Professional Coder ll - Radiology

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

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

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

• 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.

• 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.

• 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.

• 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.        

• 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.

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

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

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:

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.