Remote Inpatient Denials & Coding Integrity Specialist

Advocate Health; United States; Remote; USD 94,702,000 - 142,124,000; Full time

Job summary

Advocate Health is seeking an experienced Inpatient Coding Specialist to analyze and resolve denials for inpatient claims, ensuring accurate coding and compliant submissions. The role requires hospital-based coding expertise, CPT/HCPCS/ICD-10-CM/PCS knowledge, and strong payer guideline understanding; remote work is allowed for eligible US-based candidates.

Applicants should have 4 years of expert coding experience, AHIMA or AAPC certification preferred, and excellent analytic and communication

Qualifications

• 4 years of expert-level hospital-based coding experience.
• Experience with revenue cycle processes and medical record auditing.
• Strong knowledge of CPT, HCPCS, ICD-10-CM/PCS and modifiers.
• Ability to analyze denials and support appeals.
• Familiarity with payer guidelines and CMS/Medicare rules.

Responsibilities

• Analyze and resolve denials using CPT, HCPCS, ICD-10-CM, and modifiers.
• Identify root causes and trends in denial codes.
• Collaborate with billing, coding, and payer teams to correct and resubmit claims.
• Conduct chart reviews to validate documentation against billed services.
• Prepare and support appeals with payer guidelines and coverage policies.
• Ensure compliant coding and sequencing per guidelines.
• Track denial resolutions and coding quality metrics.
• Support compliance, quality assurance, and revenue integrity initiatives.
• Educate clinicians, coders, and staff on denial trends.
• Contribute to denial avoidance strategies and technology-driven improvements.

Skills

Denials analysis

Hospital coding

CPT/HCPCS

ICD-10-CM/PCS

Payer guidelines

Auditing

Data analysis

Communication

Education

Diploma or equivalent

Tools

EHR systems

Microsoft Office

Billing software

Job description

Advocate Health is seeking an experienced Inpatient Coding Specialist to analyze and resolve denials for inpatient claims, ensuring accurate coding and compliant submissions. The role requires hospital-based coding expertise, CPT/HCPCS/ICD-10-CM/PCS knowledge, and strong payer guideline understanding; remote work is allowed for eligible US-based candidates.

Applicants should have 4 years of expert coding experience, AHIMA or AAPC certification preferred, and excellent analytic and communication