Pre-Bill Coder Specialist - Inpatient

American Addiction Centers • Milwaukee, WI

77d • $28 - $42

About The Position

This is a REMOTE Opportunity for a Full-time position in the Enterprise Revenue Cycle - Facility Production Coding Admin department. The role involves prioritizing, coding, and abstracting high dollar charts, day after discharge, as well as interim charts, with a high degree of accuracy. The coder will review complex medical documentation from clinicians and hospitals to assign diagnosis and procedure codes utilizing ICD CM/PCS, CPT, and HCPCS. Responsibilities include ensuring correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations, collaborating with other departments to clarify pre-bill coding documentation issues, and maintaining current knowledge of changes in inpatient coding and reimbursement guidelines. The position requires critical decision-making skills to determine when to query documentation for outcomes and reimbursement.

Requirements

• Certification through American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC).
• Two Year associate degree or equivalent work experience.
• Five to Seven years of inpatient coding experience in an acute care inpatient setting.

Nice To Haves

• Advanced proficiency of ICD, CPT and HCPCS coding guidelines.
• Advanced knowledge of medical terminology, anatomy and physiology.
• Excellent computer skills including Microsoft Office and electronic coding systems.
• Excellent communication and interpersonal skills.
• Excellent organization, prioritization, and reading comprehension skills.
• Excellent analytical skills with high attention to detail.
• Ability to work independently and exercise independent judgment.

Responsibilities

• Prioritizes and codes high dollar charts and interim charts with high accuracy.
• Reviews complex medical documentation to assign diagnosis and procedure codes.
• Ensures correct code selection following Official Coding Guidelines and compliance with regulations.
• Collaborates with departments to clarify pre-bill coding documentation issues.
• Works claim edits for all patient types and codes consecutive/combined accounts.
• Completes informal peer-review on inpatient and outpatient coders.
• Tracks and trends quality information to partner with the educational team.
• Communicates with Medical Staff and CDI for documentation clarification.
• Utilizes EMR communication tools to track missing documentation.
• Partners with HIM, Patient Accounts, and Integrity to resolve reimbursement issues.
• Maintains knowledge of changes in coding and reimbursement guidelines.

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.
• Educational Assistance Program.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 11-50 employees