Revenue Management Coding Specialist Charlotte, NC, United States

Job ID:

142612

Job Family:

Medical Records Services

Status:

Full Time

Shift:

Day

Detailed Shift and Schedule:

8-5

Job Type:

Regular

Department Name:

51011028341055-Revenue Capture Support : mail Overview

Salary:

22.5-33.75/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 Perform charge capture reviews in accordance with properanization practices. Collaborates with internal departments on charging and coding functions to determine accuracy and optimize revenue capture. Maintains documentation of review findings and rmendations. Essential Functions Reviews and studies all information from third-party payors on claims filing, coding, and the adjudication process. Studies, reports, and makes rmendations regardingpliance concerns. Works with coding personnel to ensure that codes on the CDM are accurate and current. Analyzes revenue and reimbursement data to maximize financial improvement opportunities. Serves as a resource for department managers, staff, and administration to obtain information on guidelines and regulatory standards of coding and billing Documents and/or reviews all data collected during the review, identifying all billing, coding and documentation errors Reviews clinical documentation to ensure accurate

CPT/HCPCS

code assignment and appropriate reimbursement Assist with education of clinicians on appropriate andpliant charging protocols Prepares management reports, spreadsheets and summaries of review findings Physical Requirements May Lift and move reports and notebooks weighing up to ten pounds. Ability to work under pressure to meet deadlines. Majority of day is spent sitting. Education, Experience and Certifications High School Diploma or GED required. CPC or CCS certification and at least 4 years ICD-9 and CPT coding experience preferred. Experience with or exposure to Epic/Epass billing system (chargemaster specific) and Epic CDM Certification preferred.