GI Coding Specialist Team Lead

• Directly oversees and supervises day-to-day operations of the Coding department teams.
  
  • Respond to any process related questions and manage 1st level escalations.
  • Prioritize, assess, and re-prioritize daily workflows to ensure timely execution of Coding and meeting/exceeding goals/KPI.
  • Assist with creation of front-end scrubs/edits based on denial management review.
  • Effectivity manages the team through streamlined improvement initiatives to ensure the team is highly effective for the providers.
  • Participate in new project assignment and work towards proper transition of knowledge to team.
    
    • Actively participates and maintain strong new hire training process and assist with policy/procedure documentation and process workflow.
    • Conduct audits of team members to ensure quality initiatives are being met and exceeded.
    • Identify and document trends in coding guidelines and payor guidelines that compromise the ability of the Coding team to meet established goals.
    • Assists with resolution of complex claims or projects and trains team to improve follow up efforts.
    • Strong analytical skills to prepare project data with RCM leadership.
      
      • Motivate, train, evaluate, record and report team members' performance and progress.
      • System matter expert of all Coding Department functions across the team to maintain a highly efficient and productive team and to ensure process can be trained effectively.
      • Assist Management in establishing weekly/monthly goals, ensure Coding team members are utilizing all resources and meeting and/or surpassing weekly/monthly KPI's.
      • Assist manager with preparing weekly and monthly RCM reporting metrics to remediate any items outside established KPI including status report of projects.
      • Research and maintain understanding of policy changes across the RCM markets.
        
        • Daily reviews of the following programs: Incoming claim/denial volumes, daily billing, rejections, evaluate clean claim rates, and team workflows.
        • Assist manager in the interview process.
        • Assist with preparation of team meetings focused on collaboration and process improvement.
        • Assist Manager with employee performance appraisals and work with the Coding team on skill development.
          Minimum Requirements
          
          • Associates or Bachelor's Degree is highly preferred but experience may be substituted for education.
          • 5+ experience in healthcare industry and 1+ years of supervisory experience/leading a team, in healthcare revenue management cycle roles encompassing all phases of the revenue cycle management.
          • Experience with a large, growing healthcare organization supporting 100 or more providers and overseeing 10+ team members.
          • Experience with a large Practice Management (PM) System, eCW (E Clinical Works) is a plus but not required.
            
            • Extensive knowledge of patient registration, coding, billing, regulatory requirements, billing compliance, business operations, financial systems and financial reporting.
            • Certified coder AAPC or AHIMA
            • Excellent communication skills both verbal and written.
            • Able to analyze data and quickly identify process-based issues for remediation.
            • Maintains confidentiality in all matters that include Patient Health Information and employee data.
              
              • Hands-on participation in process/workflow design including team member involvement across the department.
              • Intermediate experience with Microsoft Excel and Office products is required.
              • Target Oriented and Coding team resolution mindset
              • Prior experience collaborating with a remote team is highly preferred.
                Gastro Health is the largest gastroenterology multi-specialty group in the country. We are over 300 physicians strong with over 100 locations throughout the nation, including Florida, Alabama, Ohio, Maryland, Washington, Virginia, and Massachusetts. We employ the finest gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals. Gastro Health is always looking for talented individuals who share our mission to provide outstanding medical care and an exceptional healthcare experience.
                We offer a comprehensive benefits package to our eligible employees, which includes: Cigna healthcare, dental, vision, life insurance, 401k, profit-sharing, short & long-term disability, HSA, FSA, and PTO plus 7 paid holidays.
                Plus:
                
                • This position offers a great work/life balance!
                • We are growing rapidly and support internal advancement
                • We offer competitive compensation
                  Benefits:
                  
                  • 401(k) retirement plans
                  • Profit-Sharing
                  • Dental insurance
                  • Health insurance
                  • Life insurance
                  • Paid time off
                  • Vision insurance
                  • Disability insurance
                  • Pet insurance
                    COVID-19 considerations:
                    Temperature checks at check-in, mask worn while on-premise, and hand sanitizing stations throughout the building.
                    Gastro Health is proud to be an Equal Opportunity Employer. We do not discriminate based on race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
                    We thank you for your interest in joining our growing Gastro Health team!
                    

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