Senior Coding Specialist

3 weeks ago


Raleigh, North Carolina, United States WakeMed Full time
About WakeMed:
As a leading healthcare provider in Wake County, WakeMed Health & Hospitals is dedicated to delivering exceptional patient care and improving the health and well-being of our community. With a rich history dating back to 1961, we continue to innovate and advance our services to meet the evolving needs of our patients.

The Role:
The Senior Coder Sr. Account Manager plays a critical role in our Corporate Coding Team, responsible for reviewing denials and appeals related to coding issues. This senior-level position requires a high degree of expertise in coding, revenue cycle management, and compliance with CMS guidelines and managed care contracts.

Key Responsibilities:
• Review daily Epic work queues and report status of inpatient and outpatient accounts trending data and predict 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 of experience in coding, inpatient or clinical-related area, and diagnosis-related group analysis.
• Bachelor's degree in Health Information Management or Associate's degree in Health Information Management or Nursing, or equivalent experience.
• Registered Health Information Administrator, Registered Nurse, or Registered Health Information Technician, and/or Certified Coding Specialist.

Work Schedule:
Monday-Friday, 8:00am-5:00pm. As needed, weekend and call requirements may apply.

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