Coding Operations lead
Remote · Miami, Florida, United States
Job Summary
Coding Operations Lead at Gastro Health is a full-time leadership role overseeing the Coding Department, including daily supervision, workflow prioritization, training, audits, denial management, KPI achievement, and improvement initiatives. The position requires extensive healthcare billing experience, coding certifications, and supervisory capabilities, with a focus on ensuring high-quality coding, compliance, and performance metrics across a sizable provider organization.
Required Qualifications
- •More than 5 years’ experience/Seniority with healthcare billing
- •2 or more applicable Coding Certificates (CPC, COC, CRC, CPMA, CGIC)
- Associates or Bachelor’s Degree is highly preferred but experience may be substituted for education
- •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
- •5+ experience in healthcare industry and 1+ years of supervisory experience/leading a team, in Billing/Coding roles
- •Able to run open claims reports in Visiquate for coder distribution. Analyze productivity report to assure action plan and expectations are met by coding team. Responds to RCM Care Center and Internal Request smartsheet. Provides routing coder audit for quality assurance
- •Utilizes Visiquate, Power BI and reconciliation reports to upload and analyze data to align all Coding benchmarks and identify support areas and coverage
- •Extensive knowledge of patient registration, coding guidelines, billing, regulatory requirements, billing compliance
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