American Addiction Centers

The Coding Reimbursement Specialist III analyzes denial data and trends to provide solutions. They are responsible for assigning CPT and ICD codes, ensuring accurate charge information, and communicating with providers regarding coding issues. | Candidates must have a High School Diploma or GED and at least 2 years of coding experience. A CPC or equivalent coding credential is required, along with extensive knowledge of coding, medical terminology, and payer specific rules. | Department: 10413 Enterprise Revenue Cycle - HB Non Government Payer Follow Up Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Weekdays Job Profile Summary Performs duties of moderate to high complexity, analyzes denial data, reports and work queues to depict trends and offer solutions. Essential Functions Subject matter expert in at least one specialty, e.g., oncology, gynecology, surgical coding (not including primary care procedures) and infusion coding including chemotherapy and infusions involving multiple drugs. Assigns CPT and ICD codes in cases of moderate to high complexity. Reads, interprets and assigns CPT codes from provider documentation, e.g., infusion record or operative report. Performs ICD and CPT coding of provider (professional) services and verifies that all requisite charge information is entered. Appends all modifiers. Ranks CPT codes when multiple codes apply. Assigns Evaluation and Management (E/M) codes. Performs reconciliation process to ensure all charges are captured. Processes automated or manually enters charges into applicable billing system. Researches and analyzes coding and payer specific issues. Processes charges on a timely basis and communicates with team members and practice management on an ongoing basis. Communicates with providers related to coding issues that are of moderate to high complexity. Including face to face interaction, explaining coding rationales, and education with providers. Physical Requirements Works in a fast-paced office/hospital environment. Work consistently requires sitting and some walking, standing, stretching, and bending Education, Experience and Certifications High School Diploma or GED required. Minimum of 2 years of coding experience required. CPC or equivalent coding credential required. Maintain coding certification (CPC, CCS, RHIT, RHIA). Extensive knowledge of coding, medical terminology, anatomy, and physiology. Extensive knowledge of and the ability to apply the payer specific rules regarding coding, bundling, and adding appropriate modifiers. Pay Range $24.85 - $37.30 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 About Advocate Health 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. This is Transformation One shared purpose brought us together. Now, as one of the 10 largest not-for-profit, integrated health systems in the United States, our combined strength and stability drives us forward. Starting with You Caring for nearly 3 million people has inspired a transformation. One in which the patient’s experience guides our vision and empowers us to offer new possibilities in our communities. Reshaping Access What is access? It’s offering more sites of care than any other health system in the Midwest. But there’s a new frontier. Access is exploring the latest technologies to deliver care to patients exactly where they are and exactly when they need it Inspiring Professionals With our dynamically inclusive workforce and strong connections to the places where we live and work, we’ll touch more lives and contribute to stronger and more vibrant communities. Transforming Care We’re redefining the standard for care with world-class doctors and caregivers, innovative solutions, outstanding outcomes, and leading-edge research and clinical trials. Combined, Advocate and Aurora are recognized for clinical excellence in: Cardiovascular Care Neurosciences Gynecology Oncology Pediatrics Primary Care Neurology Geriatrics Trauma Care

Manage clinical trial site relationships, monitor study progress, liaise between sponsors and researchers, and ensure timely completion of study activities. | Master's degree or equivalent experience with 4+ years project management, 2+ years supervisory experience, 5+ years clinical trial experience, and knowledge of clinical trial systems. | Department: 85203 Wake Forest University Health Sciences - Academic Office of Clinical Research Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Varies NCCT Site Business Relationship Manager (Project Manager 3) United States;May be eligible for remote employment JOB SUMMARY The National Center for Clinical Trials (NCCT) is designed to serve as an innovative platform to revolutionize and catalyze the conduct of clinical trials−greatly accelerating the translation of scientific findings into improvements in the prevention, diagnosis, and treatment of disease for our communities and patients. The NCCT will offer core services for patient recruitment and enrollment, trial administration and follow-up, and to gather real world data and evidence. This position will be part of a team that will report to leadership in the NCCTand will serve as the central point of contact for researchers and sponsors engaging with the NCCT. EDUCATION/EXPERIENCE Master's degree related to project management and evaluation, such as