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Atrium Health Senior Coding - Reimbursement Specialist - Revenue Cycle in Charlotte, North Carolina

Only applicants from states below are eligible:

Job Summary

Performs coding duties of high complexity, judgment, and scope. Independently able to interpret and analyze documentation and assign all relevant coding rationale.

Essential Functions

  • Subject matter expert in multiple areas of coding, e.g., surgical coding (not including primary care procedures).

  • Assigns CPT and ICD codes in cases of high complexity, judgment and scope.

  • Reads, interprets and assigns CPT codes from provider documentation, e.g., operative report.

  • Performs ICD and CPT coding of provider (professional) services and verifies that all requisite charge information is entered.

  • Appends all modifiers.

  • Ranks CPT codes when multiple codes apply.

  • 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 and analyzes coding and payer specific issues.

  • Adheres to department guidelines for timeliness of processing charges and communicates with team members and practice management on an ongoing basis to ensure these guidelines are met.

  • Mentors teammates and coach providers on documentation improvement.

Physical Requirements

Works in a fast-paced office/hospital environment. Work consistently requires sitting and some walking, standing, stretching, and bending.

Education, Experience and Certifications

High School Diploma or GED required. Minimum of five years of coding experience required. CPC or equivalent coding credential required. Effectively communicates, either verbally or in writing, with providers related to coding issues that are of high complexity. Including face to face interaction, explaining coding rationales, and education with providers. Maintain coding certification (CPC, CCS, RHIT, RHIA). Extensive knowledge of coding, medical terminology, anatomy, and physiology. Extensive knowledge of and the ability to apply the payer specific rules regarding coding, bundling, and adding appropriate modifiers. In depth knowledge of claim editing rationale and revenue cycle. Basic knowledge of Relative Value Units. Understanding of and familiarity with regulatory guidelines including NCDs and LCDs. Excellent written and verbal communication skills.

Job Summary

Performs coding duties of high complexity, judgment, and scope. Independently able to interpret and analyze documentation and assign all relevant coding rationale.

Essential Functions

  • Subject matter expert in multiple areas of coding, e.g., surgical coding (not including primary care procedures).

  • Assigns CPT and ICD codes in cases of high complexity, judgment and scope.

  • Reads, interprets and assigns CPT codes from provider documentation, e.g., operative report.

  • Performs ICD and CPT coding of provider (professional) services and verifies that all requisite charge information is entered.

  • Appends all modifiers.

  • Ranks CPT codes when multiple codes apply.

  • 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 and analyzes coding and payer specific issues.

  • Adheres to department guidelines for timeliness of processing charges and communicates with team members and practice management on an ongoing basis to ensure these guidelines are met.

  • Mentors teammates and coach providers on documentation improvement.

Physical Requirements

Works in a fast-paced office/hospital environment. Work consistently requires sitting and some walking, standing, stretching, and bending.

Education, Experience and Certifications

High School Diploma or GED required. Minimum of five years of coding experience required. CPC or equivalent coding credential required. Effectively communicates, either verbally or in writing, with providers related to coding issues that are of high complexity. Including face to face interaction, explaining coding rationales, and education with providers. Maintain coding certification (CPC, CCS, RHIT, RHIA). Extensive knowledge of coding, medical terminology, anatomy, and physiology. Extensive knowledge of and the ability to apply the payer specific rules regarding coding, bundling, and adding appropriate modifiers. In depth knowledge of claim editing rationale and revenue cycle. Basic knowledge of Relative Value Units. Understanding of and familiarity with regulatory guidelines including NCDs and LCDs. Excellent written and verbal communication skills.

Job Summary

Performs coding duties of high complexity, judgment, and scope. Independently able to interpret and analyze documentation and assign all relevant coding rationale.

Essential Functions

  • Subject matter expert in multiple areas of coding, e.g., surgical coding (not including primary care procedures).

  • Assigns CPT and ICD codes in cases of high complexity, judgment and scope.

  • Reads, interprets and assigns CPT codes from provider documentation, e.g., operative report.

  • Performs ICD and CPT coding of provider (professional) services and verifies that all requisite charge information is entered.

  • Appends all modifiers.

  • Ranks CPT codes when multiple codes apply.

  • 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 and analyzes coding and payer specific issues.

  • Adheres to department guidelines for timeliness of processing charges and communicates with team members and practice management on an ongoing basis to ensure these guidelines are met.

  • Mentors teammates and coach providers on documentation improvement.

Physical Requirements

Works in a fast-paced office/hospital environment. Work consistently requires sitting and some walking, standing, stretching, and bending.

Education, Experience and Certifications

High School Diploma or GED required. Minimum of five years of coding experience required. CPC or equivalent coding credential required. Effectively communicates, either verbally or in writing, with providers related to coding issues that are of high complexity. Including face to face interaction, explaining coding rationales, and education with providers. Maintain coding certification (CPC, CCS, RHIT, RHIA). Extensive knowledge of coding, medical terminology, anatomy, and physiology. Extensive knowledge of and the ability to apply the payer specific rules regarding coding, bundling, and adding appropriate modifiers. In depth knowledge of claim editing rationale and revenue cycle. Basic knowledge of Relative Value Units. Understanding of and familiarity with regulatory guidelines including NCDs and LCDs. Excellent written and verbal communication skills.

Atrium Health is one of the nation’s leading healthcare organizations, connecting patients with on-demand care, world-class specialists and the region’s largest primary care network. A recognized leader in healthcare delivery, quality and innovation, our foundation rests on providing clinically excellent and compassionate care.

We’ve been serving our community since 1940, when we opened our doors as Charlotte Memorial Hospital. Since then, our network has grown to include more than 40 hospitals and 900 care locations ranging from doctors’ offices to behavioral health centers to nursing homes.

Our focus: Delivering the highest quality patient care, supporting medical research and education, and joining with partners outside our walls to keep our community healthy.

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