Physician Coder II- Ophthalmology

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Job Title and Overview

The position available is Physician Coder II- Ophthalmology at Advocate Aurora Health. This role falls under the department of Enterprise Revenue Cycle - Coding Production Operations, specifically within Professional Coding Operations for Surgical and Complex cases. It is primarily focused on accurately coding ophthalmology-related medical documentation and procedures, ensuring compliance, and improving revenue cycles.

Employment Details

The job is categorized as a full-time position, with the work schedule consisting of 40 hours per week. Notably, the role is fully remote, allowing candidates from various states in the U.S. to apply. Advocate Aurora Health recognizes numerous registered states for employment including Alabama, Alaska, Arizona, and many others, thereby accommodating a broad applicant pool.

Major Responsibilities

Individuals hired for this position will be responsible for various essential duties, including:

• Reviewing medical documentation proficiently and assigning appropriate diagnosis and procedure codes using ICD-10 CM/PCS, CPT, and HCPCS coding systems.
• Ensuring proper code selection in accordance with Official Coding Guidelines as well as compliance with federal and insurance regulations through the use of Electronic Medical Records (EMR) or Computer Assisted Coding software.
• Conducting independent research to enhance knowledge of coding guidelines, regulatory policies, and current trends in the medical coding field.
• Adhering to ethical standards of coding as specified by the American Health Information Management Association (AHIMA).
• Reporting non-compliant practices to a coding leader or compliance officer, thereby maintaining the confidentiality of patient records.
• Exceeding departmental quality and productivity standards, and handling coding claim denials and rejections effectively.

Required Skills and Experience

For candidates aspiring to secure this role, certain skills and experiences are mandated:

• A Coding Certification from recognized certifying bodies such as the American Academy of Professional Coders (AAPC) or AHIMA is non-negotiable.
• Candidates should have advanced training beyond a high school diploma in Medical Coding or a related field, or equivalent knowledge.
• Typically, applicants must demonstrate at least three years of experience in professional coding, particularly in hospital or professional revenue cycle processes.
• The skillset should include advanced knowledge of ICD, CPT, and HCPCS coding guidelines along with a solid understanding of medical terminology, anatomy, and physiology.
• Proficiency in Microsoft Office products and other electronic systems is expected, along with excellent communication and analytical skills.
• Candidates should be capable of working independently, managing deadlines in a fast-paced environment, and collaborating effectively with others.

Salary Information

Compensation for the Physician Coder II role ranges from $26.55 to $39.85 per hour. This pay scale considers various factors such as qualifications, skills, and relevant experience. Additionally, there are provisions for shift premiums and incentives based on performance, making it a competitive offer in the market. Annual pay increases based on individual performance may also be a part of the compensation structure.

Benefits and Rewards

Advocate Aurora Health offers a comprehensive Total Rewards package, which includes:

• Rich health and welfare benefits such as medical, dental, and vision coverage.
• Paid Time Off (PTO) programs enhancing work-life balance.
• Financial wellness programs and retirement plans with employer matches, ensuring long-term financial security.
• Flexible spending accounts for health care and dependent care expenses, supporting employees in managing their financial obligations.
• Opportunities for career development and educational assistance, proving a strong commitment to employee growth.

Company Overview

Advocate Aurora Health is recognized as the third-largest nonprofit integrated health system in the United States. Following the merger of Advocate Aurora Health and Atrium Health, the organization operates under the names Advocate Health Care and Atrium Health across various states including Illinois, and Wisconsin. The organization underscores its commitment to clinical innovation, health outcomes, consumer experiences, and value-based care, serving nearly 6 million patients annually.

Advocate Aurora Health operates 69 hospitals and over 1,000 care locations, employing approximately 155,000 teammates. It offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows in more than 200 programs. The system also prides itself on providing substantial community benefits, with over $6 billion allocated annually, demonstrating its commitment to equitable healthcare for all.

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