Pre-bill Coder Specialist - Outpatient

Advocate Health

Base: $28.05 - $42.10; bonus/equity: not specified...
Fully remote
Outpatient encounter reviews
High risk cpt code analysis
Inpatient only cpt code analysis
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 code analysis
  • Inpatient Only CPT code analysis
  • Analyze pre-billing edits
  • ICD CM/PCS, CPT, HCPCS coding
  • Electronic Health Record (EHR) usage

Nice-to-have

  • Collaborate with other departments
  • Track and trend quality information
  • Critical decision-making skills
  • Initiative and collaborative work

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 knowledge medical terminology, anatomy, physiology

Work Rights

Not specified

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