Coding Reimbursement Specialist II Atrium Health - Women's Health
About The Position
Department: 13497 Enterprise Revenue Cycle - Coding Production Operations: Professional Coding Operations Medical and Primary Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Preferred candidate has Women's Health experience. This is a Remote position - 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 $24.10 - $36.15 Essential Functions 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, answers, and processes all edits associated with claim and coding submission. Adheres to department guidelines for timeliness of processing charges and communicates with team members and practice management on an ongoing basis to ensure these guidelines are met. Communicates with providers related to coding issues that are of mid to intermediate complexity. Including face to face interaction and education with providers. Applies modifiers and appropriate ranking to encounters with multiple codes. 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.
- Minimum of 1 year of coding experience required.
- CPC or equivalent coding credential required.
- Maintain coding certification (CPC, CCS, RHIT, RHIA).
- Working knowledge of coding, medical terminology, anatomy, and physiology.
- Knowledge of and the ability to apply payer specific rules regarding coding, bundling, and adding appropriate modifiers
- Understanding of and familiarity with regulatory guidelines including NCDs and LCDs.
Nice To Haves
- Preferred candidate has Women's Health experience.
Responsibilities
- 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, answers, and processes all edits associated with claim and coding submission.
- Adheres to department guidelines for timeliness of processing charges and communicates with team members and practice management on an ongoing basis to ensure these guidelines are met.
- Communicates with providers related to coding issues that are of mid to intermediate complexity. Including face to face interaction and education with providers.
- Applies modifiers and appropriate ranking to encounters with multiple codes.
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
Mid Level
Education Level
High school or GED
