Coder Specialist - Cardiac / Interventional Radiology (IR)

Advocate Aurora Health; Oak Brook (IL); Remote; USD 80,000 - 100,000; Full time

Job summary

A leading health organization is looking for an experienced outpatient Cardiac/IR coder. This full-time, remote role requires advanced coding proficiency and significant experience in inpatient coding. Responsibilities include reviewing documentation, ensuring compliance with coding guidelines, and collaboration with clinical teams. The ideal candidate has an Associate's degree and certification from AAPC or AHIMA. Competitive pay range is $28.05 - $42.10 per hour.

Qualifications

• Coding Certification from AAPC or AHIMA required.
• 7 years' experience in inpatient coding in acute care.
• Knowledge of medical terminology, anatomy, and physiology.

Responsibilities

• Review complex inpatient documentation for coding accuracy.
• Adhere to coding standards and departmental policies.
• Collaborate with Clinical Documentation Improvement teams.
• Participate in payer audits and clinical team meetings.

Skills

Advanced proficiency of ICD, CPT and HCPCS coding guidelines

Excellent computer skills

Excellent communication skills

Excellent organization and prioritization skills

Excellent analytical skills

Ability to work independently

Education

Associate's Degree in Health Information Management or related field

Job description

Department: 10347 Enterprise Revenue Cycle - Facility Production Coding Outpatient

Status: Full time

Benefits Eligible: Yes

Hours Per Week: 40

Schedule Details/Additional Information: Experienced, Interventional outpatient Cardiac/IR coder. Monday thru Friday, day shift. This is a REMOTE opportunity.

Pay Range $28.05 - $42.10

Major Responsibilities:

• 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.
• Adheres 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.
• Maintains 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.
• 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 since the duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive.

Licensure, Registration, and/or Certification Required:

• Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA)

Education Required:

• Associate's Degree in Health Information Management or related field.

Experience Required:

• 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.

Knowledge, Skills & Abilities Required:

• Advanced proficiency 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.

Physical Requirements and Working Conditions:

• Exposed to a normal office environment.
• Must be able to sit for extended periods of time.
• Must be able to continuously concentrate.
• Position may be required to travel to other sites; therefore, may be exposed to road and weather hazards.
• Operates all equipment necessary to perform the job.

Advocate Health is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive and equitable work environment that reflects the diversity of the communities we serve.