Professional Coder II - Risk Management

Department:

Status:

Benefits Eligible:

Hou
rs Per Week:

Schedule Details/Additional Information:

First shift full time 40 hours per week.

Certification Preferred: CRC

Remote Opportunity

Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, , IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY

Pay Range

EDUCATION/

EXPERIENCE:

• High school diploma or GED equivalent with two years of medical coding experience in a similar environment, or
• Eligibility for internal promotion based on achieving and maintaining Coder level II performance criteria by department for six consecutive months.

LICENSURE, CERTIFICATION, and/or REGISTRATION:

• National coding certification (CPC or CCS).

ESSENTIAL FUNCTIONS:

• Responsible for timely and accurate coding of hospital based professional services (outpatient hospital or inpatient hospital; single services or complete inpatient stays) by reading and/or reviewing medical record documentation to assign and sequence diagnoses and procedure codes according to coding guidelines, and enter into the electronic system: a. Appropriate diagnoses codes, professional service codes and modifiers and/or facility service/ charge codes.
  
  b. Assign and record appropriate modifiers (i.e., GC, NO or NDU) as appropriate based on Teaching Physician rules.
• Maintains a current knowledge of ICD diagnosis codes, CPT physician service codes, internal codes (for unlisted or unusual CPT codes), and governmental (Medicare, Medicaid, Tri Care), commercial and managed care regulations by reading relevant professional literature and by attending workshops and lectures.
• Accrues sufficient continuing education hours to maintain national coding certification.
• Serves as a resource for less experienced medical coders.
• Works collaboratively with team members, Corporate Revenue Cycle, and Compliance Analysts to answer questions and/or resolve issues related to documentation, coding and billing of professional services and/or facility services.
• Provides physician education to ensure documentation is sufficient for greatest accuracy of coding.
• Resolves pending charges in the Wake One coding work queues including claim denial work queues.
• Performs other related duties incidental to the work described herein.

SKILLS/

QUALIFICATIONS:

• Experience in coding of physician professional services in a teaching environment
• Familiarity with Medicare Teaching Physician Rules Familiarity with facility fee services within a Provider Based clinic
• Ability to meet and maintain performance standards of quality and productivity for Level II Coder by department

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

#REMOTE

#LI-REMOTE

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

About Advocate Health

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