Advocate Health
Healthcare
CodingReimbursementSpecialistIII-RevenueCycle
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Coding Reimbursement Specialist III - Revenue Cycle at Advocate Health. Skills: Oncology coding, Gynecology coding, Surgical coding, Infusion coding. Assign CPT and ICD codes. Read and interpret provider documentation”
Industry & Context.
Research coding issues; Analyze coding issues; Research payer specific issues; Analyze payer specific issues
What They're Looking For.
Must Have
High School Diploma or GED required, Minimum of 2 years of coding experience required, CPC or equivalent coding credential required, Maintain coding certification (CPC, CCS, RHIT, RHIA)
What You'll Do.
Assign CPT and ICD codes
Read and interpret provider documentation
Assign CPT codes from documentation
Perform ICD and CPT coding
Verify requisite charge information
Assign Evaluation and Management (E/M) codes
Perform reconciliation process
Ensure all charges are captured
Process automated charges
Manually enter charges
Research coding issues
Analyze coding issues
Research payer specific issues
Analyze payer specific issues
Process charges timely
Communicate with team members
Communicate with practice management
How You'll Work.
Team & Collaboration
Communicate with team members; Communicate with practice management
Full Job Description
**Department:** 13265 Enterprise Revenue Cycle - Enterprise Billing Compliance: HB **Status:** Full time **Benefits Eligible:** Yes **Hou****rs Per Week:** 40 **Schedule Details/Additional Information:** **_Will support_ : ** * Enterprise Billing Compliance - Hospital Based ** _Schedule_ : ** * Monday - Friday 1st shift - 40 hours a week. **_Certification required_ : ** * 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** $25.30 - $37.95 Essential Functions * Subject matter expert in at least one specialty, e.g., oncology, gynecology, surgical coding (not including primary care procedures) and infusion coding including chemotherapy and infusions involving multiple drugs. * Assigns CPT and ICD codes in cases of moderate to high complexity. * Reads, interprets and assigns CPT codes from provider documentation, e.g., infusion record or operative report. * 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 and analyzes coding and payer specific issues. * Processes charges on a timely basis and communicates with team members and practice management on an ongoing basis. **Education, Experience and Certifications** * High School Diploma or GED required. * Minimum of 2 years of coding experience required. CPC or equivalent coding credential required. * Maintain coding certification (CPC, CCS, RHIT, RHIA). * Extensive knowledge of coding, medical terminol
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