Coder II – Anesthesia
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Job Description
Coder II specializing in anesthesia coding for Advocate Health, performing complex professional fee coding and ensuring compliance with healthcare regulations.
Responsibilities:
- Independently perform complex, specialty-specific professional fee coding (CPT/HCPCS and ICD-10-CM) for physician services rendered in both office and hospital settings, ensuring expert application of modifiers and E/M guidelines
- Perform entry-level facility coding for simple outpatient encounters (e.g., diagnostic imaging, labs) and basic inpatient services (e.g., uncomplicated admissions, short stays) using ICD-10-CM and ICD-10-PCS, where applicable
- Ensure all coding adheres strictly to official guidelines (e.g., provided by AAPC or AHIMA), federal regulations (CMS), and organizational compliance standards
- Identify the need for formal clinical queries for documentation clarification when necessary for professional or facility records
- Maintain high accuracy and productivity standards appropriate to the complexity of the assigned workload
- May provide informal guidance to new coding staff on professional coding nuances
Requirements:
- Certification required: Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA)
- High School Diploma or Equivalent required
- Completion of an accredited medical coding or HIM program (or equivalent experience)
- Minimum of 3-5 years of direct professional fee coding experience in a multi-specialty environment is required
- Experience with professional procedural coding (e.g., surgical, interventional procedures) is preferred
- Experience with Epic or similar electronic health record systems is required
- Proficient knowledge of medical terminology, anatomy, and pathophysiology
- Advanced proficiency in CPT/HCPCS and ICD-10-CM/PCS coding systems
- Basic understanding of facility payment methodologies (MS-DRGs) as they apply to simple encounters
- Strong analytical skills, attention to detail, and ability to context-switch between different coding guidelines
- Ability to work independently, manage a varied workload, and meet deadlines in a fast-paced environment
Benefits:
- 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
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