Physician Support Coder

Department:

10395 Enterprise Revenue Cycle -

Individualized Clinician Support Surg Hosp Based and Complex Specialties Status:

Full time

Benefits Eligible:

Yes Hours Per Week:

40

Schedule Details/Additional Information:

Will support: Responsible for assisting the coding department with the day-to-day non-coding duties support activities.

Schedule:

Monday - Friday 1st shift 40 hours a week.

Certification desired:

Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA).

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, ID, 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 $25.30 - $37.95

Major Responsibilities:

Assigns codes to office-based visits and procedures using the International Classification of Diseases (ICD-10-CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS). Resolve coding edits to assure accurate and complete claims submission. Sequences diagnoses and procedure codes as outlined in CPT, ICD-10-CM, and HCPCS Coding Guidelines while adhering to local and national governmental payer guidelines. Reviews all clinician documentation to support assigned codes in the health information record so that all significant diagnoses and procedures may be captured for reimbursement and data purposes. Follows up and obtains clarification of inaccurate documentation as appropriate. Codes risk adjustable encounters, resolves CRMs, and trends coding denials, as assigned. Conducts formal coding and documentation reviews, clinician reviews and quality reviews, as assigned. Assists with coding research functions and education activities. Conducts clinician spot check reviews for coding educational feedback to include E&M, ICD-10-CM, HCC, HCPCS, and modifiers. Creates clinician coding and documentation education based on query trends or ad-hoc requests. Works clinician support transfer queries Charge Review, Claim Edit, and Follow-Up workqueues, as assigned. Performs new clinician educational reviews, as assigned. Adheres to the organization and departmental guidelines, policies, and protocols. Abides by Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Practices ethical judgment in assigning and sequencing codes for proper insurance reimbursement. Maintains confidentiality of patient.

Certification Required:

Certified Coding Associate (CCA) certification issued by the American Health Information Management Association (AHIMA), or Certified Coding Specialist - Physician-based (CCS-P) certification issued by the American Health Information Management Association (AHIMA), or Registered Health Information Technician (RHIT) certification issued by the American Health Information Management Association (AHIMA), or Registered Health Information Administrator (RHIA) certification issued by the American Health Information Management Association (AHIMA), or Certified Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC), or Specialty Coding Professional (SCP) certification issued by the Board of Medical Specialty Coding and Compliance (BMSC), or Certified Professional Coder-Apprentice Status (CPC-A) certification issued by the American Academy of Professional Coders (AAPC) This certification is given out to those who pass the CPC exam but have not yet met the on-the-job experience requirement

Education Required:

High School Graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED)

Experience Required:

No experience is required

Knowledge, Skills, and Abilities Required:

Must understand the fundamentals of medical coding. Knowledge of ICD, CPT, and HCPCS coding guidelines. Knowledge of medical terminology, anatomy, and physiology. Basic computer skills including the use of Microsoft Office products, electronic mail, including exposure or experience with electronic coding systems or applications. Basic communication (oral and written) and interpersonal skills. Basic organization, prioritization, and reading comprehension skills. Basic analytical skills, with high attention to detail. Ability to work independently and exercise independent judgment and decision-making. Ability to meet deadlines while working in a fast-paced environment. Ability to take initiative and work collaboratively with others. 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. 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 Note:

Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview. About Advocate Health 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. This is Transformation One shared purpose brought us together. Now, as one of the 10 largest not-for-profit, integrated health systems in the United States, our combined strength and stability drives us forward. Starting with You Caring for nearly 3 million people has inspired a transformation. One in which the patient's experience guides our vision and empowers us to offer new possibilities in our communities. Reshaping Access What is access? It's offering more sites of care than any other health system in the Midwest. But there's a new frontier. Access is exploring the latest technologies to deliver care to patients exactly where they are and exactly when they need it Inspiring Professionals With our dynamically inclusive workforce and strong connections to the places where we live and work, we'll touch more lives and contribute to stronger and more vibrant communities. Transforming Care We're redefining the standard for care with world-class doctors and caregivers, innovative solutions, outstanding outcomes, and leading-edge research and clinical trials. Combined, Advocate and Aurora are recognized for clinical excellence in: Cardiovascular Care Neurosciences Gynecology Oncology Pediatrics Primary Care Neurology Geriatrics Trauma Care