Guidehouse Hiring for Medical Coding Operations Manager – Clinical Trials Job at Birmingham, AL Full Time

Job Family:

Operations Support Representative

Travel Required:

None

Clearance Required:

None

What You Will Do:

The Medical Coding Operations Manager- Clinical Trials manages and organizes all day-to-day activities related to the medical coding and billing functions of Clinical Trials and Patient Financial Services Research billing teams. Develops and monitors goals and objectives for established areas of responsibility and sets workflow priorities and standards for all professional coding areas. Oversees a team of one supervisor and thirteen coders / patient account representatives.

• Must be self-directed / self-motivated; must have good communication and interpersonal skills.
• Must be detail oriented.
• Accept responsibility for the direction, control, and planning of departmental work.
• Recognize the rights and responsibilities of patient and employee confidentiality.
• Adaptable to change and improvement.
• Relate to others in a manner which creates a sense of teamwork and cooperation.
• Show exemplary attitude in levels of maturity, responsibility, judgment, and conduct.
• Exhibit flexibility and cope effectively in an ever-changing, fast-paced healthcare environment.
• Perform effectively when confronted with emergency, critical, unusual, or dangerous situations.
• Demonstrate the quality work ethic of doing the right thing the right way.
• Maintains open channels of communication.
• Monitor all key performance indicators (edits, accounts receivable balances)
• Manages daily workflow for clinical trials/research coding and charge entry operations
• Monitors daily charges to ensure performance goals are met.
• Manage Backoffice IDX Transaction editing system (TES) and Service Solutions innovations (SSI) healthcare revenue cycle edits
• Coordinate and work with other departments to resolve research coding and charge entry issues
• Shows understanding in the respective areas of system applications/database design/function.
• Designs operational procedures and processes that meet audit standards and improve efficiency
• Participates as needed to ensure work is processed timely
• Participates in monthly meetings (e.g. Edit tower meetings PFS, MSO Compliance)
• Participates in any necessary testing review for various systems for clinical trial/ research coding and billing (e.g. Powertrials, Oncore, etc.
• Oversees evaluation of associates’ performance with quality and productivity standards
• Maintain and submit fee schedules 9 & 10 in IDX for clinical trial/Research fees/pricing
• Clearly defines and communicates employees’ key responsibilities and performance standards at the beginning of each performance period
• Motivates and inspires associates to attain goals and pursue excellence
• Monitors employee performance frequently enough to provide early detections of performance problems, to allow for positive feedback and to provide a broad sample of employee’ strengths and weakness.
• Documents observation on an ongoing basis, as necessary preparation for effective performance management and annual reviews.
• Evaluates performance on agreed review dates Provide and analyze management reports
• Generates productivity summary report(s) for administration
• Ensures accuracy of data
• Analyzes and monitors various productivity and QA reports for trends and/or problems and communicates any recommendations for change to Senior Managers and Directors.
• Assess monthly productivity report for revisions or updates, as needed, to ensure department process changes are accurately reflected.
• Manages and supports supervisors in the development, analysis, and preparation of QA and productivity reporting.
• Manages personnel within department
• Complete human resource paperwork accurately and timely.
• Manages time and attendance for department (i.e. ADP and/or Kronos)
• Identify FTE requirements to ensure appropriate staffing levels are maintained.
• Maintain and create required supporting documentation in regard to disciplinary action taken
• Provides regular feedback on employee progress as it relates to career goal
• Ensures that established personnel policies and procedures are followed
• Maintains knowledge of current coding changes and developments.
• Promptly addresses any compliance issues as they arise.
• Counsel’s physicians, research coordinators, nurses, and liaison when coding changes and or issues are identified
• Communicates and or disseminates information to staff in an appropriate manner; accurately and timely
• Maintains open channels of communication
• Interprets organizational policies, procedures and administration decisions so mutual understanding is reached at the staff level
• Organizes and conducts monthly meetings to disseminate information and to obtain input.
• Participates on various committees, department, and other appropriate meetings related to department issues.
• Informs others as needed in a clear, concise manner; selects the proper mode of communication and includes appropriate parties.
• Resolves and/or escalates issues in a timely fashion
• Verifies all written communication is grammatically correct and free of typographical errors.
• Notifies leadership promptly when problems arise. Keeps Senior Manager advised of all pertinent issues
• Maintain a client and customer focus and strive to satisfy the client and customer’s perceived needs.

• Previous Clinical Trials (Research billing and coding)
• Experience with Cerner Systems
• Experience with Oncore application
• Experience with OPTUM Encoder Pro application
• Experience with SSI (Service Solutions Inovation) Revenue Cycle application
• Experience with PFS (Patient Financial Services) workflow

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What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at [email protected]. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.