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Inpatient Coder Specialist - Hospital Based Service Line

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Advocate Health Care

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Location:
United States

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Contract Type:
Not provided

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Salary:

28.55 - 42.85 USD / Hour

Job Description:

This role will have all responsibilities of coder I, II and III in addition to: reviews complex inpatient documentation at a highly skilled and proficient level to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software.

Job Responsibility:

  • reviews complex inpatient documentation at a highly skilled and proficient level to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS
  • Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software
  • Adhere to organizational and internal department policies and procedures to ensure efficient work processes
  • Responsible for coding high dollar and long length of stay cases for all patient types
  • Expertise in query guidelines, and coding standards
  • Follow up and obtain clarification of inaccurate documentation as appropriate
  • Serves as a subject matter expert to Coding department leaders and peers
  • Recommends modifications to current policies and procedures as needed to coincide with government regulations
  • Maintain continuing education by attending webinars, reviewing updated CPT assistant guidelines and updated coding clinics
  • Knowledgeable in researching coding related topics and issues
  • Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines
  • Practices ethical judgment in assigning and sequencing codes for proper insurance reimbursement
  • Collaborates with the Clinical Documentation Improvement and Quality teams, to ensure a match in the DRG and reconciles each Medicare case with the working DRGs from a CDI perspective
  • Responsible for clinician communication related to disease processes on a clinical level to ensure accurate coding
  • Participates in payer audits and meetings by acting as a resource for coding-related audits, as requested
  • Attends meetings with clinical teams regarding updates in codes for complex specialties
  • Maintains the confidentiality of patient records
  • Reports any perceived non-compliant practices to the coding leader or compliance officer
  • Meets and exceeds departmental quality (95% or more) and productivity standards (100%)
  • Achieves productivity expectations to support discharged not final billed (DNFB)
  • Performs any other assigned duties

Requirements:

  • Coding Certification issued by American Academy of Coders (AAPC) or American Health Information Management Association (AHIMA)
  • Associate's Degree in Health Information Management or related field
  • Typically requires 7 years' experience inpatient coding in acute care tertiary facility that includes experience in revenue cycle processes, Clinical Documentation Improvement, Research and health information workflows
  • Advanced profiency of ICD, CPT and HCPCS coding guidelines
  • Advanced knowledge of medical terminology, anatomy and physiology
  • Excellent computer skills including the use of Microsoft office products, electronic mail, including exposure or experience with electronic coding systems or applications
  • 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
  • Ability to take initiative and work collaboratively with others
What we offer:
  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program
  • Opportunity for annual increases based on performance
  • Premium pay such as shift, on call, and more
  • Incentive pay for select positions

Additional Information:

Job Posted:
February 01, 2026

Employment Type:
Fulltime
Work Type:
Remote work
Job Link Share:

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