编码员 II - 医保健康访问和过渡护理管理
Coder II - Medicare Wellness Visits and Transitional Care Management
部门：
13497 企业收入周期 - 编码生产运营：专业编码运营 医疗和初级护理
状态：
全职
福利资格：
是
每周工时：
40
排班详情/附加信息：
将支持：
- 医疗保险健康检查访问和过渡性护理管理生产编码团队
排班：
- 周一至周五 第一班次 每周工作40小时。
所需认证：
- 由以下认证机构之一颁发的编码认证：美国编码协会（AAPC），或美国医疗信息管理协会（AHIMA）。
远程机会：
- Advocate Health 可能批准希望在以下注册州工作的人员：AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY
薪资范围：
$26.55 - $39.85
主要职责：
- 独立执行复杂的专业费用编码（CPT/HCPCS 和 ICD-10-CM），适用于门诊和医院环境中的医生服务，确保熟练应用修饰符和 E/M 指南，或；
- 执行基础设施编码，用于简单的门诊就诊（例如诊断影像、实验室）和基本住院服务（例如简单入院、短期住院），使用 ICD-10-CM 和 ICD-10-PCS，视情况而定
- 确保所有编码严格遵守官方指南（例如 AAPC 或 AHIMA 提供的指南）、联邦法规（CMS）和组织合规标准
- 在需要时识别正式临床查询的需求，以澄清专业或设施记录的文档
- 保持与分配工作量复杂性相适应的高准确性和生产率标准
- 可能为新编码员工提供专业编码细微差别的非正式指导
执照、注册和/或认证要求：
- 由美国编码协会（AAPC）或美国医疗信息管理协会（AHIMA）颁发的有效编码认证；双认证优先
教育要求：
- 需要高中文凭或同等学历
- 完成经认证的医学编码或 HIM 项目（或等效经验）
经验要求：
对于入门级职位（基础住院/简单门诊）
- 具有基础设施编码的基础经验（通过教育、实习或实际工作）涵盖基本门诊和基本住院记录。
- 具有...
查看英文原文
Department:
13497 Enterprise Revenue Cycle - Coding Production Operations: Professional Coding Operations Medical and PrimaryStatus:
Full timeBenefits Eligible:
YesHours Per Week:
40Schedule Details/Additional Information:
Will support:
- Medicare Wellness Visits and Transitional Care Management Production Coding Team
Schedule:
- Monday - Friday 1st shift 40 hours a week.
Certification required:
- Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA).
Remote opportunity:
- Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY
Pay Range:
$26.55 - $39.85·
Major Responsibilities:
- Independently perform complex, specialty-specific professional fee coding (CPT/HCPCS and ICD-10-CM) for physician services rendered in both office and hospital settings, ensuring expert application of modifiers and E/M guidelines, or;
- Perform entry-level facility coding for simple outpatient encounters (e.g., diagnostic imaging, labs) and basic inpatient services (e.g., uncomplicated admissions, short stays) using ICD-10-CM and ICD-10-PCS, where applicable
- Ensure all coding adheres strictly to official guidelines (e.g., provided by AAPC or AHIMA), federal regulations (CMS), and organizational compliance standards
- Identify the need for formal clinical queries for documentation clarification when necessary for professional or facility records
- Maintain high accuracy and productivity standards appropriate to the complexity of the assigned workload
- May provide informal guidance to new coding staff on professional coding nuances
Licensure, Registration, and/or Certification Required:
- An active coding certification issued by the American Academy of Coders (AAPC) OR American Health Information Management Association (AHIMA); Dual certifications, preferred
Education Required:
- High School Diploma or Equivalent required
- Completion of an accredited medical coding or HIM program (or equivalent experience)
Experience Required:
For Entry-Level Roles (Basic Inpatient/Simple Outpatient)
- Foundational experience in facility coding (via education, externship, or applied work) covering basic outpatient and basic inpatient records.
- Experience with Epic or similar electronic health record systems is a plus
For Proficient Roles (Complex Professional Coding)
- Minimum of 3-5 years of direct professional fee coding experience in a multi-specialty environment is required
- Experience with professional procedural coding (e.g., surgical, interventional procedures) is preferred
- Experience with Epic or similar electronic health record systems is required
Knowledge, Skills & Abilities 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) as they apply to simple encounters
- 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
Physical Requirements and Working Conditions:
- Exposed to normal office environment in a remote work setting
- Job may require occasional travel for training or meetings, therefore, may be exposed to road and weather hazards
- May need to be able to lift up to 40 lbs. occasionally (e.g., equipment)
- Sits the majority of the workday, but also may lift, reach, and bend throughout the day
- Operates all equipment necessary to perform the job
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
#REMOTE
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:
Compensation
- Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
- Premium pay such as shift, on call, and more based on a teammate's job
- Incentive pay for select positions
- Opportunity for annual increases based on performance
Benefits and more
- 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
Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
Originally posted on Himalayas