Senior Coding Manager

1 day ago


Raleigh, North Carolina, United States WakeMed Full time
Job Title: Coder Sr. Account Manager

About WakeMed

Serving the community since 1961, WakeMed Health & Hospitals is a leading provider of health services in Wake County.

Job Summary

The Coder Sr. Account Manager serves as the senior member of the Corporate Coding Team, responsible for reviewing denials and appeals for coding-related issues. This role requires expertise in revenue cycle CMS guidelines, managed care contracts, and LCDs. The successful candidate will perform coding, DRG assignment, collection of predefined indicators, and abstracting medical records.

Key Responsibilities

  • Review daily Epic work queues and report status of inpatient and outpatient accounts trending data and predicting fluctuations in A/R for both inpatient and outpatient accounts.
  • Perform coding, DRG assignment, collection of predefined indicators, and abstracting medical records.
  • Review SMART accounts on a daily basis as assigned.

Requirements

  • 5 Years Coding - Inpatient Or 5 Years Clinical - Related Area And Diagnosis-Related Group Analysis Required
  • Bachelor's Degree Health Information Management Or Associate's Degree Health Information Management Or Associate's Degree Nursing Or Bachelor's Degree Nursing With Equivalent Experience Or Related Certification Required
  • Registered Health Information Administrator Or Registered Nurse Or Registered Health Information Technician And/Or Certified Coding Specialist Required

Work Schedule

Monday-Friday 8:00am-5:00pm

Weekend and Call Requirements

As Needed

None



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