Professional Coder II - Risk Management

Job Title

Enterprise Revenue Cycle - Coding Production Operations:
Professional Coding Operations Medical and Primary

Status: Full time

Benefits Eligible: Yes

Hours Per Week: 40

Schedule: First shift, 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: $26.55 - $39.85

• 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.

• National coding certification (CPC or CCS).

• Responsible for timely and accurate coding of hospital-based professional services (outpatient or inpatient) 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: appropriate diagnoses codes, professional service codes and modifiers and/or facility service/charge codes; assign and record appropriate modifiers (i.e., GC, NO or NDU) as applicable based on Teaching Physician rules.
• Maintains current knowledge of ICD diagnosis codes, CPT physician service codes, internal codes for unlisted or unusual CPT codes, and regulatory requirements for Medicare, Medicaid, Tri Care, commercial and managed care regulations by reading professional literature and attending workshops.
• 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 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.

• Experience in coding of physician professional services in a teaching environment.
• Familiarity with Medicare Teaching Physician Rules and 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.

• Base compensation listed within the pay range; premium pay such as shift, on call, etc.; 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; family benefits such as adoption assistance and paid parental leave; defined contribution retirement plans with employer match; educational assistance program.

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois;
Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise.

It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs.

Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.