Senior Clinician Services Analyst – Primary Care

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🔥 8 minutes ago

🧀 Wisconsin – Remote

🧀 Wisconsin – Remote

💵 $38.2k - $57.3k / year

⏰ Full Time

🟠 Senior

🧐 Analyst

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Advocate Aurora Health

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

💰 $10.2M Grant on 2019-08

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

• Monitor and analyze KPIs to identify trends and transform data into actionable reports and presentations that support strategic decision-making. • Collaborate with leadership and cross-functional teams to identify improvement opportunities and advance documentation practices. • Provide operational and technical guidance to staff and stakeholders, ensuring clarity and consistency in documentation and coding processes. • Demonstrate compliance with regulatory requirements, including CMS, QIOs, NCCI edits, and payer-specific guidelines. • Engage in continuous learning, staying current with evolving coding guidelines, practices, and terminology through training and professional development. • Promote a collaborative, service-oriented culture, modeling professionalism and teamwork across Clinician Services and organizational stakeholders.

🎯 Requirements

• Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification, or Coding Specialist (CCS) certification, or Coding Specialist – Physician (CCS-P) certification issued by AHIMA or Professional Coder (CPC) certification issued by AAPC. • Completion of advanced training through a recognized or accredited program, equivalent in scope and rigor to post-secondary education or equivalent knowledge. • 5 years of experience in expert-level professional and/or facility coding • Advanced level of ICD-10-CM/PCS and/or ICD-10-CM/CPT/HCPCS for a large complex health care system or medical group. • Extensive knowledge of third-party reimbursement programs, state and federal regulatory issues, national and local coverage determinants, research-related restrictions, ICD-10 CM/PCS, and CPT/HCPCS coding classifications. • Proficiency in statistical analysis. • Demonstrated proficiency in the Microsoft Office Suite (Word, Excel, PowerPoint, Teams, etc.) or similar products and in patient accounting and billing systems.

🏖️ Benefits

• 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 • Competitive compensation • Opportunity for annual increases based on performance