Remote Risk Adjustment Coder Jobs in Algonquin, IL

Location: Chicago, Illinois

Business Unit: Rush Medical Center

Hospital: Rush University Medical Center

Department: Medical Records

Work Type: Full Time (Total FTE between 0. 9 and 1. 0)

Shift: Shift 1

Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM)

Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).

Pay Range: $38.02 - $61.88 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.

Summary:
The coding manager, working in a remote environment will lead a coding team to promote accuracy and appropriate reimbursement. This leader promotes a positive culture, efficiency and the use of Epic automation and ancillary coding software solutions. The manager will exemplify the Rush mission, vision and values and act in accordance with Rush policies and procedures.

Other information:
Required Job Qualifications:
• Associate degree in health information technology, healthcare management, nursing, finance, or other related fields or 5 years of industry experience in lieu of a degree
•AHIMA or AAPC Certification (such as CCS, CCA, CPC, COC, CPMA, RHIT or RHIA)
•Five years of experience with coding in hospital (HB) or professional (PB) Epic work queues, along with ICD-10/CPT/HCPCS codes, Modifiers, NCCI edits, and compliant coding methodologies
•Experience with Epic reporting and dashboards
•Demonstrated ability to communicate clearly and effectively
•Proficient in Microsoft Office, Excel, PowerPoint, and Word skills
•Strong interpersonal skills necessary for the communication and training of Revenue Integrity concepts
•Ability to perform multiple tasks with excellent time management skills
Preferred Job Qualifications:
Bachelor's Degree
Leadership or Supervisor Experience
Epic Certified
Physical Demands:
Disclaimer: The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.

Responsibilities:
1.Lead and manage coding staff members and act as a coding resource for the team’s work of connecting the Epic work queue edits, revenue codes, modifiers, ICD-10, CPT/HCPCS, and other codes, with clinical documentation, to ensure accurate coding.
2.Improve revenue results and ensure adherence to federal state and payor regulations while driving compliance by ensuring the team has accurate work, optimizing the Epic automation functionality, charging and coding regulations are applied, and the middle revenue cycle initiatives are carried out per the revenue cycle goals and KPI’s
3.Strategically assign ownership of work queues and ensure cross-training occurs to expand organizational goals and personal growth of staff members.
4.Facilitate accurate charging related to codes
5.Build relationships within the revenue cycle, compliance, ancillary departments, clinical areas, vendors, and consultants of the organization that serve as mutually beneficial partnerships to ensure revenue cycle goals are achieved
6.Keeps abreast of changing industry and regulatory requirements and communicates changes to impacted leaders, staff, and provides training
7.Identify and trouble-shoot coding, reimbursement, quality, or clinical documentation issues, collaborate with ancillary departments and Epic build team to resolve, maintain a record of issues, and communicate solutions and improvements
8.Identify trends and lead performance improvement efforts through multi-disciplinary teams to streamline processes, enhance coding automation, train staff, and promote accuracy
9.Responsible for implementing short and long-term plans and objectives within set deadlines to ensure compliant coding practices, ensure claims timely filing, & reduce denials
10.Develop, update and implement job standards, job duties, job aids, departmental policies, and performance appraisals for all areas of responsibility. Engages in development and growth of self and the team
11.Collect, interpret, and communicate performance data using various tools and systems, while also using this data to make decisions on how to achieve performance and budgetary goals
12.Responsible for interviewing, hiring, orienting new team members (staff & temp), staffing, performance management and development of staff. Counsel and disciplines employees, when necessary, in accordance with department and/or organizational policies. Maintains staff schedules, timecards, and payroll with fiscal responsibility.
13.Prepares monthly analytics reports, dashboards information, and other statistics along with assisting in strategic planning
14.Facilitate a positive culture that exemplifies growth-minded practices, leadership, and industry-best practices

Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.