Senior Coding Reimbursement Specialist Atrium Health Position Available In Mecklenburg, North Carolina
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Job Description
Senior Coding Reimbursement Specialist Atrium Health
Charlotte, NC, United States
Job ID:
149815
Job Family:
Medical Records Services
Status:
Full Time
Shift:
Day
Job Type:
Regular
Department Name:
51011028341276-Patient Financial Quality Assurance
: mail
Overview
Accepting applications from candidates residing in these states:
AL, CO, FL, GA, ID, KS, KY, ME, MI, NC, SC, VA, VT
Salary:
$26.10/hour – $39.15/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 coding duties of highplexity, judgment, and scope. Independently able to interpret and analyze documentation and assign all relevant coding rationale.
Essential Functions
Subject matter expert in multiple areas of coding, e.g., surgical coding (not including primary care procedures).
Assigns CPT and ICD codes in cases of highplexity, judgment and scope.
Reads, interprets and assigns CPT codes from provider documentation, e.g., 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.
Ads to department guidelines for timeliness of processing charges andmunicates with team members and practice management on an ongoing basis to ensure these guidelines are met.
Mentors teammates and coach providers on documentation improvement.
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 five years of coding experience required. CPC or equivalent coding credential required. Effectivelymunicates, either verbally or in writing, with providers related to coding issues that are of highplexity. Including face to face interaction, explaining coding rationales, and education with providers. 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. In depth knowledge of claim editing rationale and revenue cycle. Basic knowledge of Relative Value Units. Understanding of and familiarity with regulatory guidelines including NCDs and LCDs. Excellent written and verbalmunication skills.
Leadership experience preferred.