Coding Reimbursement Specialist I – Revenue Cycle
| Company | Advocate Health Care |
|---|---|
| Location | Charlotte, NC, USA |
| Salary | $22.5 – $33.75 |
| Type | Full-Time |
| Degrees | |
| Experience Level | Entry 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