MedReview is hiring a
Director of Coding

Summary

The job is for a remote position managing a team of coding professionals responsible for Payment Integrity clinical and coding reviews. The incumbent ensures the effectiveness of the review process by identifying and implementing improvements to support measurable outcomes.

Requirements

• Coding Certification required (at least one of the following is required and must be maintained as a condition of employment)
• College level courses in medical terminology, anatomy, pathophysiology, pharmacology, and medical coding courses
• 10+ years of experience in MS-DRG and APR-DRG coding through acute care inpatient coding, auditing, and/or Payment Integrity DRG Validation
• Management and leadership experience required
• Adherence to the Official Coding and Reporting guidelines, AHA Coding Clinic determinations, and CMS and other regulatory compliance guidelines and mandates
• Requires working knowledge of applicable industry-based standards
• Proficiency in Outlook, Word, Excel, and other applications
• Excellent written and verbal communication skills
• Maintain professional credentialed status with approved continuing education programs
• Ability to work independently and in a team setting

Responsibilities

• Monitor day-to-day volume of work and ensure turnaround time expectations are met
• Assists in the development, implementation, and management of organizational strategy, initiatives, KPIs, and/or budget and performance standards; communicates organizational objectives and goals
• Trend and analyze productivity on a regular basis and provide direction as appropriate
• Coach and develop team members (in-house and/or outsourced) for optimal performance and develop performance improvement action plans when appropriate
• Ensure all production and quality standards including caseload, accuracy, review time, scheduling and capacity
• Identify and implement process improvements, quality enhancements and cost control initiatives
• Develop and implement policy and procedure recommendations to meet the needs of MedReview
• Monitor and approves scheduling of staff including vacation and sick time, etc
• Liaise with internal leaders including physicians, nurses, technical and client partners
• Assist in developing new clinical and coding review concepts
• Manage vendor relationships
• Act as an internal subject matter expert

Benefits

• Medical
• Dental
• 401K match
• 4 weeks’ vacation plus 11 holidays and more
• Base salary. $160,000-180,000/Yr. plus performance bonus