Lead Coder – Facility, Day Surgery/Observation
Advocate Aurora Health
full-time
Posted on:
Location Type: Remote
Location: Wisconsin • United States
Visit company websiteExplore more
Salary
💰 $31 - $46 per hour
Job Level
About the role
- Acts as a resource and role model to team members, which includes training/orienting, providing day-to-day work direction, and giving input on performance.
- Assigns, monitors, and reviews progress, quality and accuracy of work, monitors productivity, maintains appropriate staffing levels, directs efforts and provides guidance on more complex issues.
- Codes routine to complex procedures and diagnoses including hospital-based or surgery center surgical procedures using ICD, CPT, and HCPCS coding guidelines, procedures and protocols for government and commercial payers.
- Meets or exceeds department quality and production standards.
- Abstracts documentation to choose correct ICD, CPT, HCPCS codes according to standard coding guidelines, procedures and protocols.
- Detects, reports and acts as a resource to assist in resolving billing compliance issues.
- Responsible for processing denial management claims and addressing patient concerns.
- Coordinates payer audit reviews and acts as a resource for coding-related audits.
- Participates in various department projects including but not limited to researching new services, claim scrubbing, quality checks/assessing errors, presenting demonstrations, etc.
- Performs calibration and troubleshooting procedures and escalates unresolved issues as needed.
Requirements
- Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA)
- Advanced training beyond High School that includes the completion of an accredited or approved program in Medical Coding Specialist (or equivalent experience)
- Typically requires 7 years of experience in professional coding that includes experiences in revenue cycle processes and health information workflows or related health care leadership experience.
- Knowledgeable in researching coding related topics and issues.
- Advanced proficiency of ICD, CPT and HCPCS coding guidelines.
- Advanced knowledge of medical terminology, anatomy and physiology.
- Excellent computer skills including the use of Microsoft office products, electronic mail, including exposure or experience with electronic coding systems or applications.
- Excellent analytical skills, with a high attention to detail.
- Ability to meet deadlines while working in a fast-paced environment.
Benefits
- Paid Time Off programs
- Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD codingCPT codingHCPCS codingmedical codingdenial managementbilling compliancerevenue cycle processeshealth information workflowsquality checksanatomy and physiology
Soft Skills
leadershiptrainingperformance evaluationanalytical skillsattention to detailproblem-solvingcommunicationtime managementteam collaborationadaptability
Certifications
AAPC certificationAHIMA certificationMedical Coding Specialist certification