Department :
10271 Enterprise Revenue Cycle - Professional Production Coding Specialty
Status : Full time
Benefits Eligible : Hou rs Per Week :
Schedule Details / Additional Information :
Full time first shift
This is a remote opportunity
Major Responsibilities :
- Reviews medical documentation at a proficient level from clinicians, qualified health professionals and hospitals in order 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 an EMR and / or Computer Assisted Coding software.
- Adheres to the organization and departmental guidelines, policies and protocols.
- Reviews all clinician documentation to support assigned codes in the health information record so that all significant diagnoses and procedures may be captured for reimbursement and data purposes.
- Conduct independent research to promote knowledge of coding guidelines, regulatory policies and trends.
- 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.
- Maintains the confidentiality of patient records. Reports any perceived non-compliant practices to the coding leader or compliance officer.
- Meets then exceeds departmental quality and productivity standards.
- Recommend modifications to current policies and procedures as needed to coincide with government regulations.
- Responsible for processing Coding Claim Denials and Coding Claim Rejections, when applicable
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 :
Advanced training beyond High School in Medical Coding or related field (or equivalent knowledge)Experience Required :
Typically requires 3 years of experience in professional coding that includes experiences in either hospital or professional revenue cycle processes and health information workflows.Knowledge, Skills & Abilities Required :
Advanced knowledge of ICD, CPT and HCPCS coding guidelines. Advanced knowledge of medical terminology, anatomy and physiology.Intermediate computer skills including the use of Microsoft office products, electronic mail, including exposure or experience with electronic coding systems or applications.Advanced communication (oral and written) and interpersonal skills.Advanced organization, prioritization, and reading comprehension skills.Advanced analytical skills, with a high 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.Ability to take initiative and work collaboratively with others.Physical Requirements and Working Conditions :
Exposed to a normal office environment.Must be able to sit for extended periods of time.Must be able to continuously concentrate.Position may be required to travel to other sites; therefore, may be exposed to road and weather hazards.Operates all equipment necessary to perform the job.Pay Range
26.10 - $39.15
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 trainingPremium pay such as shift, on call, and more based on a teammate's jobIncentive pay for select positionsOpportunity for annual increases based on performanceBenefits and more
Paid Time Off programsHealth and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term DisabilityFlexible Spending Accounts for eligible health care and dependent care expensesFamily benefits such as adoption assistance and paid parental leaveDefined contribution retirement plans with employer match and other financial wellness programsEducational Assistance ProgramAbout 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.