Coding Reimbursement Specialist II - Revenue Cycle

Currently accepting applications from residents of these states:  AL, CO, FL, GA, ID, KS, KY, ME, MI, NC, SC, VA, VT

 

Our 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 Pay: $22.74 - $34.11 hourly
 

Base compensation within the position’s 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

 

Job Summary

Performs duties of mid to intermediate complexity. Applies CPT and ICD codes to ensure appropriate revenue generation and compliance with billing guidelines.

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.

Education, Experience and Certifications
 

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.

Atrium Health is one of the nation’s leading healthcare organizations, connecting patients with on-demand care, world-class specialists and the region’s largest primary care network. A recognized leader in healthcare delivery, quality and innovation, our foundation rests on providing clinically excellent and compassionate care.

We’ve been serving our community since 1940, when we opened our doors as Charlotte Memorial Hospital. Since then, our network has grown to include more than 40 hospitals and 900 care locations ranging from doctors’ offices to behavioral health centers to nursing homes.

Our focus: Delivering the highest quality patient care, supporting medical research and education, and joining with partners outside our walls to keep our community healthy.