Professional Coder II - Risk Management
Atrium Health Wake Forest Baptist · Winston-Salem, NC · 1 mo ago
RemoteRemoteEngineering$26.55–$39.85/hrFull-time
We need to output HTML fragment with sections: About the role? Actually we need to use headings for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title. Must not include Job ID etc. Remove boilerplate.
We need to parse the posting.
Key info:
- Department: 13497 Enterprise Revenue Cycle - Coding Production Operations: Professional Coding Operations Medical and Primary Status Full time Benefits Eligible Yes Hours Per Week 40 Schedule Details/Additional Information Will support: Risk Management and prefer the 3+ years’ experience to be in Risk Management Coding. Schedule First shift Monday through Friday full time 40 hours per week.
- Certification Required: Coding Certification issued by AAPC or AHIMA. Preferred Certification: CRC.
- Remote Opportunity: Advocate Health may approve those who wish to work out of the following registered states: list of states.
- Pay Range: $26.55 - $39.85
- Major Responsibilities: list bullet points.
- Licensure, Registration, And/or Certification Required: active coding certification issued by AAPC OR AHIMA; Dual certifications, preferred, specifically CRC
- Education Required: High School Diploma or Equivalent required; Completion of an accredited medical coding or HIM program (or equivalent experience)
- Experience Required: Minimum of 3-5 years of direct professional fee coding experience in a multi-specialty environment is required; Experience with professional procedural coding (e.g., surgical, interventional procedures) is preferred; Experience with Epic or similar electronic health record systems is required
- Knowledge, Skills & Abilities Required: Proficient knowledge of medical terminology, anatomy, and pathophysiology; Advanced proficiency in CPT/HCPCS and ICD-10-CM/PCS coding systems; Basic understanding of facility payment methodologies (MS-DRGs) as they apply to simple encounters; Strong analytical skills, attention to detail, and ability to context-switch between different coding guidelines; Ability to work independently, manage a varied workload, and meet deadlines in a fast-paced environment
- Physical Requirements And Working Conditions: Exposed to normal office environment in a remote work setting; Job may require occasional travel for training or meetings, therefore, may be exposed to road and weather hazards; May need to be able to lift up to 40 lbs. occasionally (e.g., equipment); Sits the majority of the workday, but also may lift, reach, and bend throughout the day; Operates all equipment necessary to perform the job
- Additional description: "This job description indicates the general nature..." etc. That's boilerplate; we can drop.
- "Our Commitment to You 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: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits And More 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 Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview."
- "About Advocate Health" paragraph.
We need to include sections only when there is real specific content. So we can have:
- Responsibilities (Major Responsibilities)
- Requirements (maybe combine Licensure/Certification, Education, Experience)
- Qualifications (maybe Knowledge, Skills & Abilities)
- Benefits (from "Our Commitment to You" describing benefits)
- Pay (Pay Range)
- Schedule (Schedule details)
- Possibly About the role? Could include a brief description of role from first paragraph? The posting includes "Department 13497 Enterprise Revenue Cycle - Coding Production Operations: Professional Coding Operations Medical and Primary Status Full time Benefits Eligible Yes Hours Per Week 40 Schedule Details/Additional Information Will support: Risk Management and prefer the 3+ years’ experience to be in Risk Management Coding. Schedule First shift Monday through Friday full time 40 hours per week." That's more schedule. Could have an "About the role" summarizing the purpose: performing professional fee coding etc. But we already have Responsibilities. Might not need separate About the role.
We must not create sections with filler like "commensurate with experience". We have actual content for Pay, Schedule, Benefits, Responsibilities, Requirements (certification, education, experience), Skills (knowledge, skills & abilities). Also maybe "Qualifications" could be used for certification/education/experience combined. But we need to follow headings list: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule.
We can map:
- About the role: maybe a brief summary of the position purpose: "Perform professional fee coding (CPT/HCPCS and ICD-10-CM) for physician services in office and hospital settings, and entry-level facility coding for simple outpatient and basic inpatient services, ensuring compliance with guidelines." That is derived from responsibilities but we can still include a short paragraph. However we must not repeat content verbatim? It's okay to summarize but must preserve ALL substantive information; we cannot invent or summarize away detail. Summarizing might lose detail. Better to avoid About the role if it would be just a summary that omits details. The instruction: "Prefer a few substantive sections over many thin ones." So we could skip About the role and just have Responsibilities, Requirements, Skills, Benefits, Pay, Schedule. That's okay.
