Manager Medical Billing & Coding, Acelis Connected Health

Coding and compliance

• Assure compliance with ICD-10-CM/PCS and CPT-4 rules and guidelines as well as facility specific requirements.

• Implement CMS and the Correct Coding Initiative Guidelines (CCI)

• Identify areas of potential coding, billing and documentation deficiencies.

• Provide suggestions to resolve areas of deficiencies to management.

• Identify areas of potential Compliance risk and notify management immediately.

• Ensures the accuracy of all work and strives to achieve 100% accuracy.

• Identifies anomalies in coding and fixes them immediately.

• Identifies ways to avoid errors and issues and creates safeguards to prevent them from happening again.

• Support commercial and IT teams with coding guidance and handhold Change management processes.

Data collection and reporting

• Demonstration of strong knowledge of coding software, databases used by Abbott

• Continually strives to increase knowledge of electronic data systems and reporting tools to enhance value.

• Designing and development of special reports within a specified timeframe.

• Participation in job related conferences, seminars and workshops.

• Review of various coding publications for changes and relay information to pertinent parties.

• Maintains average Billing lag days of 7 days of less.

Data entry

• Verifies that each charge contains the necessary charge elements on EMR and Sales Force

• Special Projects - participates in projects that improve department production and/or efficiency.

• Identifies and trends errors.

• Ensures all charges are entered correctly and accounted for.

• Be able to perform charge entry and all others charge related procedures.

General support

• Perform other duties as assigned.

• Process improvement

• Independently researches coding questions, documents findings, makes recommendations and provides documentation that supports the recommended solutions.

• Provides professional and courteous support to Revenue cycle and commercial teams through email, phone and in-person contact, answering questions and providing supporting documentation.

• Provides timely and accurate answers to inquiries presented by customers on clinical coding issues.

• Maintain a positive attitude and productive relationship with peers, physicians, coworkers and management.

• Provides updates and status reports to management.

• Participates in coding/auditing discussions to ensure that the best practice efforts and processes are followed to allow for maximum reimbursement through appropriate coding.

Required Qualifications

• Minimum 7 years in Revenue Cycle Management

• Experienced in change entry and coding

• Active coding certification

Preferred Qualifications

• Bachelor’s degree in healthcare administration, Business, or related field
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required.
• 7+ years of progressive experience in medical billing and coding
• Strong knowledge of healthcare reimbursement, payer policies, and regulatory compliance.
• Experience with electronic health records (EHR), billing software, and revenue cycle management tools.
• Excellent communication, analytical, and problem-solving skills.