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Medical Coding Operations Manager- Clinical Trials

Company: Guidehouse
Location: Remlap
Posted on: June 25, 2022

Job Description:


Guidehouse is a leading global provider of consulting services to the public sector and commercial markets, with broad capabilities in management, technology, and risk consulting. By combining our public and private sector expertise, we help clients address their most complex challenges and navigate significant regulatory pressures focusing on transformational change, business resiliency, and technology-driven innovation. Across a range of advisory, consulting, outsourcing, and digital services, we create scalable, innovative solutions that help our clients outwit complexity and position them for future growth and success. The company has more than 12,000 professionals in over 50 locations globally. Guidehouse is a Veritas Capital portfolio company, led by seasoned professionals with proven and diverse expertise in traditional and emerging technologies, markets, and agenda-setting issues driving national and global economies. For more information, please visit .

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.Job Description/Responsibilities: ---- Monitors 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. --- Manages back office IDX Transaction editing system (TES) and Service Solutions innovations (SSI) healthcare revenue cycle edits--- Coordinates and works 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--- Maintains and submits 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.--- Assesess 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--- Completes human resource paperwork accurately and timely.--- Manages time and attendance for department (i.e. ADP and/or Kronos) --- Identifies FTE requirements to ensure appropriate staffing levels are maintained. --- Maintains and creates 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--- Maintains a client and customer focus and strive to satisfy the client and customer's perceived needs. -

---- High School diploma or equivalent. --- Five years managerial or directly related experience. --- Strong management, organizational, communication and leadership skills are necessary.--- Certified Professional Coder AAPC (CPC) or AHIMA (CCS-P).or ability to sit for CPC exam--- Previous coding experience is required, multispecialty.--- Previous Clinical Trials (Research billing and coding) experience a plus.--- Proficient computer skills - - -Preferred: ---- 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 -
Additional Requirements

-The successful candidate must not be subject to employment restrictions from a former employer (such as a non-compete) that would prevent the candidate from performing the job responsibilities as described. -Due to our contractual requirements, to be eligible for this role, you must be fully COVID-19 vaccinated at time of hire.

About GuidehouseGuidehouse -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 -. 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. -Rewards and BenefitsGuidehouse -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 InsurancePersonal and Family Sick Time & Company Paid HolidaysPosition may be eligible for a discretionary variable incentive bonusParental Leave and Adoption Assistance401(k) Retirement PlanBasic Life & Supplemental LifeHealth Savings Account, Dental/Vision & Dependent Care Flexible Spending AccountsShort-Term & Long-Term DisabilityTuition Reimbursement, Personal Development & Learning OpportunitiesSkills Development & CertificationsEmployee Referral ProgramCorporate Sponsored Events & Community Outreach#Indeedsponsored

Keywords: Guidehouse, Birmingham , Medical Coding Operations Manager- Clinical Trials, Executive , Remlap, Alabama

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