Manager Medical Billing & Coding, Acelis Connected Health
Manager Medical Billing & Coding, Acelis Connected Health
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$ 112000 - 224000
1 Vacancy
Job Description
JOB DESCRIPTION:
Working at Abbott
At Abbott you can do work that matters grow and learn care for yourself and your family be your true self and live a full life. Youll also have access to:
- Career development with an international company where you can grow the career you dream of.
- Employees can qualify forfree medical coverage in ourHealth Investment Plan (HIP) PPOmedical plan in the next calendar year.
- An excellent retirement savings plan with a high employer contribution.
- Tuition reimbursement the Freedom 2 Save student debt program and FreeU education benefit - an affordable and convenient path to getting a bachelors degree.
- A company recognized as a great place to work in dozens of countries worldwide and named one of the most admired companies in the world by Fortune.
- A company that is recognized as one of the best big companies to work for as well as the best place to work for diversity working mothers female executives and scientists.
The Opportunity
This position works out of our Livermore CA location in the Heart Failure Division.
The Manager of Medical Billing & Coding will lead the strategy operations and compliance of Acelis Connected Healths medical billing and coding functions. This role ensures accurate timely and compliant billing practices with a focus on optimizing revenue cycle performance enhancing payer-provider alignment and supporting patient satisfaction. The ideal candidate brings deep expertise in healthcare billing coding standards (ICD-10 CPT HCPCS) and payer regulations along with strong leadership and cross-functional collaboration skills.
What Youll Work On
- Act as a resource
- Demonstrates the ability to request review and code medical services from reports and notes in order to convert procedural and diagnostic notes into appropriate levels of care following coding rules and regulations.
- Ability to understand CMS NCD LCD guidelines to support coding decision making
- Identifies clinical documentation deficiencies and recommends methods for resolution that satisfy regulatory and compliance requirements.
- Performs medical chart audits meeting minimum department productivity standards.
- Exercises mature judgment and maintains confidentiality in all activities.
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
- Bachelors 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.
Learn more about our health and wellness benefits which provide the security to help you and your family live full lives:
Follow your career aspirations to Abbott for diverse opportunities with a company that can help you build your future and live your best life. Abbott is an Equal Opportunity Employer committed to employee diversity.
Connect with us at on Facebook at and on Twitter @AbbottNews.
The base pay for this position is
$112000.00 $224000.00In specific locations the pay range may vary from the range posted.
JOB FAMILY:
Accounting & Reporting
DIVISION:
HF Heart Failure
LOCATION:
United States > Livermore : 6465 National Drive
ADDITIONAL LOCATIONS:
WORK SHIFT:
Standard
TRAVEL:
Not specified
MEDICAL SURVEILLANCE:
Not Applicable
SIGNIFICANT WORK ACTIVITIES:
Awkward/forceful/repetitive (arms above shoulder bent wrists) Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day) Keyboard use (greater or equal to 50% of the workday)Abbott is an Equal Opportunity Employer of Minorities/Women/Individuals with Disabilities/Protected Veterans.
EEO is the Law link - English: EEO is the Law link - Espanol: Experience:
Manager
Employment Type
Full-Time
Key Skills
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