Pre-bill Coder Specialist - Outpatient

Advocate Aurora Health

Multiple Locations, US
Base: $28.05 - $42.10; bonus/equity: not specified...
Fully remote
Coding accuracy reviews
Outpatient encounters
High risk 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.

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: Paid Time Off, Health and welfare benefits, Flexible Spending Accounts, Family benefits, Retirement plans, Educational Assistance

Skills & Requirements

Must-have

  • coding accuracy reviews
  • outpatient encounters
  • high risk CPT codes
  • Inpatient Only CPT codes
  • analyze pre billing edits
  • CMS guidance alignment

Nice-to-have

  • constructive feedback to coders
  • collaborate with other departments
  • track and trend quality information
  • critical decision-making skills

Key Requirements

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

Work Rights

Not specified

Tailored Resume

Cover Letter