Epidemiology, Public Health, Psychology, or Sociology and four years of relevant administrative and medical experience in research projects or other health-related activities; or, an equivalent combination of education and experience. Two years' experience in a supervisory capacity. ESSENTIAL FUNCTIONS Site Business Relationship Manager will liaise between sponsors, research teams and NCCT staff and will monitor overall study progress from first contact with sponsors and researchers through entire life cycle of a study. This position will monitor progress of each study according to target timelines and Key Performance Indicators (KPIs) and will be responsible for escalating challenges/issues to NCCT leadership. This position will facilitate the progress of studies from inception and through closeout, working as a liaison between all parties to address issues as they arise and will be a critical member of the NCCT team. Serves as central point of contact to sponsors and investigators. Liaises between NCCT staff and sponsors and investigators to ensure timely completion of study-related activities and to troubleshoot any challenges that arise throughout study feasibility assessments, start-up, conduct and closeout. Monitors study activities to ensure timely completion of study-related tasks and escalates issues as needed. Assesses performance against KPIs and identifies areas for process improvement. Works with business development team as needed to foster relationships with sponsors and investigators. Generates reports related to NCCT activities as required. Performs other related duties incidental to the work described herein. SKILLS/QUALIFICATIONS Must have 4+ years managing projects and/or processes. Must have 2 years in a supervisory capacity. Must have 5+ years of experience working with clinical trials. Working knowledge of clinical trial management systems and electronic medical records. Detailed understanding of clinical trial operations and challenges from the site perspective. Experience in leading teams and in decision-making role(s). Excellent written and verbal communication skills. Excellent organizational skills and attention to detail. Demonstrated ability to work independently as well as in a team environment. Proficiency with Microsoft Office, Microsoft Excel and Microsoft PowerPoint. WFUSOM-1 About Us Wake Forest University School of Medicine (WFUSM) is a U.S. News and World Report top 50 ranked medical school, integrated with a world-class health system,Atrium Health. WFUSM, the academic core of Atrium Health Enterprise, is a recognized leader in experiential medical education and groundbreaking research that includes Wake Forest Innovations, a commercialization enterprise focused on advancing health care through new medical technologies and biomedical discovery. WFUSM, has over $300M in annual, extramural funding that drives a cutting-edge Academic Learning Health System by integrating innovative research with excellent patient care across our enterprise. Atrium Health is based in Winston-Salem, North Carolina and is part of Advocate Health, which is headquartered in Charlotte, North Carolina, and is the fifth-largest nonprofit health system in the United States, created from the combination of Atrium Health and Advocate Aurora Health. AHWFB is an 885-bed tertiary-care hospital in Winston-Salem – that includes Brenner Children's Hospital, five community hospitals, more than 300 primary and specialty care locations and more than 2,700 physicians. Our highly integrated academic and clinical environment is deeply committed to improving health, elevating hope, and advancing healing – for all. It should be noted that while you are applying on the Wake Forest University School of Medicine Career Site, you will receive communications from the Atrium Health Recruitment Team. Please know that this is an expected process. Thanks in advance for your flexibility. Pay Range $34.90 - $52.35 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 About Advocate Health 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. This is Transformation One shared purpose brought us together. Now, as one of the 10 largest not-for-profit, integrated health systems in the United States, our combined strength and stability drives us forward. Starting with You Caring for nearly 3 million people has inspired a transformation. One in which the patient’s experience guides our vision and empowers us to offer new possibilities in our communities. Reshaping Access What is access? It’s offering more sites of care than any other health system in the Midwest. But there’s a new frontier. Access is exploring the latest technologies to deliver care to patients exactly where they are and exactly when they need it Inspiring Professionals With our dynamically inclusive workforce and strong connections to the places where we live and work, we’ll touch more lives and contribute to stronger and more vibrant communities. Transforming Care We’re redefining the standard for care with world-class doctors and caregivers, innovative solutions, outstanding outcomes, and leading-edge research and clinical trials. Combined, Advocate and Aurora are recognized for clinical excellence in: Cardiovascular Care Neurosciences Gynecology Oncology Pediatrics Primary Care Neurology Geriatrics Trauma Care