Coding Reimbursement Specialist III - Hospitalists

Overview

Department 13495 Enterprise Revenue Cycle - Coding Production Operations:
Professional Coding Operations Surgical and Complex

Status Full time

Benefits Eligible Yes

Hours Per Week 40

Schedule Details/Additional Information

• Full time First Shift
• Remote Opportunity
• Desired Coding Experience for this team:
  Critical care, complex specialist, intensivists, pediatric and/or hospitals
• Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, , IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY

Pay Range $25.30 - $37.95

• Subject matter expert in at least one specialty, e.g., oncology, gynecology, surgical coding (not including primary care procedures) and infusion coding including chemotherapy and infusions involving multiple drugs.
• Assign CPT and ICD codes in cases of moderate to high complexity.
• Read, interpret and assign CPT codes from provider documentation, e.g., infusion record or operative report.
• Perform ICD and CPT coding of provider (professional) services and verify that all requisite charge information is entered.
• Append all modifiers.
• Rank CPT codes when multiple codes apply.
• Assign Evaluation and Management (E/M) codes.
• Perform reconciliation process to ensure all charges are captured.
• Process automated or manually enter charges into applicable billing system.
• Research and analyze coding and payer specific issues.
• Process charges on a timely basis and communicate with team members and practice management on an ongoing basis.
• Communicate with providers related to coding issues that are of moderate to high complexity, including face-to-face interaction, explaining coding rationales, and education with providers.

Education, Experience And Certifications

• Maintain coding certification (CPC, CCS, RHIT, RHIA).
• Minimum of 2 years of coding experience required. CPC or equivalent coding credential required.
• Extensive knowledge of coding, medical terminology, anatomy, and physiology. Extensive knowledge of and the ability to apply the payer-specific rules regarding coding, bundling, and adding appropriate modifiers.
• High School Diploma or GED required.

Physical Requirements

• Works in a fast-paced office/hospital environment. Work consistently requires sitting and some walking, standing, stretching, and bending

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Our Commitment to You Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits And More

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois;
Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North…