Coding Reimbursement Specialist I - Revenue Cycle
About The Position
Essential Functions Performs ICD and CPT coding of provider (professional) services and verifies that all requisite charge information is entered. Appends limited modifiers, e.g., -24, -25, -59. Codes minor surgical procedures. 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, answers, and processes all edits associated with claim and coding submission. Processes charges on a timely basis and communicates with team members to be sure department guidelines regarding timeliness are met. Communicates with providers related to coding issues that are of low to intermediate complexity. Assigns E/M codes from provider documentation. Physical Requirements Works in a fast-paced office/hospital environment. Work consistently requires sitting and some walking, standing, stretching, and bending.
Requirements
- High School Diploma or GED required.
- CPC, CPC-A or equivalent coding credential required.
- Maintains coding certification (CPC, CPC-A, CCS, RHIT, RHIA).
- Annually reviews new and revised CPT and ICD codes.
- Understanding of and familiarity with regulatory guidelines including NCDs and LCDs.
- Working knowledge of coding, medical terminology, anatomy, and physiology.
Nice To Haves
- Some coding, medical billing and/or clinical experience preferred.
Responsibilities
- Performs ICD and CPT coding of provider (professional) services and verifies that all requisite charge information is entered.
- Appends limited modifiers, e.g., -24, -25, -59.
- Codes minor surgical procedures.
- 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, answers, and processes all edits associated with claim and coding submission.
- Processes charges on a timely basis and communicates with team members to be sure department guidelines regarding timeliness are met.
- Communicates with providers related to coding issues that are of low to intermediate complexity.
- Assigns E/M codes from provider documentation.
Benefits
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
11-50 employees