But we need to use headings from the list only when we have content. So we can output:
Responsibilities
- ...
Requirements
Maybe combine certification, education, experience.Skills
Knowledge, Skills & Abilities.Benefits
List benefits from the "Our Commitment to You" section.Pay
$26.55 - $39.85 per hour
Schedule
First shift, Monday through Friday, full-time (40 hours per week).
We also have remote opportunity and list of states. Where to put? Could be under Requirements or maybe a separate section like "Location" but not in list. Could fold into Requirements as a note: remote work permitted in listed states. Or maybe under "About the role"? But we don't have About the role. Could add a short paragraph under Requirements: "Remote opportunity: eligible to work from the following states: ..." That's specific content. Also we have "Will support: Risk Management and prefer the 3+ years’ experience to be in Risk Management Coding." That's a preference; could be under Requirements as a note. We need to preserve ALL substantive information. So we must include remote states list, risk management preference, certification preferences, etc. Let's extract all substantive info: - Department info not needed. - Will support: Risk Management and prefer the 3+ years’ experience to be in Risk Management Coding. - Schedule: First shift Monday through Friday full time 40 hours per week. - Certification Required: Coding Certification issued by AAPC or AHIMA. Preferred Certification: CRC. - Remote Opportunity: Advocate Health may approve those who wish to work out of the following registered states: list (AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY) - Pay Range: $26.55 - $39.85 - Major Responsibilities (list): 1. Independently perform complex, specialty-specific professional fee coding (CPT/HCPCS and ICD-10-CM) for physician services rendered in both office and hospital settings, ensuring expert application of modifiers and E/M guidelines, or; 2. Perform entry-level facility coding for simple outpatient encounters (e.g., diagnostic imaging, labs) and basic inpatient services (e.g., uncomplicated admissions, short stays) using ICD-10-CM and ICD-10-PCS, where applicable 3. Ensure all coding adheres strictly to official guidelines (e.g., provided by AAPC or AHIMA), federal regulations (CMS), and organizational compliance standards 4. Identify the need for formal clinical queries for documentation clarification when necessary for professional or facility records 5. Maintain high accuracy and productivity standards appropriate to the complexity of the assigned workload 6. May provide informal guidance to new coding staff on professional coding nuances - Licensure, Registration, And/or Certification Required: An active coding certification issued by the American Academy of Coders (AAPC) OR American Health Information Management Association (AHIMA); Dual certifications, preferred, specifically CRC - Education Required: High School Diploma or Equivalent required; Completion of an accredited medical coding or HIM program (or equivalent experience) - Experience Required: Minimum of 3-5 years of direct professional fee coding experience in a multi-specialty environment is required; Experience with professional procedural coding (e.g., surgical, interventional procedures) is preferred; Experience with Epic or similar electronic health record systems is required - Knowledge, Skills & Abilities Required: * Proficient knowledge of medical terminology, anatomy, and pathophysiology * Advanced proficiency in CPT/HCPCS and ICD-10-CM/PCS coding systems * Basic understanding of facility payment methodologies (MS-DRGs) as they apply to simple encounters * Strong analytical skills, attention to detail, and ability to context-switch between different coding guidelines * Ability to work independently, manage a varied workload, and meet deadlines in a fast-paced environment - Physical Requirements And Working Conditions: * Exposed to normal office environment in a remote work setting * Job may require occasional travel for training or meetings, therefore, may be exposed to road and weather hazards * May need to be able to lift up to 40 lbs. occasionally (e.g., equipment) * Sits the majority of the workday, but also may lift, reach, and bend throughout the day * Operates all equipment necessary to perform the job - Benefits: from "Our Commitment to You": 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. Also mention compensation: base compensation within pay range, premium pay, incentive pay, annual increases. We need to include all that. We must not include boilerplate like "This job description indicates the general nature..." etc. Also remove "Our Commitment to You" heading? We can keep the content but not the heading; we will put under Benefits. We must not include duplicated lines. Now craft HTML. We'll have sections:Responsibilities
- ...
Requirements
We can split into sub-sections? But we only have- for lists. For prose we use
. So we can have paragraphs for certification, education, experience, remote, risk management preference. Better to use
for each piece.
Skills