Job Description

13498 Enterprise Revenue Cycle - Revenue Integrity

Full time

Yes

40

Schedule

• Monday - Friday 1st shift 40 hours a week 6:00am EST to 6:00pm CST

Certification required

• AHIMA or AAPC Coding Certification

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:

• Review and analyze patient medical records to assign appropriate CPT and HCPCS codes in the form of a charge, along with modifiers for simple outpatient or professional fee encounters under general supervision.
• Ensure all coding is compliant with official coding guidelines, and organizational policies, working solely within the established EHR/Epic environment.
• Maintains established entry level coding accuracy, quality, and productivity standards while collaborating with teammates to achieve shared goals and performance metrics.
• Strict adherence to HIPAA and organizational compliance standards.
• Stays informed of regularly updated coding principles and regulatory guidelines to ensure most accurate charge assignment.

Certification Required:

• AHIMA or AAPC Coding Certification

Education Required:

• High School Diploma or Equivalent required. Advanced training beyond High School in Medical Coding or related field (or equivalent knowledge)

Work Experience Required:

• Typically requires 0-1 years of experience in professional or hospital coding that includes experiences in either hospital or professional revenue cycle processes and health information workflows.

Knowledge, Skills & Abilities Required:

• 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 sound judgment and decision making.
• Ability to work to meet deadlines while working in a fast-paced remote environment.
• Ability to take initiative and work collaboratively with others.

Physical Requirements and Working Conditions:

• Ability to sit for up to 95% of the workday and maintain focus in a remote environment to meet productivity standards.
• Ability to routinely lift up to 40 lbs.
• May be exposed to extreme weather conditions when traveling between affiliates.
• Operates all typical office equipment necessary to perform job duties.
• Exposed to typical home and/or office environments

Preferred Education

• Associate’s degree in healthcare, business, or HIM.

Preferred Experience

• 1-5 years in revenue cycle (charge entry, billing edits, denials) or healthcare internship or externship
• Familiarity gained through a coding externship or an academic program is preferred
• Experience with Epic or similar electronic health record systems is preferred.

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.