Coding Reimbursement Specialist III•Revenue Cycle•Medical Necessity Charlotte, NC, United States

Job ID:

140962

Job Family:

Medical Records Services

Status:

Full Time

Shift:

Day

Job Type:

Regular

Department Name:

51011028341281-Patient Financial Services•Medical Necessity : mail Overview Currently accepting applications from candidates residing in these states:

AL, CO, FL, GA, ID, KS, KY, ME, MI, NC, SC, VA, VT

Salary:

$25.07•37.61/hour Our Commitment to

You:

​ ​ Advocate Health offers aprehensive suite of

Total Rewards:

benefits and well-being programs,petitivepensation, generous retirement offerings, programs that invest in your career development and so•so you can live fully at and away from work, including:​ ​ Compensation​ Basepensation 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 teammate's 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, and Short•and Long-Term 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 duties of moderate to highplexity, analyzes denial data, reports and work queues to depict trends and offer solutions. 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 highplexity. 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 . 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 andmunicates with team members and practice management on an ongoing basis. Communicates with providers related to coding issues that are of moderate to highplexity. Including face to face interaction, explaining coding rationales, and education with providers. Physical Requirements Works in a fast-paced 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 2 years of coding experience required. CPC or equivalent coding credential required. Maintain coding certification (CPC, CCS, RHIT, RHIA). Extensive knowledge of coding, medical terminology, anatomy, and physiology. Extensive knowledge of and the ability to the payer specific rules regarding coding, bundling, and adding appropriate modifiers.