Responsibilities
- Sends clinical queries to providers and delivers documentation feedback; collaborates with compliance leadership on coder and physician education initiatives.
- Serves as a resource for inpatient coders and supports onboarding of new staff; conducts regular and unscheduled coding audits.
- Monitors and resolves billing edits in Epic and responds to appeals to support timely and accurate claim submissions.
- Reports to supervision on unresolved physician documentation gaps and workflow-impacting issues.
- Manages Epic work queues to track dropped encounters and prepares coding topics for team meetings.
- Acts as lead coder, covering shifts across multiple hospital divisions; reviews clinical records to assign correct CPT and ICD-10 codes.
- Maintains active coding certification through ongoing education and compliance.
- Designs and executes workflows for claims intake through to payment processing.
- Collaborates with team members to assess project requirements, budget needs, and implements process improvements.
- Oversees scheduling and operational processes to ensure claims are tracked and resolved efficiently.
- Analyzes claims data and process workflows; organizes and leads training related to procedural updates.
- Serves as point of contact between internal teams and external entities including vendors and professional associations.
- Supports testing for projects, reviews outcomes, and provides administrative assistance as needed.
- Creates and maintains contact lists, mailing distributions, and filing systems.
- Provides front-desk coverage, answers calls, and handles document distribution when required.
Benefits
- Up to 22 days of vacation annually, plus 10 official holidays and accrued sick leave.
- Comprehensive health insurance plans offering preferential access and reduced out-of-pocket costs.
- Eligible employees receive a free Metro transit U-Pass at no cost.
- Retirement savings plan (403(b)) with combined employer and employee contributions starting at 7%.
- Access to wellness programs, mental health support, financial counseling, health screenings, and employee assistance services.
- Four weeks of paid caregiver leave for new parents; resources available for childcare and adult care needs.
- Tuition coverage for employees and dependents, including full undergraduate tuition at the institution and partial reimbursement elsewhere after seven years.
Work Arrangement
Remote (Worldwide)
Benefits
- Up to 22 days of vacation annually, plus 10 official holidays and accrued sick leave.
- Comprehensive health insurance plans offering preferential access and reduced out-of-pocket costs.
- Eligible employees receive a free Metro transit U-Pass at no cost.
- Retirement savings plan (403(b)) with combined employer and employee contributions starting at 7%.
- Access to wellness programs, mental health support, financial counseling, health screenings, and employee assistance services.
- Four weeks of paid caregiver leave for new parents; resources available for childcare and adult care needs.
- Tuition coverage for employees and dependents, including full undergraduate tuition at the institution and partial reimbursement elsewhere after seven years.
