Physician Coding Accounts Receivable Specialist-Neurology

Advocate Aurora Health - Oak Brook, IL

Full-time - Mid Level

Remote - Oak Brook, IL

Hospitals

About the position

The Physician Coding Accounts Receivable Specialist for Neurology at Advocate Aurora Health is responsible for analyzing and resolving professional coding complaints, ensuring compliance with coding and payer guidelines to enhance patient satisfaction. This role involves collaboration with various teams to identify trends in coding denials, develop standardized processes, and maintain up-to-date knowledge of coding regulations. The specialist will also provide statistical reports to leadership and support the coding production team in addressing insurance rejections.

Responsibilities

• Analyze and resolve professional coding complaints in collaboration with Customer Service.
• Identify and analyze coding denials for a specific population of charges.
• Coordinate coding rejection data collection activities for reporting and accountability tracking.
• Identify trends and opportunities for improvement in coding processes.
• Research and document applicable regulatory, coding, and billing rules.
• Develop standardized processes and tools for the coding production team.
• Work with Professional Coding Leadership to develop monthly coding update reports.
• Maintain up-to-date information regarding coding denials and communicate changes.
• Identify and problem-solve trends and issues in coding.
• Collaborate with department leadership and clinic operations managers to resolve coding issues.
• Provide regular statistical reports to leadership regarding rejection/denial volumes and trends.
• Maintain knowledge of Medicare, Medicaid, and other regulatory requirements for coding policies.
• Develop expertise in coding for assigned specialties.
• Communicate changes in coding requirements and coordinate necessary updates.
• Conduct retrospective chart and claim coding reviews to identify errors.

Requirements

• Certified Professional Coder (CPC) or equivalent certification (CCA, CCS-P, RHIA, RHIT, SCP).
• Advanced training in Medical Coding Specialist from an accredited program.
• Typically requires 5 years of professional coding experience.
• At least 3 years of payer background experience in physician revenue cycle processes.
• Advanced knowledge of ICD, CPT, and HCPCS coding guidelines.
• Advanced knowledge of medical terminology, anatomy, and physiology.
• Ability to identify coding discrepancies and provide recommendations for improvement.
• Ability to analyze trends and data and present them in a statistical format.
• Knowledge of care delivery documentation systems and medical record documents.
• Knowledge of Medicare, Medicaid, and commercial payer coding guidelines.
• Advanced computer skills, including Microsoft Office and electronic coding systems.
• Excellent interpersonal and communication skills, both oral and written.
• Strong organizational and prioritization skills.

Nice-to-haves

• Experience in a large, complex clinic or medical group.
• Proficient analytical skills with attention to detail.

Benefits

• Full-time position with competitive salary range.
• Opportunities for professional development and training.