Coding Reimbursement Specialist III - Revenue Cycle - Profee Coding
Coding Reimbursement Specialist III - Revenue Cycle - Profee Coding
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Job Description
Accepting applications from candidates residing in these states: AL CO FL GA ID KS KY ME MI NC SC VA VT
Grade 5006
Salary: $24.8537.30/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
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Job Summary
Performs duties of mid to intermediate complexity. Applies CPT and ICD codes to ensure appropriate revenue generation and compliance with billing guidelines.
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 fastpaced 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.
Inpatient and bedside procedure coding and critical care coding a plus.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
