Physician Coding Review Specialist Job at Advocate Health Care

Physician Coding Specialist II

Under the direction of the Revenue Cycle Supervisor – Coding the Physician Codin...

Location

United States , Shaker Heights

Salary:

20.11 - 31.44 USD / Hour

University Hospitals

Expiration Date

Until further notice

Requirements

High School Equivalent / GED
2+ years Of medical billing experience
Billing experience in a multi-specialty group is a plus
Excellent interpersonal skills
Ability to recognize, evaluates, and solves problems
Strong verbal and written communication skills
Extensive knowledge of the claims development process
Basic knowledge of ICD-9 and CPT coding
Ability to handle a variety of tasks with speed, attention to detail, and accuracy
Computer literate

Job Responsibility

Analyzes outstanding insurance accounts
Initiates follow-up on identified accounts
Communicates with payors and internal departments
Researches and responds to telephone inquiries
Reviews and corrects coding edits and denials
May code ICD-10 from written documentation
May abstract CPT/HCPCS codes
May perform computer assisted coding functions
Maintains patient/physician confidentiality
Provides information and feedback to personnel

What we offer

Healthcare
Dental
Vision
Retirement plan options
Additional offerings

Fulltime

Medical Coding Specialist

The Medical Coding Specialist is responsible for obtaining charge capture data f...

Location

United States , Salina

Salary:

Not provided

Central Care Cancer Center

Expiration Date

Until further notice

Requirements

Previous clinical or coding experience
At least 2 years’ experience of medical billing in a Healthcare setting and CPC, required
CEMC, CPMA, and CHONC certifications preferred
Knowledge of CPT and ICD10 coding
Knowledge of HIPAA and OSHA rules and regulations
Knowledge of insurance fee schedules and contractual obligations
Problem Solving
Maintains confidentiality
Balances team and individual responsibilities
Displays willingness to make decisions

Job Responsibility

Obtaining charge capture data from the electronic medical records (EMR) and keying this information into the patient management system daily for multiple assigned locations
Review medical notes and records to identify proper coding of claims
Assigns and translate codes for different services and diagnosis
Review physicians’ notes and charts for accuracy
Maintain current knowledge of coding and keep current with medical compliance and reimbursement policies impacting claims payments
Responsible for daily entering and organizing of codes from EMR into billing management software
Familiar with ICD10 and CPT/HCPCS universal coding systems
Obtains necessary clarification with clinical managers and nursing staff to ensure appropriate billing and charge capture
Manage and track missing charge capture reports or billing information, ensuring timely entry of information prior to month end
Monthly audit of assigned locations (10% of charts)

Fulltime

Surgery Medical Coding Specialist

We are seeking a detail-oriented Surgery Medical Coder to join our team. This ro...

Location

United States , Indianapolis

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High School Diploma or GED required
1–2 years of related experience required
One of the following certifications is required: Certified Professional Coder (CPC), Certified Coding Specialist – Physician-based (CCS-P), Certified Orthopaedic Surgery Coder (COSC)

Job Responsibility

Review and accurately code surgical procedures, diagnoses, and related services
Ensure coding compliance with payer, regulatory, and organizational guidelines
Analyze medical documentation to assign appropriate CPT, ICD-10, and HCPCS codes
Work closely with providers and staff to clarify documentation as needed
Maintain productivity and accuracy standards in a remote work environment
Support billing and reimbursement processes through precise code assignment
Participate in minimal onsite training sessions and periodic team meetings

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Fulltime

Professional Surgical Coding Specialist III

The Professional Fee Surgical Coding Specialist III will work in collaboration w...

