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Wellstar Health System · 5 hours ago

Lead Coder-Professional Services WMCG

Augusta, GA

Full-time

Hybrid

Mid, Senior Level

4+ years exp

Wellstar Health System is dedicated to enhancing the health and well-being of every person they serve. The Lead Coder-Professional Services is responsible for overseeing the coding operations, training staff, and ensuring compliance with coding standards while providing support to both onsite and remote coders.

FitnessHealth Care

H1B Sponsor Likely

Responsibilities

Assists in the day-to-day operation of the department, in addition to performing front line coding for either the Non-Surgical or Surgical Coding section within the Professional Services Coding and Compliance Department

Coordinates schedules and distributes work for up to 26 professional coders who work on site and remotely

Serves as a resource for front line coders specifically related to operations issues, including being a superuser for coding applications

Develops and maintains a detailed understanding of the complete billing process to include both the technical and professional component

Maintains working knowledge of GE Healthcare (IDX), Healthquest, and Cerner Powerchart

Assists the Coding Education Specialist with conducting quality audits of coded services by the coding staff

Ensures staff is coding properly and maintaining industry standard productivity

Assists with developing and maintaining departmental policies and procedures

Assists in training all incoming coding staff as well as assists staff with coding questions when guidance is needed

Provides monthly feedback to Coding Education Specialist regarding coding staff accuracy, productivity, and coding/educational needs

Manages and maintains coding review backlog and work files to within 3 days of documentation completion

Assists in the review and analysis of the documentation and coding patterns of providers

Updates billing forms timely with all current code sets for CPT, HCPCS, and ICD-10

Maintains current billing requirements of all carriers to determine when a service is billable and how it should be billed appropriately for maximum reimbursement

Maintains a close working relationship with the Revenue Cycle Management Team

Assists with identifying billing concerns that must be corrected and reported to the AU Medical Associates Compliance Office

Analyzes available monthly denial reports

On a monthly basis, trends performance of the various billing areas and presents results to Coding Education Specialist

Assists Coding Education Specialist with providing denial trends to Physicians

Maintains industry standard compliant coding and billing knowledge to include federal and state regulations

Assists the Coding Education Specialist with disseminating information to staff

Performs other duties as assigned

Complies with all Wellstar Health System policies, standards of work, and code of conduct

Qualification

CPC certificationCCS certificationRHIA certificationRHIT certificationInterventional procedures experienceSurgical procedures experienceMedical terminologyThird-party reimbursementHandle multiple projectsMeet deadlinesAssign prioritiesBilling laws

Required

High School Diploma General or GED General

CPC - Cert Prof Coder or CCS - Cert Coding Spec or RHIA - Reg Health Information Admin or RHIT - Reg Health Information Tech

Minimum 4 years Interventional and Surgical procedures related experience

Previous third-party reimbursement experience High

Proven experience with coding and medical terminology High

Knowledge of state and federal laws pertaining to the billing and collection of patient accounts High

Must have ability to handle multiple projects, meet deadlines, and assign priorities High

Preferred

Bachelors Health Information Management

CPB and CPMA through AAPC within 1 Year

Company

Wellstar Health System

Glassdoor3.6

The largest health system in Georgia.

Founded in 1993

Marietta, Georgia, USA

10001+ employees

https://www.wellstar.org

H1B Sponsorship

Wellstar Health System has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (22)

2024 (18)

2023 (13)

2022 (14)

2021 (18)

2020 (12)