Director Medical Group Coding - CPC Required

Director Medical Group Coding - CPC Required

At Virtua Health, we exist for one reason – to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that’s wellness and prevention, experienced specialists, life‑changing care, or something in‑between – we’re your partner in health devoted to building a healthier community.

We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet‑recognized health system ranked by U.S. News and World Report, we’ve received multiple awards for quality, safety, and outstanding work environment.

Location

100% Remote. Currently Virtua welcomes candidates for 100% remote positions from AZ, CT, DE, FL, GA, ID, KY, MD, MO, NC, NH, NJ, NY, PA, SC, TN, TX, VA, WI, WV only.

Employment Type

Full‑time Employee Regular 40 hrs / week 1st Shift Remote.

Job Summary

Plans, directs, organizes, controls, and oversees all daily functioning of the Virtua Medical Group Coding Department. Duties include ensuring ethical, accurate, and compliant coding for VMG, keeping unbilled accounts under acceptable levels to support A / R, development of compliance and education programs, and oversight and engagement of staff. Responsible for workflow design, as well as formulation of and adherence to policies and procedures. Identifies process opportunities to enhance coding and reimbursement. Serves as a liaison to the Virtua Medical Group clinicians, practice operations team, billing staff, and administration.

Position Responsibilities

Plans and directs daily functions of the VMG Coding Department. Ensures compliance with federal, state, and payer requirements. Ensures ethical and accurate coding, as well as review of provider assigned codes. Responsible to maintain A / R at an acceptable level and determine remediation plans for backlogs or workload increases.

Develops and maintains quality, productivity, and workflow standards within VMG’s coding department. Identifies opportunities for enhancement of coding processes and develops workflow to support improvements. Ensures appropriate use of technology to support best practices.

Human resource management : Interviews, hires, trains, coaches, counsels, disciplines, terminates, evaluates coding managers. Mentors coding managers, focusing on improving their leadership, communication, decision‑making, and problem‑solving skills. Recognizes managers and staff. Performs payroll and associated functions.

Develops and implements training plans for providers and coding staff and ensures proficiency. Provides clear instruction and ensures staff accountability and adherence to established standards.

Develops compliance and audit plans and is responsible for implementing these plans, using a mixture of internal and external audits. Plans and directs the annual external audit process to ensure all clinicians who bill under the VMG tax ID number (TIN) are audited and receive coding education annually. Ensures ongoing audits of provider coding and establishes appropriate feedback mechanisms for providers, resulting in continuous quality improvement.

Monitors coding‑related denials and actively determines causal trends. Translates those trends into operational changes for coding department as needed. Ensures best practice to proactively work through denial trends.

Establishes and maintains productive relationships and communication with all providers and clinicians, as well as practice management and billing department. Offers suggestions for recommendations for resolution of problems and open issues. Collaborates with external colleagues to learn best practice and ensure Virtua is at the forefront for coding practice.

Develops and operates within budgetary guidelines and is able to justify and explain variances. Thoroughly reviews financial statements and identifies ways to decrease cost and maximize performance. Recommends new revenue sources as appropriate.

Position Qualifications

Expert knowledge of professional fee coding required (ICD‑10, CPT, HCPCS, and other reimbursement methodologies), including compliance and audit requirements.

5 years of supervisory experience preferred. 7+ years of coding experience required.

Excellent organizational, communication, and customer service skills.

Ability to utilize Information Systems, including electronic health records, effectively.

Ability to make sound decisions independently and provide guidance.

Required Education

High School Degree required. Associate’s or Bachelor’s degree in applicable field preferred.

Training / Certification / Licensure

Certification as a CPC required. CCS‑P considered.

RHIA / RHIT certification or eligibility a plus.

Compensation & Benefits

Annual Salary : $101,571 - $167,442 (actual salary / rate will vary based on applicant’s experience and internal equity). Eligible for Virtua’s annual incentive compensation plan (AICP). Virtua offers a comprehensive package of benefits for full‑time and part‑time colleagues, including medical, prescription, dental, vision insurance; health and dependent care flexible spending accounts; 403(b); paid time off, paid sick leave, short‑term disability, long‑term disability, life insurance, supplemental life, AD&D; tuition assistance; employee assistance program.

For more benefits information click here.

EEO Statement

Virtua Health is an Equal Opportunity Employer and complies with affirmative action and non‑discrimination laws.

#J-18808-Ljbffr