Specialty Coder Inpatient Academic - REMOTE

Department :

10460 Enterprise Revenue Cycle - Facility Production Coding Admin

Status : Full time

Benefits Eligible : Yes

Hou rs Per Week : 40

Schedule Details / Additional Information :

Monday - Friday, first shift.

Remote position.

80 hours every two weeks (1 FTE). Full time Benefits

Pay Range

$28.05 - $42.10

Major Responsibilities :

This role will have all responsibilities of coder I, II and III in addition to : reviews complex inpatient documentation at a highly skilled and proficient level to assign diagnosis and procedure codes utilizing ICD-10 CM / PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and / or Computer Assisted Coding software.

Adhere to organizational and internal department policies and procedures to ensure efficient work processes.

Responsible for coding high dollar and long length of stay cases for all patient types.

Expertise in query guidelines, and coding standards. Follow up and obtain clarification of inaccurate documentation as appropriate.

Serves as a subject matter expert to Coding department leaders and peers. Recommends modifications to current policies and procedures as needed to coincide with government regulations.

Maintain continuing education by attending webinars, reviewing updated CPT assistant guidelines and updated coding clinics. Knowledgeable in researching coding related topics and issues.

Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Practices ethical judgment in assigning and sequencing codes for proper insurance reimbursement.

Collaborates with the Clinical Documentation Improvement and Quality teams, to ensure a match in the DRG and reconciles each Medicare case with the working DRGs from a CDI perspective.

Responsible for clinician communication related to disease processes on a clinical level to ensure accurate coding.

Participates in payer audits and meetings by acting as a resource for coding-related audits, as requested.

Attends meetings with clinical teams regarding updates in codes for complex specialties.

Maintains the confidentiality of patient records. Reports any perceived non-compliant practices to the coding leader or compliance officer.

Meets and exceeds departmental quality (95% or more) and productivity standards (100%). Achieves productivity expectations to support discharged not final billed (DNFB).

Performs any other assigned duties since the duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive. Management retains the right to add or change duties at any time.

Licensure, Registration, and / or Certification Required :

• Coding Certification issued by one of the following certifying bodies : American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA)

Education Required :

Experience Required :

Knowledge, Skills & Abilities Required :

Physical Requirements and Working Conditions :

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

Benefits and more

About 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 in Illinois; in the Carolinas, Georgia and Alabama; and 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 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.