What are the responsibilities and job description for the Coding Reimbursement Specialist III - Revenue Cycle - Medical Necessity position at Candidate Experience site?
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 a comprehensive suite of Total Rewards: benefits and well-being 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 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 high complexity, 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 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.
- Communicates with providers related to coding issues that are of moderate to high complexity. 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 apply the payer specific rules regarding coding, bundling, and adding appropriate modifiers.
Salary : $25 - $38
