Shire Jobs

  Location: Bedford, MA; Remote in AL, GA, MI, MO, NC, OH, OK, TN, TX, WI, and WV

This Role:

As the Senior Operations Manager in the Coding Quality department, you will manage and monitor projects and operations to support interdepartmental goals.

Key Responsibilities:

• Working through coding and denial trends found by the partner teams and internal teams

• Research projects for escalated coding/billing related concerns and communicate policies, concerns, etc. between departments and coding teams

• Review and monitor team performance and ensure workflows are being followed

• Monitor team dashboards/reports; plan, organize, and direct completion on specific projects

• Look into coding related issues and research further for updates on procedures and policies

• Research into payer rules and regulations for provider related guidelines

• Help support different teams including coding, billing, and revenue integrity in all areas including client audits and concerns, coder audits, billing trends, etc.

• Proactively monitor company policies and address transgressions appropriately

• Monitor and enforce compliance with all pertinent local, state, and federal laws and regulations relating to operations and employment

  Qualifications:

  To perform this job successfully, an individual must be able to perform each Key Responsibility satisfactorily. The following requirements are representative of the knowledge, skills, and/or ability required to perform this job successfully. Reasonable accommodation may be made to enable individuals with disabilities to perform the duties.

  Required:

• Prior medical coding or billing experience; coding certification

• Proficiency with MS 365 including Teams, Word, Excel, and Outlook

• Strong interpersonal skills

• Ability to learn new and existing software

  Preferred:

• One or more years related management experience

• Ability to understand the capabilities and limitations of integrations within the entire infrastructure of the company

• Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives and propose solutions

  Benefits at LogixHealth:

  We offer a comprehensive benefits package including health, dental and vision, 401(k), PTO, paid holidays, life and disability insurance, on-site fitness center and company-wide social events.

  About LogixHealth:

  At LogixHealth we provide expert coding and billing services that allow physicians to focus on providing great clinical care. LogixHealth was founded in the 1990s by physicians to service their own practices and has grown to become the nation’s leading provider of unsurpassed software-enabled revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for clients in 40 states.

  Since our first day, we have had a clear vision of a better healthcare system and have continually evolved to get there. In addition to providing expert revenue cycle services, we utilize proprietary software to provide valuable financial, clinical, and other data insights that directly improve the quality and efficiency of patient care.

  At LogixHealth, we’re committed to Making intelligence matter through our pillars of Physician-Inspired Knowledge, Unrivaled Technology and Impeccable Service.

  To learn more about us, visit our website https://www.logixhealth.com/.  

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