Pre-bill Coder Specialist - Outpatient

Advocate Health

Multiple Locations, US
Base: $28.05 - $42.10; bonus/equity: not specified...
Fully remote
Outpatient encounter reviews
High risk cpt codes
Inpatient only 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: Comprehensive suite of Total Rewards

Skills & Requirements

Must-have

  • outpatient encounter reviews
  • high risk CPT codes
  • Inpatient Only CPT codes
  • analyze pre billing edits
  • ICD CM/PCS, CPT, HCPCS coding

Nice-to-have

  • collaborate with other departments
  • track and trend quality information
  • critical decision-making skills

Key Requirements

  • Coding Certification (AAPC or AHIMA)
  • Five to Seven years inpatient coding experience
  • Two Year associate degree or equivalent work experience
  • Advanced proficiency ICD, CPT, HCPCS
  • Advanced knowledge medical terminology, anatomy, physiology

Work Rights

Not specified

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