Pre-bill Coder Specialist - Outpatient

Acathospital

Base: $28.05 - $42.10; bonus/equity: not specified...
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Outpatient coding accuracy reviews
High risk cpt codes
Inpatient only (ipo) cpt codes
** Acathospital is seeking a fully remote Pre-bill Coder Specialist to perform informal coding accuracy reviews of outpatient encounters prior to billing, focusing on high-risk CPT codes. The ideal candidate will have extensive coding experience, strong analytical skills, and relevant certifications. **

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.
  • Specialists analyze and validate pre billing edits, including but not limited to LCD/NCD edits, unspecified code edits, and modifier related edits—to promote coding accuracy, compliance, and alignment with CMS guidance.
  • 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

Match Score: 75

** Acathospital is seeking a fully remote Pre-bill Coder Specialist to perform informal coding accuracy reviews of outpatient encounters prior to billing, focusing on high-risk CPT codes. The ideal candidate will have extensive coding experience, strong analytical skills, and relevant certifications. **

Salary

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

Skills & Requirements

Must-have

  • Outpatient coding accuracy reviews
  • High risk CPT codes
  • Inpatient Only (IPO) CPT codes
  • Analyze and validate pre billing edits
  • ICD CM/PCS, CPT, and HCPCS coding
  • Official Coding Guidelines
  • EMR and/or Computer Assisted Coding software
  • Critical decision-making skills

Nice-to-have

  • Collaborate with other departments
  • Communicate with Medical Staff
  • Take initiative and work collaboratively
  • Continuous concentration

Key Requirements

  • Coding Certification (AAPC or AHIMA)
  • Two Year associate degree or equivalent work experience
  • Five to Seven years of inpatient coding experience
  • Advanced proficiency of ICD, CPT and HCPCS coding guidelines
  • Advanced knowledge of medical terminology, anatomy and physiology
  • Excellent computer skills
  • Excellent communication (oral and written) and interpersonal skills
  • Excellent organization, prioritization, and reading comprehension skills
  • Excellent analytical skills, with a high attention to detail
  • Ability to work independently and exercise independent judgment and decision making
  • Ability to meet deadlines while working in a fast-paced environment

Work Rights

Not specified

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