Advocate Aurora Health

We help people live well. We’re proud to be part of Advocate Health.

Lead Coder – Facility, Day Surgery/Observation

Medical Billing and CodingMedical Billing and CodingFull TimeRemoteTeam 10,001+H1B No SponsorCompany SiteLinkedIn

Location

Wisconsin

Posted

56 days ago

Salary

$30 - $46 / hour

Professional Certificate7 yrs expEnglish

Job Description

• 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.

Job 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

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