Coder III - Plastics Specialty

American Addiction Centers • Oak Brook, IL

9d • $29 - $43 • Remote

About The Position

This is a full-time Coder III position specializing in Plastics within the Enterprise Revenue Cycle - Coding Production Operations. The role supports the South East Region Plastics Specialty and operates on a Monday-Friday, 1st shift schedule for 40 hours a week. Advocate Health may approve remote work for candidates residing in specific registered states. The position requires a coding certification from AAPC or AHIMA, with dual certifications being preferred. The pay range for this role is $28.55 - $42.85.

Requirements

• Coding Certification issued by: 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.

Nice To Haves

• Dual Certifications preferred.

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.

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree