Lead, Facility Coding Services

AcclaraRemote, United States


Description

Hey there! We’re Acclara. 

As a remote-first workforce with team members in all 50 states, we’re a unique group of strategists, technologists, and service providers—all united in serving our partners to deliver the best care to their patients, helping build even healthier communities for us all to live and work in. 

We bring our one-of-a-kind selves to work each day, and we welcome (and want) you to do the same. Coffee connoisseurs, moms and dads, runners, animal lovers, adventurists—the list goes on—we all came to make a difference, and we stay because we’ve found a place where we don’t have to do it alone. 

Our team’s work is fueled by our CORE values of Commitment, Outcomes, Respect, and Empowerment. They’re the “how” behind what we do, guiding our actions as we aim to change the way technology and services come together. 

The Role 

Under the directions of the Coding Services Supervisor and Manager, this position will be responsible for CPT and ICD-10 coding and ensuring accuracy and maximum reimbursement. This position is also responsible for assisting with new hire training and mentoring of employees under their assigned team(s).  

What You’ll Do 

  • Review and evaluate patient medical records to accurately assign diagnosis codes, procedure codes and modifiers with a focus on specialty coding and/or hospital/facility coding of higher complexity 
  • Analyzes documentation to identify any documentation deficiencies which may impact coding 
  • Contacts clients and/or submits compliant queries, as appropriate, when documentation in the medical record is inadequate, ambiguous, or unclear for coding purposes 
  • Enter coded charges into various host systems for claim billing purposes 
  • Performs advanced coding functions in the clinic and/or hospital setting 
  • Monitors regulatory and payer changes as they apply to diagnostic and procedure coding 
  • Researches and resolves coding related system edits, payer rejections and insurance denials 
  • Identify system edit, payer rejection and insurance denial trends for client policy and procedure improvement.  
  • Participates in reviewing, developing, implementing, and delivering, as appropriate:  
    • Programs for coding compliance monitoring  
    • Criteria for benchmark comparisons  
    • Organization’s policies and procedures  
    • Providers clinical documentation improvement   
    • Reports and applications supporting HCC/Risk Adjustment program 
    • Onboarding new coders 
    • Mentoring and partnering with other coders who may need additional education, monitoring and/or support 
    • Train and mentor new and current employees 
  • In addition to the above, actively participates in Quality Review 
    • Leadership presence in special huddles related to coding accuracy improvement 
    • Supports the mission of compliance-related activities in a positive and professional manner 
    • Assists with development and presentation of coding compliance activities in a manner that appropriately represents Tegria and our dedication to quality coding 
  • Develops action plans as necessary to resolve knowledge gaps with employees or to address the implementation of new service offerings or code changes 
  • Attends and participates appropriately in client and provider meetings when requested 
  • Maintains up to date knowledge of the current changes of coding practices by continuing education and reading resource material 
  • Cooperates fully in all risk management and compliance activities and investigations for purposes 
  • Assist with special projects and reporting 
  • Other duties as assigned     

  

What We’re Looking For 

  • High school diploma or equivalent  
  • 5+ years coding experience required in clinic and/or hospital/facility coding 
  • Nationally recognized coding credential including, but not limited to CPC, COC, CCS,    CCS-P, RHIA or RHIT through AHIMA/AAPC 
  • Advanced understanding of ICD-10, CPT (including E/M leveling), HCPCS, modifiers, medical terminology, and anatomy & physiology 
  • Possess strong written and verbal communication skills to communicate effectively with stakeholders at all levels of the organization 
  • Ability to work under general supervision in a fast-paced environment and handle multiple tasks, work with interruptions, and deal effectively with confidential information 
  • Possess excellent telephone etiquette, presentation skills and problem resolution skills 
  • Computer skills including Microsoft Office Suite  
  • Must be highly organized and detail-oriented 
  • Understands fully the requirements to meet HIPPA regulations.  Must treat all patient information and data with complete confidentiality and take all precautions to secure this information   

  

How We Take Care of Our Team Members 

  • Remote-first workplace, with opportunities to work on-site in certain locations
  • Comprehensive medical, dental, and vision coverage
  • Parental leave
  • 401K with company match
  • Company-paid life insurance, short-term disability, and long-term disability
  • Paid time off and holidays

Pay Range: $16.33 - $36.00 

This compensation range is a reasonable estimate that extends from the lowest to the highest pay Acclara in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Acclara may ultimately pay more or less than the posted range as permitted by law. 

Diversity, Equity, and Inclusion Matter 

At Acclara, you’re invited to bring more of yourself to work—not less. Your background, your culture, and your personal experiences are all important pieces of the authentic you, and we honor that. Connection is created when we show up. 

Acclara, an R1 company, is dedicated to the fundamentals of equal employment opportunity. Acclara’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, Acclara is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories. 

If you need reasonable accommodation due to a disability for any part of the interview process, please contact [email protected]. 

Visa Sponsorship is not available at this time. 

CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights: California Consent