Physician Coding AR Specialist – Primary Care Specialties

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October 31

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Advocate Aurora Health

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Healthcare Insurance

Advocate Aurora Health is a leading healthcare organization that operates across various regions including Central Chicagoland, Central Wisconsin, Greater Milwaukee, and more. With a diverse range of career areas such as advanced practice clinicians, behavioral health, nursing, and more, Advocate Aurora Health is committed to helping people live well. The organization offers numerous benefits and opportunities for career advancement, fostering an environment where individuals can thrive and innovate in the healthcare sector. Advocate Aurora Health prioritizes the safety of its candidates and maintains a robust recruitment process to protect sensitive information.

10,000+ employees

⚕️ Healthcare Insurance

💰 $10.2M Grant on 2019-08

📋 Description

• In collaboration with Customer Service, analyze and resolve professional coding complaints in a timely manner • Identifies and analyzes coding denials for a specific population of charges • Coordinates coding rejection data collection activities used for reporting and accountability tracking • Identifies potential trends or knowledge concerns and opportunities for improvement • Researches and documents applicable regulatory, coding and billing rules • Develops standardized processes and tools for the coding production team to utilize • Works with Professional Coding Leadership to develop monthly coding update reports • Maintains up-to-date information regarding coding denials and rejections • Identifies and problem solves trends and issues • Collaborates with department leadership clinic operations managers, system contracting team • Provides regular statistical reports to leadership regarding rejection/denial volumes

🎯 Requirements

• Advanced training beyond High School that includes the completion of an accredited or approved program in Medical Coding Specialist • Typically requires 5 years of professional coding and at least 3 years of payer background experience in physician revenue cycle processes • Advanced knowledge of ICD, CPT and HCPCS coding guidelines • Advanced knowledge of medical terminology, anatomy, and physiology • Advanced ability to identify coding discrepancies and provide recommendations for improvement • Advanced ability to analyze trends and data and display them in a statistical reporting format • Advanced knowledge of care delivery documentation systems and related medical record documents • Advanced knowledge of Medicare, Medicaid, and commercial payer coding guidelines • Advanced computer skills including the use of Microsoft Office, email and exposure or experience with electronic coding systems or applications.

🏖️ Benefits

• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability • Paid Time Off programs • 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