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Aurora Health Care

Coder Lead - Cardiology

Aurora Health Care, Allenton, Wisconsin, United States, 53002

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Coder Lead - Cardiology

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Aurora Health Care .

This range is provided by Aurora Health Care. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range $30.15/hr - $45.25/hr

Major Responsibilities

Acts as a resource and role model to team members, including training/orienting, providing day‑to‑day work direction, and giving input on performance.

Codes routine to complex procedures and diagnoses, meeting or exceeding department quality and production standards.

Performs informal quality reviews monthly, providing coding education to team members, and may assist with provider education/orientation regarding policy requirements.

Abstracts documentation to choose correct ICD, CPT, HCPCS codes, resolving billing compliance issues, and liaises between business office and medical records.

Processes denial management claims and addresses patient concerns, serves as resource for pre‑authorizations, referrals, and estimating charges.

Coordinates payer audit reviews, acts as resource for coding‑related audits, and participates in department projects.

Acts as system/application administrator, ensuring system integrity and recognizing performance issues.

Suggests modifications to current policies to align with insurance payer requirements, serves as subject‑matter expert.

Adheres to organizational policies, coding standards, and follows up on documentation accuracy.

Reviews complex medical documentation and assigns diagnosis and procedure codes utilizing ICD‑10 CM/PCS, CPT, and HCPCS with compliance to federal and insurance regulations.

Maintains confidentiality of patient records and follows ethical coding standards.

Meets departmental quality (≥95%) and productivity (100%) standards and assists in annual edit reviews.

Performs any other assigned duties as needed.

Licensure, Registration, And/or Certification Required

Coding certification issued by AAPC or AHIMA.

Education Required

Advanced training beyond high school, including completion of an accredited medical coding specialist program or equivalent experience.

Experience Required

Typically requires 7 years of professional coding experience with revenue cycle processes and health information workflows.

Knowledge, Skills & Abilities Required

Continues education through webinars, clinics and updated CPT guidelines.

Advanced proficiency of ICD, CPT and HCPCS coding guidelines and medical terminology.

Excellent computer skills, Microsoft Office and electronic coding systems.

Excellent communication, interpersonal and organizational skills.

High attention to detail and analytical skills.

Ability to work independently, exercise independent judgment, meet deadlines and take initiative.

Physical Requirements And Working Conditions

Exposed to a normal office environment.

Must be able to sit for extended periods and maintain concentration.

May be required to travel to other sites; must be exposed to road and weather hazards.

Operates all equipment necessary to perform the job.

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