WakeMed Health & Hospitals

About WakeMed: Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org. EOE Position Information: The Coder Sr., Account Manager serves as the senior member of the Corporate Coding Team by reviewing denials and appeals for coding related issues. 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. Experience Requirements: 5 Years Coding -...

About WakeMed: Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org. EOE Position Information: The Revenue Integrity Coder collaborates with various departments within the organization - Health Information Management, Revenue Cycle, Patient Access, Case Management. Understanding of the Chargemaster assists to streamline processes. Addresses claim edits daily related to NCDs, LCDs, CCI edits, Medicare and various payer guidelines. Maintains a vast knowledge of coding rules/regulations surrounding ICD-10-CM/PCS, DRGs, APCs, CPT, HCPCS. Utilizes AHA Coding Clinic, AMA CPT Assistant, AHA Coding Clinic for HCPCS, and Payer Specific Billing Guidelines. Applies E&M level services. Works efficiently within EPIC, 3M...

About WakeMed: Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org. EOE Position Information: The Coder I, Outpatient is responsible for coding ED records and PET scans. Collects predefined indicators and abstracts information from medical records. Provides timely and accurate ICD-10-CM and CPT codes for reimbursement and specific information for statistical purposes. Remains current with recognized resources - AHA Coding Clinics and CPT Assistant. Codes discharges utilizing the 3M encoder selecting the appropriate APC if applicable for reimbursement. Verifies LCDs for medical necessity. Communicates with physicians and clinical staff regarding coding and documentation issues. Experience Requirements: 1 Year...