Location

United States , Milwaukee

Salary:

Not provided

Children's Wisconsin

Expiration Date

Until further notice

Requirements

3 years of Surgical coding experience in a healthcare position
Coding Certification – one of the following: CPC-Certified Professional Coder - American Board of Professional Coders
CCS-P-Certified Coding Specialist Physician Based - American Health Information Management Association
CCS-Certified Coding Specialist - American Health Information Management Association
RHIT-Registered Health Information Technician - American Health Information Management Association
Knowledge of ICD10, CPT and HCPCS coding guidelines
Working knowledge of CCI edits, healthcare insurance guidelines and other regulatory guidance
Specialty Coding knowledge
Prior use of an Electronic Health Record
Excellent communication (oral and written) skills

Job Responsibility

Work in collaboration with Ancillary or specialty departments/locations/providers to code, review and release charges in a timely manner and to ensure correct coding, billing compliance and complete charge capture
Collaborates with providers and other departmental staff/leaders on coding or charge capture related questions/topics

Fulltime

Risk Adjustment Coding Specialist - VBC Operations and Transformation

Provides thorough concurrent, prospective, and retrospective review of ambulator...

Location

United States , Lewes

Salary:

23.67 - 36.69 USD / Hour

beebe healthcare

Expiration Date

Until further notice

Requirements

Certified Risk Adjustment Coder (CRC) & Certified Coding Specialist (CCS-P), CCS, CPC
Minimum of two years' experience in medical coding
Reliable transportation/Valid Driver's License/Must be able to travel at least 50% of work time

Job Responsibility

Review provider documentation of diagnostic data from medical record to verify that all Medicare Advantage, MSSP and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum
Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC)
Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines
Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation
Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing
Provides ongoing feedback to physicians and other providers regarding coding guidelines and requirements, including education and support for improvement in HCC coding and RAF scoring. Assists with educational in-services for physicians, other providers, and clinic staff relating to clinical documentation compliance related to billing.

What we offer

Sign-on and Referral Bonuses for select positions
Tuition Assistance up to $5,000
Paid Time Off
Long Term Sick accrual
Employer Contribution Plan
Free Short and Long-Term Disability for Full Time employees
Zero copay for drugs on prescription plan for certain conditions
College Bound 529 Savings Plan
Life Insurance
Beebe Perks via Work Advantage

Fulltime

Medical Coding Specialist

The Medical Coding Specialist is responsible for obtaining charge capture data f...

Location

United States , Salina

Salary:

Not provided

Central Care Cancer Center

Expiration Date

Until further notice

Requirements

Previous clinical or coding experience
At least 2 years’ experience of medical billing in a Healthcare setting and CPC, required
CEMC, CPMA, and CHONC certifications preferred
Knowledge of CPT and ICD10 coding
Knowledge of HIPAA and OSHA rules and regulations
Knowledge of insurance fee schedules and contractual obligations
Problem Solving
Maintains confidentiality
Balances team and individual responsibilities
Displays willingness to make decisions

Job Responsibility

Obtain charge capture data from the electronic medical records (EMR) and key this information into the patient management system daily for multiple assigned locations
Review medical notes and records to identify proper coding of claims
Assign and translate codes for different services and diagnosis
Review physicians’ notes and charts for accuracy
Maintain current knowledge of coding and keep current with medical compliance and reimbursement policies impacting claims payments
Responsible for daily entering and organizing of codes from EMR into billing management software
Familiar with ICD10 and CPT/HCPCS universal coding systems
Obtain necessary clarification with clinical managers and nursing staff to ensure appropriate billing and charge capture
Manage and track missing charge capture reports or billing information, ensuring timely entry of information prior to month end
Monthly audit of assigned locations (10% of charts)

Fulltime

Executive and Physician Benefits Specialist

The Executive and Physician Benefits Specialist provides comprehensive administr...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

Associates Degree
BA/BS in HR, Finance, Business or related field, preferred
Ability to recognize potential risks or problems and suggest various options leading to solutions
Ability to collaborate across functions and across regions
Intermediate to advanced Microsoft skills
Demonstrated ability to grasp and actively process complicated concepts and formulate strategies
High level analytical and problem solving capability
Strong information systems knowledge, statistical and research skills
Demonstrated strong communication skills with all levels of the organization including physician and senior leadership
Appreciation for and ability to maintain confidentiality, with the highest level of discretion

