Professional Coder II – Risk Management

Job not on LinkedIn

🕒 February 27

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Logo of Advocate Aurora Health

Advocate Aurora Health

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

💰 $10.2M Grant on 2019-08

Healthcare • 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.

📋 Description

• Independently perform complex, specialty-specific professional fee coding using CPT/HCPCS and ICD-10-CM for physician services in office and hospital settings • Apply modifiers and E/M guidelines • Perform entry-level facility coding for simple outpatient encounters and basic inpatient services using ICD-10-CM and ICD-10-PCS where applicable • Ensure coding adheres to AAPC/AHIMA guidelines, CMS regulations, and organizational compliance standards • Identify the need for formal clinical queries for documentation clarification • Maintain accuracy and productivity standards appropriate to assigned workload • Provide informal guidance to new coding staff on professional coding nuances • Support Risk Management • Work first shift Monday through Friday, full time, 40 hours per week

🎯 Requirements

• Active coding certification issued by AAPC or AHIMA • Dual certifications, specifically CRC, preferred • High School Diploma or Equivalent required • Completion of an accredited medical coding or HIM program (or equivalent experience) • Minimum of 3-5 years of direct professional fee coding experience in a multi-specialty environment required • Experience with professional procedural coding preferred • Experience with Epic or similar electronic health record systems required • Proficient knowledge of medical terminology, anatomy, and pathophysiology • Advanced proficiency in CPT/HCPCS and ICD-10-CM/PCS coding systems • Basic understanding of facility payment methodologies (MS-DRGs) • Strong analytical skills, attention to detail, and ability to context-switch between different coding guidelines • Ability to work independently, manage a varied workload, and meet deadlines in a fast-paced environment • Ability to work first shift, Monday through Friday, 40 hours per week • May need to lift up to 40 lbs. occasionally • Must be able to operate all equipment necessary to perform the job

🏖️ Benefits

• Comprehensive Total Rewards benefits and well-being programs • Premium pay such as shift and on-call pay • Incentive pay for select positions • Opportunity for annual increases based on performance • Paid Time Off programs • Medical, dental, vision, life, and Short- and Long-Term Disability benefits • Flexible Spending Accounts for eligible health care and dependent care expenses • Adoption assistance and paid parental leave • Defined contribution retirement plans with employer match • Other financial wellness programs • Educational Assistance Program • Remote work opportunity • Occasional travel for training or meetings

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