Coding and Data Specialist

Overview

Accepting applications from candidates residing in these states: AL, CO, FL, GA, ID, KS, KY, ME, MI, NC, SC, VA, VT

Salary: $30.48-$45.71/hour

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

PRIMARY PURPOSE

* The coding and data specialist ensures the timely and accurate coding and completion of patient accounts within established departmental accuracy and productivity standards.
* Applies correct ICD CM/PCS (Inpatient) and ICD CM/CPT (Outpatient) codes and coding guidelines meeting departmental policy regarding compliant methods, timeframes, use of applications and productivity.
* Functions as an organizational coding expert and additionally supports and collaborates with teams such as Clinical Documentation Integrity, Quality, and Condition Management Documentation as directed. .

MAJOR RESPONSIBILITIES

* Reviews clinical documentation and diagnostic results from the EHR to translate documentation into appropriate ICD CM/PCS and ICD CM/CPT codes to support organizational and Clinician Services initiatives.
* Demonstrates full understanding and is compliant with correct coding initiative guidelines, regulatory requirements regarding coding of medical information including but not limited to external regulatory agencies such as Quality Improvement Organizations (QIOs), the Centers for Medicare & Medicaid Services (CMS) and other payers, and the Joint Commission.
* Demonstrates proficiency in utilizing the electronic medical record, computer assisted coding/encoding software, and clinical documentation information systems to facilitate code assignment
* Queries providers when existing documentation is unclear or ambiguous following established organizational policy.
Participates in CDI/Coding/Quality collaboration and problem solving and conveys identified opportunities to Documentation and Risk Leadership.
* Demonstrates positive collaboration with team members within Clinician Services and other stakeholders.

• MINIMUM EDUCATION AND EXPERIENCE REQUIRED
  
  
• License/Registration/Certification: Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification issued by the American Health Information Management Association (AHIMA) or Professional Coder (CPC) certification or Coding Specialist (CCS) certification, or Coding Specialist - Physician (CCS-P), or Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC) Additional credential of CCDS, CCDS-O or CDIP preferred
  Issued by (Governing Body): American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA), respectively to certification.
  
• Level of Education: High School Diploma or GED required; Bachelor's degree preferred
  Field of Study (if applicable): Any related field.
  Years of Experience: 3 years required; 5 years preferred.
  Describe Type Experience: Typically requires 3 years of experience in coding that includes experiences in advanced level of ICD CM/PCS and/or ICD CM/CPT for a large complex health care system