Ech
Manager, HIM Professional Billing Coding - FT - Days - HIMS - Medical Records @ MV
Mountain View, CA
Sponsorship not specified$68k-$101kDetected 18 days ago
Data VisualizationExcelAuditingEpicEHR/EMRICD-10ResearchLeadershipCommunicationCollaborationProblem SolvingOrganizational SkillsMicrosoft Office
About the role
- Come join the team that makes this happen.
- Applicants MUST apply for position(s) by submitting a separate application for each individual job posting number they are interested in being considered for.
- Provide physician education with extensive knowledge in ICD-10-CM diagnosis, CPT procedural assignment, and HCPCS level II coding systems for El Camino Health Medical Network.
Responsibilities
- The PB coding manager maintains providers monthly audits and reports to the ECHMN compliance committee.
Requirements
- In-depth knowledge of physician coding across specialties, E/M leveling, surgical coding, and modifier usage.
- Minimum (5) years of professional coding/auditing experience in a multispecialty healthcare setting for professional physicians claims to include evaluation and management services, ICD-10-CM diagnosis, HCPCS, and CPT coding for both inpatient and outpatient services, required
- Electronic Health Records (EHR): EPIC or equivalent enterprise EHR systems experience Required.
- Experience with EPIC's PB module (Professional Billing) strongly preferred.
- Coding and Billing Tools: Epic AI tools
- Reporting & Analytics: Proficient in MS Excel to include pivot tables, and VLOOKUPs), Word, and PowerPoint
- Revenue cycle knowledge of claims reimbursement associated with CMS LCD and NCD policies
Nice to have
- Familiarity with reporting tools such as EPIC Clarity, Crystal Reports, Tableau, or Power BI a plus.
- Exposure to compliance software tools for audit management, and knowledge of OIG work plans, CMS NCCI edits, and payer policies.
- Demonstrate excellent oral and written communication and presentation skills
- Strong leadership, communication, interdepartmental collaborative relationships and conflict resolution skills.
- Strong organizational skills and ability to prioritize multiple activities and objectives in given timelines.
- Creative in problem solving skills and able to work under pressure and continuous change
- High attention to detail with excellent problem-solving abilities with ability to interpret complex regulatory and payer guidelines.
- Certified Coding Specialist - Physician Based (CCS-P) - AHIMA, RHIT or RHIA preferred
Skills
- Epic AI tools
Compensation
- $67.54 - $101.31 USD Hourly
Benefits
- El Camino Health is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and vision forward.
Equal opportunity
- El Camino Health seeks and values a diverse workforce.
- The organization is an equal opportunity employer and makes employment decisions on the basis of qualifications and competencies.
- El Camino Health prohibits discrimination in employment based on race, ancestry, national origin, color, sex, sexual orientation, gender identity, religion, disability, marital status, age, medical condition or any other status protected by law.
- In addition to state and federal law, El Camino Health also follows all applicable fair and equitable employment policies from the County of Santa Clara.
This listing is sourced directly from Ech's careers page and normalized into a canonical job model.