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Coding Reimbursement Specialist I – Revenue Cycle

Coding Reimbursement Specialist I – Revenue Cycle

CompanyAdvocate Health Care
LocationCharlotte, NC, USA
Salary$22.5 – $33.75
TypeFull-Time
Degrees
Experience LevelEntry Level/New Grad, Junior

Requirements

  • High School Diploma or GED required
  • CPC, CPC-A or equivalent coding credential required
  • Maintains coding certification (CPC, CPC-A, CCS, RHIT, RHIA)
  • Understanding of and familiarity with regulatory guidelines including NCDs and LCDs
  • Working knowledge of coding, medical terminology, anatomy, and physiology

Responsibilities

  • Performs ICD and CPT coding of provider (professional) services and verifies that all requisite charge information is entered
  • Appends limited modifiers, e.g., -24, -25, -59
  • Codes minor surgical procedures
  • 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, answers, and processes all edits associated with claim and coding submission
  • Processes charges on a timely basis and communicates with team members to be sure department guidelines regarding timeliness are met
  • Communicates with providers related to coding issues that are of low to intermediate complexity
  • Assigns E/M codes from provider documentation

Preferred Qualifications

  • Some coding, medical billing and/or clinical experience preferred