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: Coding Reimbursement Specialist II Revenue Cycle Physical Medicine & Rehab

Key Facts

Remote From: 
Full time
Mid-level (2-5 years)
English

Other Skills

  • Communication
  • Time Management
  • Teamwork
  • Customer Service
  • Detail Oriented
  • Problem Solving

Roles & Responsibilities

  • CPC or equivalent credential (AAPC or AHIMA) with active maintenance of certification (CPC, CCS, RHIT, RHIA)
  • Minimum of 1 year of professional medical coding experience
  • High School Diploma or GED

Requirements:

  • Performs ICD and CPT coding for professional services, ensures charges and modifiers are entered, and assigns Evaluation and Management (E/M) codes
  • Performs reconciliation to ensure all charges are captured and processes charges into the billing system
  • Researches, resolves edits related to claims and coding submissions
  • Communicates with providers regarding mid-to-intermediate coding issues, including face-to-face education

Job description

Department:

13497 Enterprise Revenue Cycle - Coding Production Operations: Professional Coding Operations Medical and Primary

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Will support:

  •  Revenue Cycle Atrium Health Physical Medicine & Rehab

 

Schedule:

  •  Flexible daytime schedule Monday through Friday

 

Certification desired:

  • CPC or equivalent AAPC or AHIM coding credential required and must maintain coding certification (CPC, CCS, RHIT, RHIA).

 

Remote opportunity:

 

  • Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY

Pay Range

$24.10 - $36.15

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.

#REMOTE

#LI-REMOTE

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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