Professional Coder III AHWFB

Advocate Health Care; Ardmore (NC); Remote; USD 39,000 - 59,000; Full time

Benefits offered by this job

Health benefits

Paid time off

Educational assistance

Retirement plan

Flexible work arrangements

Job summary

Advocate Health Care is seeking a Professional Coder III to accurately code hospital-based professional services across inpatient, outpatient, ambulatory, and specialty care settings. This remote role offers a 40-hour work week with a flexible first shift and a pay range of $28.55–$42.85 per hour, depending on experience.

You will review records, assign ICD/CPT codes and modifiers, apply payer guidelines, resolve denials, and educate providers and junior coders while supporting audits and

Qualifications

• Graduate of an accredited medical coding program.
• 3+ years of medical coding experience in a hospital-based setting.
• Current CPC or CCS certification.
• Experience coding physician professional services, preferably in a teaching environment.

Responsibilities

• Review medical records and accurately assign ICD diagnosis codes, CPT codes, facility service codes, and modifiers.
• Apply Medicare, Medicaid, TriCare, commercial payer, and Teaching Physician coding guidelines.
• Resolve coding-related pending charges and claim denials.
• Partner with providers, Revenue Cycle, Compliance, and coding team members to resolve documentation and billing questions.
• Provide coding guidance and education to providers and less experienced coders.
• Support coding audits, quality initiatives, research, and special projects.
• Maintain required continuing education and national coding certification.

Skills

ICD/CPT coding

Coding guidelines

Communication skills

Education

Graduate of an accredited medical coding program

Job description

Department: 04020 WFBMG University Group Practice: WFBMC Main - Anesthesiology Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Remote work with flexible first shift schedule. Pay Range: $28.55 - $42.85

Join our team as a Professional Coder III, an experienced coding role responsible for accurate and timely coding of hospital-based professional services across inpatient, outpatient, ambulatory, and specialty care settings.

What You’ll Do

• Review medical records and accurately assign ICD diagnosis codes, CPT codes, facility service codes, and modifiers.
• Apply Medicare, Medicaid, TriCare, commercial payer, and Teaching Physician coding guidelines.
• Resolve coding-related pending charges and claim denials.
• Partner with providers, Revenue Cycle, Compliance, and coding team members to resolve documentation and billing questions.
• Provide coding guidance and education to providers and less experienced coders.
• Support coding audits, quality initiatives, research, and special projects.
• Maintain required continuing education and national coding certification.

What You’ll Need

• Graduate of an accredited medical coding program.
• 3+ years of medical coding experience in a similar environment.
• Current CPC or CCS certification.
• Experience coding physician professional services, preferably in a teaching environment.
• Knowledge of Medicare Teaching Physician Rules and provider-based facility services.
• Strong communication skills with the ability to meet established coding quality and productivity standards.

Work Schedule Remote Flexible first-shift hours

Our Commitment to You:

• Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance
• Benefits and more
• 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

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits. This is Transformation One shared purpose brought us together. Now, as one of the 10 largest not-for-profit, integrated health systems in the United States, our combined strength and stability drives us forward. Starting with You Caring for nearly 3 million people has inspired a transformation. One in which the patient’s experience guides our vision and empowers us to offer new possibilities in our communities. Reshaping Access What is access? It’s offering more sites of care than any other health system in the Midwest. But there’s a new frontier. Access is exploring the latest technologies to deliver care to patients exactly where they are and exactly when they need it Inspiring Professionals With our dynamically inclusive workforce and strong connections to the places where we live and work, we’ll touch more lives and contribute to stronger and more vibrant communities. Transforming Care We’re redefining the standard for care with world-class doctors and caregivers, innovative solutions, outstanding outcomes, and leading-edge research and clinical trials. Combined, Advocate and Aurora are recognized for clinical excellence in: Cardiovascular Care Neurosciences Gynecology Oncology Pediatrics Primary Care Neurology Geriatrics Trauma Care