Coding Reimbursement Specialist III Revenue Cycle - Levine Cancer

• Cancer program which includes but not limited to GYN, Surgical, GI, Hematology, Infusion and Oncology.

• Monday - Friday First shift 40 hours a week.

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

Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, 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

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.

• 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.

• High School Diploma or GED required.

• Works in a fast-paced office/hospital environment. Work consistently requires sitting and some walking, standing, stretching, and bending.

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

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:

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.