Hb Coding Denials Integrity Specialist

Advocate Health

Base: $33.05 - $49.60 ph; bonus/equity: not specif...
Fully remote
Hospital inpatient coding experience
Outpatient surgical coding expertise
Denial review and appeal processes
This role requires reviewing coded health information records to ensure the accuracy of diagnostic and procedure codes for hospital-based inpatient and outpatient surgical settings

Job Summary

  • This role requires reviewing coded health information records to ensure the accuracy of diagnostic and procedure codes for hospital-based inpatient and outpatient surgical settings.
  • The specialist must verify all codes against American Hospital Association guidelines and national coverage decisions while managing denial appeals and overpayment investigations.
  • Advocate Health offers a comprehensive benefits package including medical, dental, vision, retirement plans, and educational assistance for eligible full-time teammates.

Matching Summary

This role requires reviewing coded health information records to ensure the accuracy of diagnostic and procedure codes for hospital-based inpatient and outpatient surgical settings.

Salary

Base: $33.05 - $49.60 per hour; Bonus/Equity: Not specified; Benefits: Medical, dental, vision, life, disability, PTO, retirement match

Skills & Requirements

Must-have

  • Hospital Inpatient Coding experience
  • Outpatient Surgical Coding expertise
  • Denial review and appeal processes
  • ICD-10-CM/PCS and CPT coding systems
  • DRG assignment and risk adjustment

Nice-to-have

  • Leadership skills in coding teams
  • Collaboration with clinical documentation nurses
  • Trend analysis for coding education
  • Advanced Microsoft Excel proficiency

Key Requirements

  • CCS, RHIA, or RHIT certification from AHIMA
  • Associate's Degree in Health Information Management
  • 5 years of hospital coding experience
  • Experience with remote work operations

Work Rights

Not specified

Tailored Resume

Cover Letter