Abbott
Manager Medical Billing & Coding, Acelis Connected Health
Abbott, Livermore, California, United States, 94550
Job Description
Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and your family, be your true self, and live a full life. You'll also have access to: Career development with an international company where you can grow the career you dream of. Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year. An excellent retirement savings plan with a high employer contribution. Tuition reimbursement, the student debt program, and education benefit - an affordable and convenient path to getting a bachelor's degree. A company recognized as a great place to work in dozens of countries worldwide and named one of the most admired companies in the world by Fortune. A company that is recognized as one of the best big companies to work for as well as the best place to work for diversity, working mothers, female executives, and scientists. The Opportunity This position works out of our Livermore, CA location in the Heart Failure Division. The Manager of Medical Billing & Coding will lead the strategy, operations, and compliance of Acelis Connected Health's medical billing and coding functions. This role ensures accurate, timely, and compliant billing practices, with a focus on optimizing revenue cycle performance, enhancing payer-provider alignment, and supporting patient satisfaction. The ideal candidate brings deep expertise in healthcare billing, coding standards (ICD-10, CPT, HCPCS), and payer regulations, along with strong leadership and cross-functional collaboration skills. What You'll Work On Act as a resource Demonstrates the ability to request, review and code medical services from reports and notes to convert procedural and diagnostic notes into appropriate levels of care following coding rules and regulations. Ability to understand CMS NCD, LCD guidelines to support coding decision making Identifies clinical documentation deficiencies and recommends methods for resolution that satisfy regulatory and compliance requirements. Performs medical chart audits meeting minimum department productivity standards. Exercises mature judgment and maintains confidentiality in all activities. Coding and Compliance Assure compliance with ICD-10-CM/PCS and CPT-4 rules and guidelines as well as facility specific requirements. Implement CMS and the Correct Coding Initiative Guidelines (CCI) Identify areas of potential coding, billing, and documentation deficiencies. Provide suggestions to resolve areas of deficiencies to management. Identify areas of potential compliance risk and notify management immediately. Ensures the accuracy of all work and strives to achieve 100% accuracy. Identifies anomalies in coding and fixes them immediately. Identify ways to avoid errors and issues and create safeguards to prevent them from happening again. Support commercial and IT teams with coding guidance and handhold Change management processes. Data Collection and Reporting Demonstration of strong knowledge of coding software, databases used by Abbott Continually strives to increase knowledge of electronic data systems and reporting tools to enhance value. Designing and development of special reports within a specified timeframe. Participation in job related conferences, seminars, and workshops. Review of various coding publications for changes and relay information to pertinent parties. Maintains average billing lag days of 7 days or less. Data Entry Verifies that each charge contains the necessary charge elements on EMR and Sales Force Special Projects - participates in projects that improve department production and/or efficiency. Identifies and trends errors. Ensures all charges are entered correctly and accounted for. Be able to perform charge entry and all others charge related procedures. General Support Perform other duties as assigned. Process improvement Independently researches coding questions, documents findings, makes recommendations, and provides documentation that supports the recommended solutions. Provides professional and courteous support to Revenue Cycle and commercial teams through email, phone, and in-person contact, answering questions and providing supporting documentation. Provides timely and accurate answers to inquiries presented by customers on clinical coding issues. Maintain a positive attitude and productive relationship with peers, physicians, coworkers, and management. Provides updates and status reports to management. Participates in coding/auditing discussions to ensure that the best practice efforts and processes are followed to allow for maximum reimbursement through appropriate coding. Required Qualifications Minimum 7 years in Revenue Cycle Management Experienced in change entry and coding Active coding certification Preferred Qualifications Bachelor's degree in healthcare administration, Business, or related field Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required. 7+ years of progressive experience in medical billing and coding Strong knowledge of healthcare reimbursement, payer policies, and regulatory compliance. Experience with electronic health records (EHR), billing software, and revenue cycle management tools. Excellent communication, analytical, and problem-solving skills. The base pay for this position is $112,000.00
$224,000.00. In specific locations, the pay range may vary from the range posted. Job Family: Accounting & Reporting
Division: HF Heart Failure
Location: United States > Livermore: 6465 National Drive
Work Shift: Standard
Travel: Not specified
Medical Surveillance: Not Applicable
Significant Work Activities: Awkward/forceful/repetitive (arms above shoulder, bent wrists), Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day), Keyboard use (greater or equal to 50% of the workday)
Abbott is an Equal Opportunity Employer of Minorities/Women/Individuals with Disabilities/Protected Veterans.
Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and your family, be your true self, and live a full life. You'll also have access to: Career development with an international company where you can grow the career you dream of. Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year. An excellent retirement savings plan with a high employer contribution. Tuition reimbursement, the student debt program, and education benefit - an affordable and convenient path to getting a bachelor's degree. A company recognized as a great place to work in dozens of countries worldwide and named one of the most admired companies in the world by Fortune. A company that is recognized as one of the best big companies to work for as well as the best place to work for diversity, working mothers, female executives, and scientists. The Opportunity This position works out of our Livermore, CA location in the Heart Failure Division. The Manager of Medical Billing & Coding will lead the strategy, operations, and compliance of Acelis Connected Health's medical billing and coding functions. This role ensures accurate, timely, and compliant billing practices, with a focus on optimizing revenue cycle performance, enhancing payer-provider alignment, and supporting patient satisfaction. The ideal candidate brings deep expertise in healthcare billing, coding standards (ICD-10, CPT, HCPCS), and payer regulations, along with strong leadership and cross-functional collaboration skills. What You'll Work On Act as a resource Demonstrates the ability to request, review and code medical services from reports and notes to convert procedural and diagnostic notes into appropriate levels of care following coding rules and regulations. Ability to understand CMS NCD, LCD guidelines to support coding decision making Identifies clinical documentation deficiencies and recommends methods for resolution that satisfy regulatory and compliance requirements. Performs medical chart audits meeting minimum department productivity standards. Exercises mature judgment and maintains confidentiality in all activities. Coding and Compliance Assure compliance with ICD-10-CM/PCS and CPT-4 rules and guidelines as well as facility specific requirements. Implement CMS and the Correct Coding Initiative Guidelines (CCI) Identify areas of potential coding, billing, and documentation deficiencies. Provide suggestions to resolve areas of deficiencies to management. Identify areas of potential compliance risk and notify management immediately. Ensures the accuracy of all work and strives to achieve 100% accuracy. Identifies anomalies in coding and fixes them immediately. Identify ways to avoid errors and issues and create safeguards to prevent them from happening again. Support commercial and IT teams with coding guidance and handhold Change management processes. Data Collection and Reporting Demonstration of strong knowledge of coding software, databases used by Abbott Continually strives to increase knowledge of electronic data systems and reporting tools to enhance value. Designing and development of special reports within a specified timeframe. Participation in job related conferences, seminars, and workshops. Review of various coding publications for changes and relay information to pertinent parties. Maintains average billing lag days of 7 days or less. Data Entry Verifies that each charge contains the necessary charge elements on EMR and Sales Force Special Projects - participates in projects that improve department production and/or efficiency. Identifies and trends errors. Ensures all charges are entered correctly and accounted for. Be able to perform charge entry and all others charge related procedures. General Support Perform other duties as assigned. Process improvement Independently researches coding questions, documents findings, makes recommendations, and provides documentation that supports the recommended solutions. Provides professional and courteous support to Revenue Cycle and commercial teams through email, phone, and in-person contact, answering questions and providing supporting documentation. Provides timely and accurate answers to inquiries presented by customers on clinical coding issues. Maintain a positive attitude and productive relationship with peers, physicians, coworkers, and management. Provides updates and status reports to management. Participates in coding/auditing discussions to ensure that the best practice efforts and processes are followed to allow for maximum reimbursement through appropriate coding. Required Qualifications Minimum 7 years in Revenue Cycle Management Experienced in change entry and coding Active coding certification Preferred Qualifications Bachelor's degree in healthcare administration, Business, or related field Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required. 7+ years of progressive experience in medical billing and coding Strong knowledge of healthcare reimbursement, payer policies, and regulatory compliance. Experience with electronic health records (EHR), billing software, and revenue cycle management tools. Excellent communication, analytical, and problem-solving skills. The base pay for this position is $112,000.00
$224,000.00. In specific locations, the pay range may vary from the range posted. Job Family: Accounting & Reporting
Division: HF Heart Failure
Location: United States > Livermore: 6465 National Drive
Work Shift: Standard
Travel: Not specified
Medical Surveillance: Not Applicable
Significant Work Activities: Awkward/forceful/repetitive (arms above shoulder, bent wrists), Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day), Keyboard use (greater or equal to 50% of the workday)
Abbott is an Equal Opportunity Employer of Minorities/Women/Individuals with Disabilities/Protected Veterans.