Coding Reimbursement Specialist III - Revenue Cycle
About The Position
This position is for a Coding Reimbursement Specialist III within the Enterprise Revenue Cycle department, specifically supporting Enterprise Billing Compliance for Hospital Based services. The role involves assigning CPT and ICD codes for cases of moderate to high complexity, including specialized areas like oncology, gynecology, surgical coding, and infusion coding. The specialist will interpret provider documentation, append modifiers, rank CPT codes, assign E/M codes, and perform charge reconciliation and entry into the billing system. This role requires extensive knowledge of coding, medical terminology, anatomy, physiology, and payer-specific rules. The position is full-time, Monday-Friday, 1st shift, with a pay range of $25.30 - $37.95. Advocate Health may approve remote work for residents of specific states.
Requirements
- High School Diploma or GED required.
- Minimum of 2 years of coding experience required.
- CPC or equivalent coding credential required.
- Maintain coding certification (CPC, CCS, RHIT, RHIA).
- 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.
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.
Benefits
- Comprehensive suite of Total Rewards: benefits and well-being programs
- Competitive compensation
- Generous retirement offerings
- Programs that invest in your career development
- 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
