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Physician Coding Accounts Receivable Specialist - Cardiology

extra holidays - extra parental leave
Remote: 
Full Remote
Contract: 
Salary: 
12 - 12K yearly
Experience: 
Mid-level (2-5 years)
Work from: 

Offer summary

Qualifications:

Coding Associate (CCA) certification or equivalent, Advanced training in Medical Coding, 2 years experience in professional coding, Intermediate knowledge of ICD, CPT, HCPCS coding, Advanced knowledge of Medicare and Medicaid coding guidelines.

Key responsabilities:

  • Analyze coding complaints, denials, and appeals
  • Coordinate data collection for coding rejections
  • Develop education materials and processes for coding staff
  • Provide statistical reports on refusal trends to leadership
  • Maintain up-to-date knowledge of coding regulations
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Advocate Aurora Health Health Care XLarge https://www.advocateaurorahealth.org/
10001 Employees
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Job description

Department:

10417 Revenue Cycle - Coding & HIM Support Professional

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

REMOTE- Prefer cardiology experience

Major Responsibilities:

  • Identifies and analyzes professional coding complaints, denials and appeals for a specific population of charges. Working in collaboration with production coders.
  • Coordinates coding rejection data collection activities used for reporting and accountability tracking. Identifies potential trends or knowledge concerns and opportunities for improvement and prevention.
  • Researches and documents applicable regulatory, coding and billing rules and provides education materials for the department educators and coding liaisons. Develops standardized processes, letters and mechanisms for the coding production team to utilize when dealing with insurance rejections.
  • Works with revenue cycle leadership, clinic operations managers, finance, coding and compliance staff to review regulatory changes. Maintains up to date information in regards to coding appeals and rejections and communicates the changes accordingly.
  • Identifies and problem solves trends and issues. Collaborates with department leadership clinic operations managers, system contracting team to determine preventative measures, follow-up and resolve these issues. Communicates with and acts as a resource for others regarding coding and appeal issues.
  • Provides regular statistical reports to leadership regarding rejection/denial volumes, response timeliness, success rates, trends identified and corrective actions taken to prevent future repeats.
  • Maintains up-to-date knowledge of Medicare, Medicaid and other regulatory requirements pertaining to nationally accepted coding policies and standards.


Licensure, Registration, and/or Certification Required:

  • Coding Associate (CCA) certification issued by the American Health Information Management Association (AHIMA), or
  • Coding Specialist - Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA), or
  • Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA), or
  • Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA), or
  • Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC), or
  • Specialty Coding Professional (SCP) certification issued by the Board of Medical Specialty Coding and Compliance (BMSC).


Education Required:

  • Advanced training beyond High School that includes the completion of an accredited or approved program in Medical Coding Specialist.


Experience Required:

  • Typically requires 2 years of experience in professional coding that includes experiences in physician revenue cycle processes, health information workflows and reimbursement in a large, complex clinic or medical group.


Knowledge, Skills & Abilities Required:

  • Intermediate knowledge of ICD, CPT and HCPCS coding guidelines.
  • Intermediate knowledge of medical terminology, anatomy and physiology.
  • Intermediate knowledge of care delivery documentation systems and related medical record documents.
  • Advanced knowledge of Medicare, Medicaid and commercial payer coding guidelines.
  • Intermediate computer skills including the use of Microsoft Office, email and exposure or experience with electronic coding systems or applications.
  • Proficient interpersonal and communication (oral and written) skills, including the ability to effectively collaborate with multiple departments.
  • Intermediate organization and prioritization skills; ability to manage multiple priorities in a stressful, fast-paced work environment.
  • Intermediate analytical skills, with a great attention to detail.
  • Ability to work independently and exercise independent judgment and decision making.
  • Ability to meet deadlines while working in a fast-paced environment.


Physical Requirements and Working Conditions:

  • Exposed to normal office environment.
  • Position requires travel which will result in exposure to road and weather hazards.
  • Operates all equipment necessary to perform the job.


This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

#LI- remote

#LI- Coding

#LI- Cardiology Coding

About Advocate Health 

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Required profile

Experience

Level of experience: Mid-level (2-5 years)
Industry :
Health Care
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Collaboration
  • Detail Oriented
  • Time Management
  • Analytical Skills
  • Interpersonal Communications
  • Decision Making
  • Prioritization
  • Microsoft Office

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