Prism Health North Texas

Job 171541 - Medical Coding and Billing Manager
Dallas, TX

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Job Details

Location: Dallas, TX
Employment Type: Full-Time
Salary: Competitive

Job Description

Prism Health North Texas is looking for medical coding and billing manager.  Under the supervision of the Chief Financial Officer (CFO), the medical coding and billing manager oversees the Agency’s billing processes and activities to Medicare, Medicaid and commercial insurance carriers for medical services provided to patients at Prism Health North Texas’ medical clinics. Responsibilities include but are not limited to: managing revenue cycle activities, developing and implementing billing compliance process to identify potential risks, scheduling and determining the scope of internal and external audits, liaising with medical billing company, responding to billing and coding related issues, managing access to the EMR, availability and other web-portals to ensure timely retrieval and posting of EOB’s and other remittance details, monitoring and managing fee schedule to ensure fees charged are in line with market rates within the same zip code, including periodic review of fees charged compared to allowable rates for each insurance plan, responsible for the set-up of insurance plans in the EMR, including follow up with insurance carriers and signing up for electronic remittance when applicable.




A Bachelor’s degree in related field is preferred. Five years of experience in a comprehensive and specialty care environment and certification in coding and billing is required. Candidate should have experience in working with practice management software, demonstrated success and knowledge of physician reimbursement, medical terminology, ICD-10, CPT and HCPCS coding, ability to manage multiple responsibilities in a complex environment. Candidate must be able to coordinate effectively between multiple departments, have the ability to prioritize tasks and perform with little supervision, and have excellent communication skills both verbally and written. 

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