Coder II-Cardiology

Advocate Health and Hospitals Corporation•Milwaukee, WI

12d•Remote

About The Position

This is a full-time position for a Coder II specializing in Cardiology. The role involves performing complex, specialty-specific professional fee coding for physician services in office and hospital settings, ensuring expert application of modifiers and E/M guidelines. Alternatively, it may involve entry-level facility coding for simple outpatient and basic inpatient encounters. The coder must ensure all coding adheres to official guidelines, federal regulations, and organizational compliance standards, and identify the need for clinical queries when necessary. The position may also involve providing informal guidance to new coding staff. The role is eligible for benefits and operates on a first shift schedule from 8:00 am to 5:00 pm. Advocate Health may approve remote work from specific registered states.

Requirements

An active coding certification issued by the American Academy of Coders (AAPC) OR American Health Information Management Association (AHIMA); Dual certifications, preferred
Completion of an accredited medical coding or HIM program (or equivalent experience)
High School Diploma or Equivalent 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
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

Nice To Haves

Dual certifications, preferred
Experience with professional procedural coding (e.g., surgical, interventional procedures) is preferred

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, or; 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

Benefits

Comprehensive suite of Total Rewards: benefits and well-being programs
Competitive compensation
Generous retirement offerings
Programs that invest in your career development
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