Coder III – Plastics Specialty
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Coder III specializing in complex medical coding for Advocate Health across various regions. Providing expert guidance and training while ensuring accurate code assignments and compliance with regulations.
Responsibilities:
- Accurately assign all codes (ICD-10-CM/PCS, CPT, HCPCS) for highly complex professional fee encounters (highest complexity level) or moderate to high complexity facility encounters
- Serve as the authoritative internal expert for professional coding guidelines or a knowledgeable resource for facility guidelines.
- Provide expert guidance, training, onboarding assistance, and mentorship to Coder I/II staff to enhance team performance and accuracy
- Provide informal code review guidance as directed by leadership, focusing purely on the accuracy of code assignment and documentation translation for complex cases.
- Review accounts placed on pre-bill hold to address specific coding edits, complex claim issues, and/or denial prevention strategies before final billing
- Master and interpret complex regulatory updates and official coding guidelines (e.g., AHA Coding Clinic), translating changes into actionable processes for the team
Requirements:
- Certification required: Academy of Coders (AAPC), OR American Health Information Management Association (AHIMA); Dual Certifications preferred
- Associate’s Degree in Health Information Management or equivalent experience/advanced training beyond High School in Medical Coding required
- Minimum of 5+ years of extensive medical coding experience, with significant experience in complex professional, inpatient, or outpatient facility coding.
- Experience with Epic or similar electronic health record systems is required
- Mastery of medical terminology, anatomy, physiology, and complex pathophysiology for multiple service lines/specialties/types
- Expert knowledge of official coding guidelines, regulatory requirements, and comprehensive reimbursement models (DRG, RVU)
- Exceptional analytical skills to manage the highest level of coding complexity in professional coding and moderate to high complexity in facility coding
- Strong attention to detail and the ability to work independently to solve complex coding problems and interpret nuanced rules
- Strong communication and interpersonal skills to effectively mentor staff and interact with support teams
- Ability to meet deadlines while working in a fast-paced environment and take initiative in a collaborative 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
Similar Jobs
Physician Coding Specialist II
Coding Specialist responsible for assigning surgical and office procedural codes for patient health information at Mount Carmel Medical Group. This role involves resolving edits and maintaining coding standards.
DRG Coder
Senior DRG Coder reviewing inpatient medical records and assigning diagnosis codes. Collaborating with various teams to ensure compliance and accuracy in coding and reimbursement processes.
Coder II – Anesthesia
Coder II specializing in anesthesia coding for Advocate Health, performing complex professional fee coding and ensuring compliance with healthcare regulations.
Coder IV – IP DRG
Coder IV reviewing medical records for coding at Denver Health. Ensuring compliance with coding guidelines and maintaining accuracy in diagnoses and procedures.
Outpatient Coding Specialist I
Responsible for accurate coding of outpatient medical records for compliance with CMS regulations and hospital guidelines. Engaging with coding knowledge and maintaining HIPAA compliance while adapting to new coding protocols.
Risk Adjustment Coding Specialist I
Risk Adjustment Coding Specialist ensuring accurate coding and compliance with Medicare guidelines for healthcare providers. Collaborating with clinical teams and conducting thorough medical record reviews for coding accuracy.
Coding Specialist
Coding Specialist in healthcare organization applying ICD-10-CM, HCPCS, and CPT codes for accurate reimbursement. Collaborating across departments for coding compliance and documentation improvement.
Medical Billing Representative
Medical Billing Representative handling insurance claims and payment processing for healthcare providers. Focus on accurate billing practices in a fully remote setting during US business hours.
Physician Coder – Trauma Surgery
Physician Coder for Trauma Surgery at MedKoder, specializing in coding for trauma surgery and E/M services. Responsible for accurate coding to maximize reimbursement and ensure compliance.
Physician Coder – Oncology Surgery
Remote Physician Coder at MedKoder, LLC responsible for coding Oncology Surgery and E/M cases. Ensuring compliance with coding guidelines and maximizing reimbursement for professional services.
Physician Services Coder II – Denials Coding
Coding physician charges using ICD-10, CPT, HCPCS codes while resolving coding denials and pre-bill edits in a remote capacity.
Physician Services Coder II
Physician Services Coder responsible for coding physician charges by assigning appropriate codes remotely. Ensure productivity and accuracy while resolving coding denials and pre-bill edits.
Physician Services Coder II – ED/EM
Coder II responsible for assigning ICD-10, CPT, HCPCS codes for physician charges. Collaborate and resolve coding denials while maintaining productivity and accuracy standards.
Medical Coder
Remote Medical Coder supporting the Veteran community in Portland, OR area. Responsible for coding inpatient admissions and outpatient visits for VA Portland Health Care System.
PI Medical Coding Reviewer III, CPC, RHIT, RHIA
Medical Coding Reviewer managing complex medical record audits and performance reports. Collaborating across departments and mentoring audit analysts for enhanced coding accuracy and efficiency.
Medical Coding Contract Manager
Contract Manager at IMS overseeing medical coding operations and ensuring performance of related contracts. Managing audits, training, and providing technical guidance to coding staff.
ASC Coding Specialist
Remote Coding Specialist reviewing medical documents for billing accuracy and ensuring correct coding practices. Collaborating with management on quality assurance and compliance.
Certified Medical Coding Specialist – Emergency Department
Coding Specialist for Emergency Department at Southern NH Health responsible for accurate coding of medical records. Collaborating with providers and clinical staff to optimize reimbursement and compliance.
Certified Medical Coding Specialist – Professional Based
Coding Specialist analyzing and assigning ICD-10-CM, CPT, and HCPCS codes for professional medical encounters at Southern New Hampshire Health. Ensuring compliance with coding guidelines to optimize reimbursement and minimize denials.
Certified Coder I
Certified Medical Coder I responsible for maintaining regulatory compliance and coding accuracy in healthcare. Reviews case documentation and diagnoses codes while ensuring adherence to regulatory requirements.