Ensures adherence to VMG, Government and Payor policies by management, coding staff and clinicians. 

Human resource management:  Interviews, hires, trains, coaches, counsels, disciplines, terminates, evaluates, recognizes, and mentors coders.  Performs payroll and associated functions.  Maintains staff schedules.

Develops and implements training plans for coding staff and ensures proficiency.  Provides clear instruction and ensures staff accountability and adherence to established standards. 

Establishes and maintains productive relationships and communication with all providers and clinicians, as well as practice management and billing department.   Offers suggestions for recommendations for resolution of problems and open issues.  Collaborates with external colleagues to learn best practice and ensure Virtua is at the forefront for coding practice.

Responsible for departmental adherence to budgetary guidelines and is able to justify and explain variances.  Communicates with leadership regarding revenue improvement opportunities determined through course of documentation review.

Position Qualifications Required:

Required Experience:

Expert knowledge of professional fee coding required (ICD-10, CPT, HCPCS, and other reimbursement methodologies), including compliance and audit requirements.

2 years of supervisory experience preferred or 5-7 years of coding experience.

Excellent organizational, communication, and customer service skills.

Ability to utilize Information Systems, including electronic health records, effectively

Ability to make sound decisions independently and provide guidance.

Required Education:

Bachelor’s or Associate’s degree in Health Information Management/other related field, or 5-7 years of relevant experience.

Training / Certification / Licensure:

Certification as a CPC and/or CCS-P required.

Annual Salary: $89,574 - $139,253 The actual salary/rate will vary based on applicant’s experience as well as internal equity and alignment with market data.

This position is eligible to participate in one of Virtua’s annual incentive compensation plan (AICP). The amount is subject to the terms and conditions of the plan document. Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies.

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