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Serve as a primary contact for physician and executive inquiries, providing high-level administrative support
Coordinate communications, meetings, and onboarding logistics to ensure a smooth CHRISTUS Associate experience
Coordinate and maintain complex scheduling needs, including meetings, appointments, and event logistics within the Executive Programs team
Ensure data integrity and accuracy on all executive, physician & clinician benefit processes, and ensure privacy requirements are met
Support HR and benefit processes, including onboarding, promotions, terminations, data entry, benefits orientation, and communication updates, ensuring timely changes to systems and records
Assist in preparing materials for initiating relocation benefits and enrolling in other specific benefits. This includes concierge contact with each Executive to ensure information is provided and critical enrollment deadlines are not missed
Maintain accurate employee records by updating job descriptions, organizational rosters, and communication lists
Collaborate with the Executive Recruitment team to support compensation and benefits alignment
Support payroll processing by preparing documentation, reviewing compensation data, and maintaining deduction files and stewardship metrics

Fulltime

Clinician Coding Liaison - New Clinician Onboarding Specialist

Location

United States , Charlotte

Salary:

35.50 - 53.25 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification, or Coding Specialist (CCS) certification, or Coding Specialist – Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA) or Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC). Additional specialty credential preferred.
Completion of advanced training through a recognized or accredited program, equivalent in scope and rigor to post-secondary education or equivalent knowledge. High school diploma or GED required.
Typically requires 4 years of experience in expert-level professional coding.
Advanced Coding Expertise: In-depth knowledge of ICD, CPT, and HCPCS coding guidelines, ensuring accurate and compliant coding practices.
Medical Terminology & Anatomy: Strong understanding of medical terminology, anatomy, and physiology to support precise code assignment.
Epic & Reporting Solutions: Advanced knowledge of Epic and other reporting tools to analyze data, generate reports, and optimize workflow efficiencies.
Critical Thinking & Analytical Skills: Highly proficient in problem-solving and analytical thinking with strong attention to detail.
Interpersonal Communication: Excellent verbal and written communication skills, with the ability to educate and collaborate effectively with physicians, APCs, clinical leadership, and coding teams.
Advanced Computer Skills: Proficiency in Microsoft Office Suite, electronic coding applications, and email communication.
Organizational & Prioritization Skills: Ability to efficiently manage multiple tasks, set priorities, and meet deadlines in a fast-paced environment.

Job Responsibility

Deliver proactive coding education through newsletters, scorecards, and presentations, covering CPT (E&M, modifiers), ICD-10-CM, HCPCS, Risk Adjustment, payer requirements, and rejection resolutions.
Lead onboarding and compliance training for all employed Physicians/APPs, including Locum Tenens, residents, and students, ensuring documentation accuracy from the start.
Provide individualized documentation feedback by reviewing new clinician records and conducting spot checks, escalating non-coding issues to appropriate teams.
Serve as the primary contact for coding inquiries, coordinating with internal teams to resolve complex issues such as NCCI bundling and high-complexity charge edits.
Monitor Epic work queues (charge review, follow-up, claim edit) to ensure timely and accurate charge submissions and reduce claim denials.
Collaborate across departments—including CMOs, Clinical Informatics, Risk Adjustment, and Population Health—to enhance documentation practices and system optimization.
Participate in specialty and department meetings, identifying trends and delivering targeted education to improve coding and documentation accuracy.
Refine Epic documentation tools, including templates, order entries, diagnosis lists, and SmartSets/SmartPhrases, to improve efficiency and accuracy.
Ensure compliance with regulatory standards, including Medicare, Medicaid, and AHIMA’s Standards of Ethical Coding, while maintaining expert knowledge of evolving policies.
Promote a culture of ethical coding and continuous improvement, supporting clinicians with timely updates, feedback, and education to ensure accurate reimbursement and compliance.

What we offer

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

Fulltime

Select Country

Physician Coding Review Specialist

Job Responsibility

Requirements

What we offer

Looking for more opportunities?