Job Information
LogixHealth Senior Quality Applications Manager in Bedford, Massachusetts
Location: Bedford, Ma; Hybrid; Remote in AL, FL, GA, MI, MO, NC, NH, OH, OK, TN, TX, WI, WV
This Role:
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
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 complex projects requiring multiple resources
Facilitate and attend all department related meetings
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.
Ensure cooperative team environment by:
Effectively communicating with staff about department and company initiatives
Adjusting procedures as necessary to create process efficiencies
Resolving issues among staff
Encouraging constructive feedback from staff and between team members
Uphold company mission, vision, and values
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
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
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:
Ability to learn new and existing software
Ability to understand the capabilities and limitations and integrations within the entire infrastructure of the company
Ability to work effectively on a team
Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives and propose solutions
Must possess strong interpersonal skills
Ability to communicate effectively verbally and in writing
Ability to multitask and change direction at any given time
Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedural manuals
Ability to write routine reports and correspondence
Strong computer skills including prior word processing, spreadsheet, and internet software experience
Preferred:
Prior medical Billing/Coding experience preferred
One or more years related management experience preferred
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/.
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.
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