Pre-bill Coder Specialist - Outpatient

Advocate Health

Unknown, Unknown, US
Base: $28.05 - $42.10; bonus/equity: not specified...
Fully remote
Outpatient encounter reviews
High risk cpt codes
Inpatient only (ipo) cpt codes
Responsible for performing informal coding accuracy reviews of outpatient encounters prior to billing, with a focus on cases involving high risk CPT codes and Inpatient Only (IPO) CPT codes

Job Summary

  • Responsible for performing informal coding accuracy reviews of outpatient encounters prior to billing, with a focus on cases involving high risk CPT codes and Inpatient Only (IPO) CPT codes.
  • This role supports coding accuracy, regulatory compliance, and revenue capture by identifying errors and providing constructive feedback to coders to improve overall accuracy and consistency.
  • 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.

Matching Summary

Responsible for performing informal coding accuracy reviews of outpatient encounters prior to billing, with a focus on cases involving high risk CPT codes and Inpatient Only (IPO) CPT codes.

Salary

Base: $28.05 - $42.10; Bonus/Equity: Not specified; Benefits: Comprehensive suite of Total Rewards

Skills & Requirements

Must-have

  • outpatient encounter reviews
  • high risk CPT codes
  • Inpatient Only (IPO) CPT codes
  • analyze pre billing edits
  • ICD CM/PCS, CPT, HCPCS coding
  • Official Coding Guidelines
  • CMS guidance

Nice-to-have

  • constructive feedback to coders
  • collaborate with other departments
  • critical decision-making skills
  • take initiative and work collaboratively

Key Requirements

  • Coding Certification (AAPC or AHIMA)
  • Five to Seven years inpatient coding experience
  • Associate degree or equivalent work experience
  • Advanced proficiency ICD, CPT, HCPCS
  • Advanced knowledge medical terminology, anatomy, physiology
  • Remote work in approved states

Work Rights

Not specified

Tailored Resume

Cover Letter