Coder II

Department:13495 Enterprise Revenue Cycle
- Coding Production Operations: Professional Coding Operations Surgical and Complex Status:Full time Benefits Eligible:Yes Hours Per Week:40 Schedule Details/Additional Information: Will support :TraumaSchedule :Monday
- Friday 1st shift 40 hours a week. Certification required: Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA). Remote opportunity: Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY Pay Range:$26.55
- $39.85 Major

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. Licensure, Registration, and/or Certification Required: An active coding certification issued by the American Academy of Coders (AAPC) OR American Health Information Management Association (AHIMA); Dual certifications, preferred Education Required: High School Diploma or Equivalent requiredCompletion of an accredited medical coding or HIM program (or equivalent experience) Experience Required: 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. Knowledge, Skills & Abilities 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 Physical Requirements and Working

Conditions:
Exposed to normal office environment in a remote work settingJob may require occasional travel for training or meetings, therefore, may be exposed to road and weather hazardsMay need to be able to lift up to 40 lbs. occasionally (e.g., equipment)Sits the majority of the workday, but also may lift, reach, and bend throughout the dayOperates all equipment necessary to perform the job This

job description
indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more
- so you can live fully at and away from work, including: CompensationBase compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and morePaid 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 Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview. About Advocate Health Advocate Health is the third-largest nonprofit, integrated health