Prebilling Coding Specialist – Revenue Cycle
Advocate Aurora Health
full-time
Posted on:
Location Type: Remote
Location: Illinois • United States
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Salary
💰 $25 - $37 per hour
About the role
- Edit and correct or coordinate the correction/review of edits generated on the 3M OCE/EAPG report
- Review alert against patient record to determine the appropriateness of corrections to patient's accounts
- Make revisions with the utmost attention to accuracy to ensure correct claim generation
- Document activities in a clean and concise manner in the Allegra system
- Responsible for the filing, security, confidentiality, retention and storage of all government and private documents initiated in unit
- Combine accounts according to payer requirements when appropriate
- Correctly identify when accounts are related or unrelated services by reviewing the clinical data contained in the patient's medical record
- Review and combine accounts in a timely manner, specifically, prior to the generation of the claim
- Contact physicians and other health care professionals to obtain needed information required for the correct assignment of CPT-4/HCPCS, modifiers and charges for outpatient services
- Responsible to read and understand all Advocate SRCO policies and departmental collections policies and procedures.
Requirements
- Certified Coding Specialist (CCS) credential for inpatient or outpatient coding positions or Certified Coding Specialist-Physician based (CCS-P) for outpatient coding positions
- Completion of coding certificate program from recognized community college (typically 20 semester hours of college credit courses) or significant coding experience prior to earning CCS or CCS-P credential
- Registered Health Information Technician (RHIT) with associate’s degree in health information technology from accredited program or Registered Health Information Administrator (RHIA) with bachelor’s degree in health information administration from accredited program
- 3-5 years of recent acute care hospital outpatient coding experience
- Experience with the 3M OCE report or experience in charge capture determination in a complex department such as the emergency department
- Achieve satisfactory score on Advocate’s coding test.
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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
codingCPT-4HCPCSclaim generationaccount combinationclinical data reviewaccuracy in documentationcharge capture determinationcoding experiencemedical record review
Soft skills
attention to detailcommunicationorganizational skillsconfidentialitytimeliness
Certifications
Certified Coding Specialist (CCS)Certified Coding Specialist-Physician based (CCS-P)Registered Health Information Technician (RHIT)Registered Health Information Administrator (RHIA)