Coding Coordinator

Highmark Health; Northern (KY); Hybrid; USD 33,000 - 51,000; Full time

Job summary

Allegheny Health Network seeks a Coding Management professional to support coding and charging activities, including vendor communications, Epic work queues, and updates to coding procedures. You will collaborate with Epic analysts and the 3M encoder to ensure accurate billing and timely denials management.

The role emphasizes data-driven improvements, dashboard reviews, and cross-department collaboration to resolve documentation gaps and maintain compliant, efficient billing workflows across

Qualifications

• Minimum 3 years advanced knowledge of billing and coding workflow, procedures, and departmental processes

Responsibilities

• Reviews dashboards and reports to identify needs for coding leadership.
• Escalates items based on fluctuating work queue needs.
• Processes, records, and trends data.
• Monitors, triages, enters and tracks IT tickets.
• Coordinates with other departments to resolve missing documentation and ensure timely billing of visits.
• Performs other duties as assigned or required.

Skills

Billing & Coding Workflow

Epic

3M Encoder

Excel

Tools

Epic

3M Encoder

Excel

Job description

Company : Allegheny Health Network Job Description

Under minimal supervision assists Coding Management in coordinating coding and charging activities within the scope of the coding Department including: day-to-day communication with vendors, managing Epic work queues, investigating and completing coding updates and corrections, coordinating appeals, denials, and rebills, creating and maintaining complex Excel worksheets. Serves as the HIM Epic Super-user for coding, and works closely with Epic analysts to support coding and charging workflows, integrated 3M encoder, testing and upgrades.

ESSENTIAL RESPONSIBILITIES

• Reviews dashboards and reports, to identify and report needs to coding leadership. (30%)
• Continually assesses and monitors work queues to identify fluctuating needs. Escalates items based on what was identified. (30%)
• Processes, records, and trends data. (10%)
• Monitors, triages, enters and tracks IT tickets. (15%)
• Coordinates with other departments to resolve missing documentation and ensure timely billing of visits. (5%)
• Performs other duties as assigned or required. (10%)

QUALIFICATIONS

• Minimum 3 years advanced knowledge of billing and coding workflow, procedures, and departmental processes

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range

Pay Range Minimum: $23.73 Pay Range Maximum: $37.14 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at [e-mail]. California Consumer Privacy Act Employees, Contractors, and Applicants Notice Highmark Health is a national, blended health organization that includes one of America’s largest Blue Cross Blue Shield insurers and a growing regional hospital and physician network. Based in Pittsburgh, Pa., Highmark Health’s 35,000 employees serve millions of customers nationwide through the nonprofit organization’s affiliated businesses, which include Highmark Inc., Allegheny Health Network, HM Insurance Group, United Concordia Dental, HM Health Solutions and HM Home & Community Services. Highmark Health’s businesses proudly serve a broad spectrum of health-related needs including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative, technology solutions.