Professional Coder ll - Radiology

aah; Winston-Salem (NC); Hybrid; USD 76,010,000 - 114,187,000; Full time

Benefits offered by this job

Health and welfare benefits

PTO and time-off programs

Educational Assistance Program

Job summary

Advocate Health in Wake Forest Baptist Medical Center is seeking a Medical Coder II to code hospital-based professional services with accuracy and timeliness. Responsibilities include reviewing records, assigning diagnoses, CPT and modifiers, and ensuring compliance with teaching physician rules.

Qualified candidates hold CPC or CCS certifications, a minimum of two years in medical coding, and familiarity with Medicare/Medicare Teaching Physician Rules.

Qualifications

• Two years of medical coding experience in a hospital or similar setting.
• Active CPC or CCS certification.
• Knowledge of ICD/CPT coding guidelines and Medicare teaching physician rules.
• Ability to meet quality and productivity standards.

Responsibilities

• Code hospital-based professional services accurately and on time.
• Review medical record documentation to assign diagnosis and procedure codes.
• Enter diagnosis codes, professional service codes, modifiers, and facility service codes into the system.
• Assign appropriate modifiers per Teaching Physician Rules.
• Maintain knowledge of ICD, CPT, internal codes, and regulatory requirements.
• Stay informed through professional literature and continuing education.

Skills

Hospital coding experience

Medicare Teaching Physician Rules

ICD/CPT knowledge

Quality and productivity standards

Education

High school diploma or GED

Job description

Department:

05509 WFBMG University Group Practice: WFBMC Main - Radiology: Xray

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Will support:

• The role covers diagnostic radiology, MRI, nuclear medicine, PET, CT, mammography, and ultrasound. Interventional radiology and its procedures are excluded.

Schedule:

• Monday - Friday 1st shift, 8 hours day, 40 hours a week. Can pick a start between 6:00 and 9:00 a.m.

Certification required:

• Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA).

Hybrid opportunity:

• Primarily remote, and will need to go on site as needed for computer equipment pick up and support and department team events at Atrium Health Wake Forest Baptist - Medical Center.

Pay Range:

$26.55 - $39.85

Medical Coder II Requirements and Responsibilities

Essential Functions

• Code hospital-based professional services accurately and on time, including outpatient or inpatient hospital services, single services, and complete inpatient stays.

• Review medical record documentation to assign and sequence diagnosis and procedure codes in accordance with coding guidelines.

• Enter appropriate diagnosis codes, professional service codes, modifiers, and facility service or charge codes into the electronic system.

• Assign and record appropriate modifiers, including GC, NO, or NDU, in accordance with Teaching Physician Rules.

• Maintain current knowledge of ICD diagnosis codes, CPT physician service codes, internal codes for unlisted or unusual procedures, and Medicare, Medicaid, TRICARE, commercial, and managed care regulations.

• Stay informed through professional literature, workshops, and lectures.

• Complete sufficient continuing education hours to maintain national coding certification.

• Serve as a resource for less experienced medical coders.

• Collaborate with team members, Corporate Revenue Cycle, and Compliance Analysts to answer questions and resolve documentation, coding, and billing issues involving professional or facility services.

• Educate physicians to support documentation that enables the greatest possible coding accuracy.

• Resolve pending charges and claim denials in WakeOne coding work queues.

• Perform other related duties incidental to the work described.

Skills and Qualifications

• Experience coding physician professional services in a teaching environment.
• Familiarity with Medicare Teaching Physician Rules.
• Familiarity with facility fee services within a provider-based clinic.
• Ability to meet and maintain department-defined Level II Coder quality and productivity standards.

Education and Experience

• High school diploma or GED equivalent.
• Two years of medical coding experience in a similar environment; or
• Eligibility for internal promotion after achieving and maintaining department-defined Coder Level II performance criteria for six consecutive months.

Licensure, Certification, and Registration

• Active national coding certification: Certified Professional Coder (CPC) or Certified Coding Specialist (CCS).

Work Environment

• Clean, well-lit, and comfortable environment.
• Quiet work area.

Physical Requirements

• Activities may include standing, walking, sitting, bending, reaching with the arms, using finger and hand dexterity, talking, hearing, and seeing.
• May involve lifting, carrying, pushing, or pulling items with listed maximum weights of 20 pounds, 50 pounds, or 100 pounds, as applicable to the role.
• The source frequency table does not clearly identify the percentage assigned to each activity; confirm the applicable frequency and lifting category with the department.

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.

Our CommitmenttoYou:

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, andShort- 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; 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.