Director of Provider Coding and Billing - TMG (Days)

The Director of Provider Coding and Billing will serve as a subject matter expert on coding and documentation for healthcare providers and staff, providing guidance and support on complex coding issues.

This position will include reviewing and auditing provider documentation and coding to identify areas of improvement, as well as developing and implementing policies and procedures to ensure efficient and compliant billing and coding practices.

This position will also oversee the entire billing process, from patient registration to account resolution.

Required Knowledge & Skills Education: Bachelor's Degree Experience: Five years of related experience.

Requires broad knowledge of complex systems and procedures.

Licenses and Certifications *CERTIFIED CODING SPECIALIST Supervision *Exercises direct supervision of other employees.

Qualifications *Education: Bachelor degree required in Health Information Management, Business Administration or related field.

*Certification in Medical Coding (CPC, CCS) and Billing (CPB) required.

*In-depth knowledge of medical billing, coding systems, (ICD-10, CPT, HCPCS), and healthcare reimbursement methodologies.

*Strong understanding of federal and state healthcare regulations, including HIPPA and CMS guidelines.

*Proficiency in healthcare billing software and electronic health records (EHR) systems.

*Minimum of 5-7 years experience in medical billing and coding, with at least 3 years in a supervisory or managerial role.

*Excellent leadership, communication, and organizational skills.

*Ability to analyze financial data and generate reports.

*Strong problem-solving skills and attention to detail.

Area of Responsibilities *Customer service - Leads team members in achieving customer service goals for the practice.

Participates in customer service initiatives.

Demonstrates excellent customer service skills.

Communicates effectively and in a timely manner with patients and management regarding service recovery opportunities.

Monitors customer service and develops action plans for improving patient satisfaction.

*Development - Maintains a high degree of knowledge of Tanner Human Resource and Tanner Medical Group policies and procedures and billing and operations for a Rural Health Clinic (as appropriate). Maintains a working knowledge of Billing and Coding.

Seeks opportunities to attain continued education for both professional and personal development.

Maintains awareness of current events and their effect on the healthcare industry (at the federal, state and local levels). Participates in the development of new programs.

*Leadership - Promotes teamwork and empowers teams and individuals to meet their potential.

Supports quality and efficiency improvement efforts.

Provides positive feedback as well as constructive criticism.

Communicates pertinent hospital activities to departmental employees.

Communicates pertinent departmental activities to administrative contact and other departments as necessary.

Establishes and maintains high level of employee morale.

Develops personal education to be proactive in meeting the future needs of the department.

Demonstrates a positive attitude toward all customers of Tanner, internal and external.

Projects a positive, professional image.

*Management - Oversees day to day operations of multiple TMG primary and specialty care clinics.

Establishes and maintains core measures for daily activity in the clinic setting.

Ensures integrity of all data collected.

Analyzes operations reports, departmental audits and other core measures to ensure operational quality, efficiency and cost effectiveness.

Develops policies and procedures for TMG clinics.

Develops innovative and efficient approaches to clinic process improvement.

Manages milestones to successful and timely completion to support clinic activities.

Participates in quality improvement activities.

Pursues professional development and works to correct deficits in knowledge.

*Safety - Checks equipment routinely to ensure it is functioning properly.

Maintains working knowledge of equipment and removes faulty equipment from use as necessary.

Participates in safety programs Compliance Statement Employee performs within the prescribed limits of Tanner Health System's Ethics and Compliance program.

Is responsible to detect, observe, and report compliance variances to their immediate supervisor, the Compliance Officer, or the Hotline.

Education Bachelor's Degree Experience Two years of related experience.

Requires working knowledge of specialized practices, equipment, and procedures.

Licenses & Certifications *NONE REQUIRED Supervision *Manages multiple primary and specialty care clinics.

Is fully responsible for the quality and quantity of work, costs, methods and personnel.

Has one or more managers and/or office coordinators who participate in the day to day management of employees.

Qualifications *Ability to prioritize and organize the workload of multiple employees.

*Bachelors Degree required.

Masters Degree preferred.

*CPT and ICD Knowledge required.

*Exceptional communication skills with a pleasant demeanor and ability to communicate with a variety of individuals in various job functions.

*Exceptional organizational and motivational skills.

*Minimum of two years management experience required in a healthcare environment.

*Must possess knowledge of modem office procedures and office equipment.

*Must possess the ability to summarize financial and statistical information for review with the TPN staff.

*Professional appearance.

*Proven ability to effectively work with others at all levels within and outside Tanner.

Definitions *The Director provides on-going leadership and operational oversight of multiple, geographically diverse primary and specialty clinics within the Tanner Physician Network, through the development, implementation and management of patient care systems to assure cost-effective and quality operations.

Advises Chief Operating Officer and system leaders on administrative and operational matters as well as matters that potentially impact provider?s professional activities or performance.

This position is an integral member of the TPN management team.

The Director works with various leadership teams to develop and implement processes to meet the needs of TPN customers, employees and providers as well as enhancing the growth and quality of the medical group and System.

Contact With Others Frequent contacts of a significant nature involving difficult negotiations and technical matters requiring thorough knowledge of organization policies or treatment, plus an ability to understand, communicate with, and to lead, and influence others to obtain willing acceptance, consent, or action.

Requires a high degree of diplomacy.

Effect Of Error Probable errors not easily detected and may adversely affect external as well as internal relationships and may result in major expenditures for equipment, materials, or procedures detrimental to the patient?s welfare or the organization?s interest.

Work is subject to general review only and requires considerable accuracy and responsibility.

Continually works with reports, records, plans, and programs of a major functional area of the organization where integrity is required to safeguard the organization?s position.

Duties may involve the preparation of data on which the administration bases important decisions and are highly confidential.

Supervisory Responsibility Responsible for overall direction of a distinct and independently structured department through subordinate associate or assistant directors.

Has human resources responsibilities and authority to hire, discipline, and terminate staff.

This position typically reports to an Executive.

Mental Demands Tasks are multiple and diverse with some interrelationship across processes.

Handles some unrelated functions.

Work requires the direct application of a variety of procedures, policies, and/or precedents.

Some responsibility for budget and expenditure authority.

Develops objectives and general policies and procedures for a specific program or functional area of responsibility within general scope of established operational goals and plans.

Day-to-day work and decisions do not require direction or review by immediate supervisor.

Frequently solves complex problems.

End results are reviewed by supervisor.

Strategic issues are referred to supervisor.

Physical Effort Minimum physical effort - Physical demands encountered are those of a typical office job.

Working Conditions Generally pleasant working conditions/normal office environment.

Physical Aspects Continually (at least once per day) *Hearing *Visual Frequently (at least 3 times a week) *Typing *Manual Dexterity ? picking, pinching With fingers etc.

*Speaking *Standing *Walking *Lifting up To 25 lbs.

*Carrying *Driving ? Class C vehicles Occasionally (at least once a month) *Bending *Feeling (Touch) ? determining temperature, texture, by touching *Reaching ? above shoulder *Reaching ? below shoulder *Color Vision *Balancing *Running - In response To an emergency *Lifting 25 To 60 lbs.

*Lifting over 60 lbs.

*Handling ? seizing, holding, grasping *Climbing *Kneeling *Squatting *Pushing/Pulling ? up To 25 lbs.

*Pushing/Pulling ? 25 To 60 lbs.

*Pushing/Pulling ? over 60 lbs.

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled

Full-time