Manager Medical Billing & Coding, Acelis Connected Health

Abbott

  • Livermore, CA
  • $112,000-224,000 per year
  • Permanent
  • Full-time
  • 2 days ago
Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries.Working at AbbottAt 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 OpportunityThis 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 in order 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 complianceAssure 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.Identifies ways to avoid errors and issues and creates safeguards to prevent them from happening again.Support commercial and IT teams with coding guidance and handhold Change management processes.Data collection and reportingDemonstration of strong knowledge of coding software, databases used by AbbottContinually 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 of less.Data entryVerifies that each charge contains the necessary charge elements on EMR and Sales ForceSpecial 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 supportPerform other duties as assigned.Process improvementIndependently 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 QualificationsMinimum 7 years in Revenue Cycle ManagementExperienced in change entry and codingActive coding certificationPreferred 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.
Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives:Follow your career aspirations to Abbott for diverse opportunities with a company that can help you build your future and live your best life. Abbott is an Equal Opportunity Employer, committed to employee diversity.Connect with us at , on Facebook at , and on Twitter @AbbottNews.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.

Abbott