Medical Coder Sr. Account Manager

TEKsystems - Raleigh, NC

Full-time - Mid Level

Raleigh, NC

10,001+ employees

Professional, Scientific, and Technical Services

About the position

The Account Manager position within the Corporate Coding Team focuses on reviewing denials and appeals related to coding issues. This role involves analyzing daily work queues, predicting fluctuations in accounts receivable, and ensuring compliance with revenue cycle guidelines. The Account Manager will also be responsible for coding assignments and managing communication with payors.

Responsibilities

• Review denials and appeals for coding related issues.
• Analyze daily Epic work queues and report status of inpatient and outpatient accounts.
• Predict fluctuations in accounts receivable for both inpatient and outpatient accounts.
• Perform coding DRG assignment and abstract medical records.
• Review SMART accounts daily as assigned.
• Email payors and send letters regarding coding issues.

Requirements

• 5 years of coding experience in inpatient or 5 years in a clinical-related area with diagnosis-related group analysis.
• Bachelor's degree in Health Information Management or Nursing, or an Associate's degree with equivalent experience, or related certification.
• Registered Health Information Administrator, Registered Nurse, Registered Health Information Technician, and/or Certified Coding Specialist.

Nice-to-haves

• Billing experience in a hospital setting.
• Knowledge of inpatient and outpatient coding, including DRG, denials, claims, and appeals.