Aurora Health Care
Physician Coding AR Specialist - Medical Specialties
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This range is provided by Aurora Health Care. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range $26.10/hr - $39.15/hr
Major Responsibilities
Reviews medical documentation at a proficient level from clinicians, qualified health professionals and hospitals in order to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations and an EMR and/or Computer Assisted Coding software.
Adheres to the organization and departmental guidelines, policies and protocols.
Reviews all clinician documentation to support assigned codes in the health information record so that all significant diagnoses and procedures may be captured for reimbursement and data purposes.
Conducts independent research to promote knowledge of coding guidelines, regulatory policies and trends.
Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Practices ethical judgment in assigning and sequencing codes for proper insurance reimbursement.
Maintains the confidentiality of patient records. Reports any perceived non‑compliant practices to the coding leader or compliance officer.
Meets and then exceeds departmental quality and productivity standards.
Recommends modifications to current policies and procedures as needed to coincide with government regulations.
Responsible for processing Coding Claim Denials and Coding Claim Rejections, when applicable.
Licensure, Registration, And/or Certification Required
Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA).
Education Required
Advanced training beyond High School in Medical Coding or related field (or equivalent knowledge).
Experience Required
Typically requires 3 years of experience in professional coding that includes experiences in either hospital or professional revenue cycle processes and health information workflows.
Knowledge, Skills & Abilities Required
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, including exposure or experience with 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.
Ability to work independently and exercise independent judgment and decision making.
Ability to meet deadlines while working in a fast‑paced environment.
Ability to take initiative and work collaboratively with others.
Physical Requirements And Working Conditions
Exposed to a normal office environment.
Must be able to sit for extended periods of time.
Must be able to continuously concentrate.
Position may be required to travel to other sites; therefore, may be exposed to road and weather hazards.
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
Seniority level Not Applicable
Employment type Full-time
Job function Other
Industries Hospitals and Health Care
Referrals increase your chances of interviewing at Aurora Health Care by 2x
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Get AI-powered advice on this job and more exclusive features.
This range is provided by Aurora Health Care. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range $26.10/hr - $39.15/hr
Major Responsibilities
Reviews medical documentation at a proficient level from clinicians, qualified health professionals and hospitals in order to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations and an EMR and/or Computer Assisted Coding software.
Adheres to the organization and departmental guidelines, policies and protocols.
Reviews all clinician documentation to support assigned codes in the health information record so that all significant diagnoses and procedures may be captured for reimbursement and data purposes.
Conducts independent research to promote knowledge of coding guidelines, regulatory policies and trends.
Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Practices ethical judgment in assigning and sequencing codes for proper insurance reimbursement.
Maintains the confidentiality of patient records. Reports any perceived non‑compliant practices to the coding leader or compliance officer.
Meets and then exceeds departmental quality and productivity standards.
Recommends modifications to current policies and procedures as needed to coincide with government regulations.
Responsible for processing Coding Claim Denials and Coding Claim Rejections, when applicable.
Licensure, Registration, And/or Certification Required
Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA).
Education Required
Advanced training beyond High School in Medical Coding or related field (or equivalent knowledge).
Experience Required
Typically requires 3 years of experience in professional coding that includes experiences in either hospital or professional revenue cycle processes and health information workflows.
Knowledge, Skills & Abilities Required
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, including exposure or experience with 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.
Ability to work independently and exercise independent judgment and decision making.
Ability to meet deadlines while working in a fast‑paced environment.
Ability to take initiative and work collaboratively with others.
Physical Requirements And Working Conditions
Exposed to a normal office environment.
Must be able to sit for extended periods of time.
Must be able to continuously concentrate.
Position may be required to travel to other sites; therefore, may be exposed to road and weather hazards.
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
Seniority level Not Applicable
Employment type Full-time
Job function Other
Industries Hospitals and Health Care
Referrals increase your chances of interviewing at Aurora Health Care by 2x
Sign in to set job alerts for “Medical Doctor” roles. #J-18808-Ljbffr