Medical Coding Specialist

3 days ago


Oakbrook Terrace, Illinois, United States Advocate Health Full time
Job Summary

We are seeking a skilled Medical Coding Specialist to join our team at Advocate Health. As a key member of our revenue cycle team, you will be responsible for reviewing medical documentation, assigning diagnosis and procedure codes, and ensuring compliance with federal and insurance regulations.

Key Responsibilities
  • Review medical documentation at a proficient level to assign diagnosis and procedure codes using ICD-10 CM/PCS, CPT, and HCPCS.
  • Ensure correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations.
  • Adhere to organization and departmental guidelines, policies, and protocols.
  • Review clinician documentation to support assigned codes in the health information record.
  • Conduct independent research to promote knowledge of coding guidelines, regulatory policies, and trends.
  • Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association.
  • Practice ethical judgment in assigning and sequencing codes for proper insurance reimbursement.
  • Maintain the confidentiality of patient records.
  • Report any perceived non-compliant practices to the coding leader or compliance officer.
  • Meet and exceed departmental quality and productivity standards.
  • Recommend modifications to current policies and procedures as needed to coincide with government regulations.
Requirements
  • Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA).
  • Advanced training beyond High School in Medical Coding or related field (or equivalent knowledge).
  • Typically requires 3 years of experience in professional coding that includes experiences in either hospital or professional revenue cycle processes and health information workflows.
Preferred Qualifications
  • Advanced knowledge of ICD, CPT, and HCPCS coding guidelines.
  • Advanced knowledge of medical terminology, anatomy, and physiology.
  • Intermediate computer skills including the use of Microsoft office products, electronic mail, and electronic coding systems or applications.
  • Advanced communication (oral and written) and interpersonal skills.
  • Advanced organization, prioritization, and reading comprehension skills.
  • Advanced analytical skills, with a high attention to detail.
Working Conditions

This position is exposed to a normal office environment and requires the ability to sit for extended periods of time. The position may be required to travel to other sites, which may expose the individual to road and weather hazards.



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