Offer summary

Qualifications:

Minimum of 4 years of ICD-9 and CPT coding experience., High School Diploma or GED required., CPC or CCS certification preferred., Experience with Epic/Encompass billing systems and Epic CDM certification is a plus..

Key responsibilities:

Review and analyze claims, coding, and adjudication processes from third-party payors.

Identify revenue leakage and recommend process improvements.

Collaborate with clinical staff to optimize reimbursement and charging processes.

Prepare reports on revenue trends and compliance concerns.

Job description

Department:

10284 Enterprise Revenue Cycle - Revenue Integrity

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

Schedule Details/Additional Information:

8-5

Ideal candidate has at least 4 years of CDI-9 and CPT Coding

Essential Functions

Reviews and studies all information from third-party payors on claims filing, coding, and the adjudication process.
Studies, reports, and makes recommendations regarding compliance concerns.
Analyzes revenue and reimbursement data to maximize financial improvement opportunities.
Serves as a revenue cycle subject matter expert and identifies root cause of revenue leakage.
Collaborates with clinical staff and IAS regarding charging functionality
Identifies charging opportunities by analyzing current processes and preparing relevant reports regarding trends
Optimizes reimbursement by reviewing and coordinating with clinical staff and deliver recommendations for improvement.

Physical Requirements
May Lift and move reports and notebooks weighing up to ten pounds. Ability to work under pressure to meet deadlines. Majority of day is spent sitting.

Education, Experience and Certifications

High School Diploma or GED required. CPC or CCS certification and at least 4 years ICD-9 and CPT coding experience preferred. Experience with or exposure to Epic/Encompass billing system (chargemaster specific) and Epic CDM Certification preferred.

Pay Range

$22.50 - $33.75

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 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

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.

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