Lead Coding Reimbursement Specialist - Revenue Cycle - Atrium Health Corporate FT Days
Lead Coding Reimbursement Specialist - Revenue Cycle - Atrium Health Corporate FT Days
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Job Description
Accepting applicants from the following states: AL CO FL GA ID KS KY ME MI NC SC VA VT
Salary: $27.64$41.46/hour
Our CommitmenttoYou:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and wellbeing 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 teammates 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 andShort and LongTerm 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
Job Summary
Performs coding duties of high complexity judgment and scope demonstrating mastery of specialty coding that enables them to provide support to physicians.
Essential Functions
- Subject matter expert in multiple areas of coding e.g. surgery.
- Assigns CPT and ICD codes in cases of high complexity judgment and scope.
- Reads interprets and assigns CPT codes from provider documentation e.g. operative report.
- Codes 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.
- Reconciles processes to ensure all charges are captured.
- Automates or manually charges into applicable billing system.
- Researches and analyzes coding and payer specific issues.
- Processes charges and communicates with team members and practice management on an ongoing basis to ensure these guidelines are met.
- Communicates with providers either verbally or in writing related to coding issues that are of high complexity. Including face to face interaction explaining coding rationales and education with providers.
- Coaches providers on documentation improvement.
- Develops and mentors teammates of the same or similar specialty and serve as an internal resource.
- Conducts quality assurance reviews for a designated specialty to determine additional training opportunities.
Physical Requirements
Works in a fastpaced office/hospital environment. Work consistently requires sitting and some walking standing stretching and bending.
Education Experience and Qualifications
High School Diploma or GED required. 5 years of coding experience required. CPC or equivalent coding credential required. Maintains coding certification (CPC CCS RHIT RHIA). Extensive knowledge of coding medical terminology anatomy and physiology. Extensive knowledge of and the ability to apply the payor specific rules regarding coding bundling and adding appropriate modifiers. In depth knowledge of claim editing rationale and revenue cycle. Basic knowledge of Relative Value Units. Understanding of and familiarity with regulatory guidelines including NCDs and LCDs. Excellent written and verbal communication skills.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
