LogixHealth Senior Manager, Coding Quality in Bedford, Massachusetts
LogixHealth, located in Bedford, MA, provides physician-inspired services and technology that result in smarter healthcare. In order to attain our vision, we need the best and most inspired team members. We're looking for people with a high level of intellectual curiosity and drive who always ask "why" and "how can we do it smarter."
Participates in the development of education and assists LogixHealth with implementing the goal to deliver an educational experience that is complete, concise and provides an exceptional product to our clients.
Duties and Responsibilities
Develop, train and audit coders on ED pro /facility coding as it relates to coding philosophy
Provide auditing support for new coders and deliver results back to Coding team for education of coders
Approve coders to transition to the live production environment once they meet our quality and quantity standards
Monitor E/M distribution shifts, schedule audits to determine root cause and provide a meaningful analysis
Direct the offshore compliance auditors
Complete quarterly compliance audits for clients
Facilitate responses to client audits (compliance, third party, etc.)
Join client calls to respond to client?s questions as it pertains to the quality of coding
Assist with training and development of CQ team members
Monitor and track accuracy of internal quality audits from each of our partners
Manage new client Quality Reviews
Assist in development of new and updated educational opportunities for the coding staff
Uphold company mission, vision and values
Comply with all State and Federal Laws regarding an effective Compliance Program inclusive of HIPAA Privacy and Security
Adhere to the Code of Conduct and be familiar with all compliance policies and procedures stored in LogixGarden relevant to this position
Ensure departmental employees follow the Code of Conduct, compliance policies and procedures
Administer the appropriate sanction when an employee violates a compliance policy or procedure
To perform this job successfully, an individual must be able to perform each duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities perform the duties.
Education (Degrees, Certificates, Licenses, Etc.)
Bachelor?s degree or certification or equivalent combination of education and experience.
Prior word processing, spreadsheet and internet software experience including proficiency with MS Excel and MS Word required.
Prior Emergency Department specific coding background with a familiarity of different types of chart constructs is preferred.
Specific Job Knowledge, Skill and Ability
Ability to organize and prioritize information with a strong attention to detail
Ability to facilitate the education opportunities for established coders
Ability to work with several new coders at the same time
Ability to assess/evaluate skills for many aspects of coder education
Ability to multi-task and remain calm in a stressful fast paced environment
Ability to identify and solve problems
Ability to be flexible and possess a positive attitude while viewing problems as an opportunity for improvement
Ability to communicate effectively verbally and in writing
Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedural manuals
Ability to write routine reports and correspondence
Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form
Ability to deal with problems involving several concrete variables in standardized situations
Specific vision abilities required by this job include close vision
Ability to sit for prolonged periods of time, use hands, talk, hear and occasionally walk and reach with hands or arms