Revenue Recovery Midwest Physician Billing Appeal Coder

Advocate Aurora Health • Oak Brook, IL

446d • Remote

About The Position

The Revenue Recovery Midwest Physician Billing Appeal Coder is responsible for ensuring accurate charge entry and billing processes for assigned hospital departments. This role involves analyzing clinical documentation, resolving billing issues, and collaborating with various teams to enhance revenue capture and compliance with healthcare regulations.

Requirements

• Associate's Degree or equivalent knowledge required.
• Typically requires 3 years of experience in hospital coding.
• Certified Coding Associate (CCA) valid and current certification required.
• Knowledge of third-party healthcare insurance plans, government regulations, hospital billing and claims.
• Strong computer skills including Microsoft Office and Windows applications.
• Familiarity with hospital applications.
• Ability to work under time pressure and meet deadlines.
• Excellent communication skills including ability to document progress of routine work.
• Must be able to work independently yet have strong desire to collaborate with peers to meet team goals and metrics.

Nice To Haves

• Experience with hospital applications.

Responsibilities

• Provide comprehensive, consistent and accurate charge entry for assigned hospital departments.
• Identify, investigate, communicate and mitigate inconsistent trends in clinical documentation or charging with specific departments.
• Escalate issues regarding revenue capture or documentation when appropriate.
• Perform analysis of charges that correlate with documented medical/nursing interventions and resolve identified charging and billing issues.
• Collect, report, and maintain appropriate data in relation to charge capture and/or quality.
• Collaborate with teammates to achieve shared goals and metrics.
• Perform periodic retrospective charge capture reviews of assigned departments to identify charging/billing issues.
• Verify and respond to questions from various departments, patients or leadership regarding charging accuracy.
• Provide orientation, education training and information to newly hired teammates regarding charge capture, policies, procedures, and underlying processes.
• Conduct quality audits of accounts processed by the team and report findings with department Quality and Education Coordinator.
• Review, identify, and process late, missing or lost charges for various hospital departments on an as needed basis.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Hospitals
• Education Level: Associate degree
• Number of Employees: 1,001-5,000 employees