Remote Inpatient Denials Integrity Specialist

Advocate Health Care; Oak Brook (IL); Hybrid; USD 46,000 - 68,000; Full time

Benefits offered by this job

Health benefits

Paid time off

Retirement plan

Educational assistance

Job summary

Advocate Health Care in Illinois seeks an experienced inpatient/denials coder to analyze and resolve PB/HB denials using CPT, HCPCS, and ICD-10-CM. The role requires audit experience, chart reviews, and collaboration with billing and payer teams to prevent future denials.

Ideal candidates will have AHIMA or AAPC certification and at least four years of hospital-based coding experience, with strong attention to detail and knowledge of reimbursement policies.

Qualifications

• Associate degree or equivalent education required.
• AHIMA or AAPC certification required.
• 4 years of expert-level hospital-based coding experience.
• Experience with revenue cycle processes and medical record auditing.

Responsibilities

• Analyze and resolve coding-related PB and HB denials using CPT, HCPCS, ICD-10-CM, and modifiers.
• Identify root causes and trends in denial and rejection codes.
• Collaborate with billing, coding, and payer teams to correct, resubmit, and prevent denied claims.
• Conduct chart reviews to validate documentation against billed services.
• Prepare and support appeals by researching payer guidelines and coding standards.

Skills

Analytical thinking

Team collaboration

Attention to detail

Education

Associate degree or equivalent

AHIMA or AAPC certification

Tools

CPT

HCPCS

ICD-10-CM

Denials analysis

Job description

Advocate Health Care in Illinois seeks an experienced inpatient/denials coder to analyze and resolve PB/HB denials using CPT, HCPCS, and ICD-10-CM. The role requires audit experience, chart reviews, and collaboration with billing and payer teams to prevent future denials.

Ideal candidates will have AHIMA or AAPC certification and at least four years of hospital-based coding experience, with strong attention to detail and knowledge of reimbursement policies.