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.
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
$28.05 - $42.10; Not specified; Not specified
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
collaborate with other departments
track and trend quality information
critical decision-making skills
work in a fast-paced environment
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