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 are your partner in health devoted to building a healthier community. 
 
If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. 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.

In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics.

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.

Remote Type:

Hybrid

Employment Type:

Employee

Employment Classification:

Regular

Time Type:

Full time

Work Shift:

1st Shift (United States of America)

Total Weekly Hours:

40

Additional Locations:

Job Information:

*Local candidates preferred - must have ability to be onsite as needed.

Job Summary:

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 Required:

Required Experience: 

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, or 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: 

Bachelor’s or Associate’s degree in applicable field or 7+ years of relevant experience.

Training / Certification / Licensure: 

Certification as a CPC required, CCS-P considered

RHIA/RHIT certification or eligibility a plus.

Annual Salary: $101,571 - $167,442 The actual salary/rate will vary based on applicant’s experience as well as internal equity and alignment with market data.

This position is eligible to participate in one of Virtua’s annual incentive compensation plan (AICP). The amount is subject to the terms and conditions of the plan document. Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies.

For more benefits information click here.