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Senior Coding Manager

2 months ago


Raleigh, North Carolina, United States WakeMed Full time
About the Role

The Senior Coding Manager serves as the senior member of the Corporate Coding Team by reviewing denials and appeals for coding related issues. This role is responsible for reviewing daily Epic work queues and reporting status of inpatient and outpatient accounts trending data and predicting fluctuations in A/R for both inpatient and outpatient accounts.

Key Responsibilities
  • Reviews daily Epic work queues and reports status of inpatient and outpatient accounts trending data and predicting fluctuations in A/R for both inpatient and outpatient accounts.
  • Knowledgeable of the revenue cycle CMS guidelines managed care contracts and LCDs.
  • Performs the function of coding DRG assignment collection of predefined indicators and abstracting medical records.
  • Reviews 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 Environment

This role is Monday-Friday 8:00am-5:00pm with weekend requirements as needed.