Coding Reimbursement Specialist III - Hospitalists
Atrium Health, Ardmore, North Carolina, United States
Department & Role
Enterprise Revenue Cycle - Coding Production Operations: Professional Coding Operations Surgical and Complex
Status: Full time
Benefits Eligible: Yes
Hours Per Week: 40
Schedule Details
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, ID, 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
Responsibilities
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.
Assigns CPT and ICD codes in cases of moderate to high complexity.
Reads, interprets and assigns CPT codes from provider documentation, e.g., infusion record or operative report.
Performs ICD and CPT coding of provider (professional) services and verifies that all requisite charge information is entered.
Appends all modifiers.
Ranks CPT codes when multiple codes apply.
Assigns Evaluation and Management (E/M) codes.
Performs reconciliation process to ensure all charges are captured.
Processes automated or manually enters charges into applicable billing system.
Researches and analyzes coding and payer specific issues.
Processes charges on a timely basis and communicates with team members and practice management on an ongoing basis.
Communicates 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.
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 Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
Performs duties of moderate to high complexity, analyzes denial data, reports and work queues to depict trends and offer solutions.
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Status: Full time
Benefits Eligible: Yes
Hours Per Week: 40
Schedule Details
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, ID, 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
Responsibilities
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.
Assigns CPT and ICD codes in cases of moderate to high complexity.
Reads, interprets and assigns CPT codes from provider documentation, e.g., infusion record or operative report.
Performs ICD and CPT coding of provider (professional) services and verifies that all requisite charge information is entered.
Appends all modifiers.
Ranks CPT codes when multiple codes apply.
Assigns Evaluation and Management (E/M) codes.
Performs reconciliation process to ensure all charges are captured.
Processes automated or manually enters charges into applicable billing system.
Researches and analyzes coding and payer specific issues.
Processes charges on a timely basis and communicates with team members and practice management on an ongoing basis.
Communicates 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.
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 Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
Performs duties of moderate to high complexity, analyzes denial data, reports and work queues to depict trends and offer solutions.
#J-18808-Ljbffr