Professional Coder III AHWFB

Advocate Health; Winston-Salem (NC); Remote; USD 65,000 - 90,000; Full time

Job summary

Advocate Health is seeking a Professional Coder III to accurately code hospital-based professional services across inpatient, outpatient, ambulatory, and specialty care settings. You will review records, assign ICD/CPT codes, and apply payer guidelines while supporting documentation questions.

The role emphasizes collaboration with providers and Revenue Cycle, with opportunities for coding guidance and ongoing education. Remote, first-shift hours offer flexible scheduling.

Qualifications

• 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.

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

Strong communication skills

Education

Accredited medical coding program

Job description

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.