Professional Coder III AHWFB

Advocate Health and Hospitals Corporation • Wake Forest, NC

5d • Remote

About The Position

The Professional Coder III is an experienced coding role responsible for accurate and timely coding of hospital-based professional services across inpatient, outpatient, ambulatory, and specialty care settings. The position reviews medical records and assigns diagnosis codes, procedure codes, facility service codes, and modifiers in accordance with applicable payer and Teaching Physician guidelines. It works with providers, Revenue Cycle, Compliance, and coding colleagues to resolve documentation, billing, pending-charge, and claim-denial issues. The coder also provides coding guidance and education, supports audits and quality initiatives, and maintains continuing education and national coding certification.

This is a full-time, benefits-eligible remote position with flexible first-shift hours, scheduled for 40 hours per week. The listed pay range is $28.55–$42.85.

Requirements

• Graduate of an accredited medical coding program.
• At least 3 years of medical coding experience in a similar environment.
• Current CPC or CCS certification.
• Experience coding physician professional services.
• Knowledge of Medicare Teaching Physician Rules and provider-based facility services.
• Strong communication skills and ability to meet established coding quality and productivity standards.

Nice To Haves

• Experience coding physician professional services in a teaching environment.

Responsibilities

• Review medical records and accurately assign ICD diagnosis codes, CPT codes, facility service codes, and modifiers.
• Apply Medicare, Medicaid, TriCare, commercial payer, and Teaching Physician coding guidelines.
• Resolve coding-related pending charges and claim denials.
• Partner with providers, Revenue Cycle, Compliance, and coding team members to resolve documentation and billing questions.
• Provide coding guidance and education to providers and less experienced coders.
• Support coding audits, quality initiatives, research, and special projects.
• Maintain required continuing education and national coding certification.

Benefits

• Paid time off programs.
• Medical, dental, vision, life, and short- and long-term disability benefits.
• Flexible Spending Accounts for eligible health care and dependent care expenses.
• Adoption assistance and paid parental leave.
• Defined contribution retirement plans with employer match and other financial wellness programs.
• Educational Assistance Program.
• Career development programs.
• Potential premium pay, incentive pay for select positions, and opportunity for annual performance-based increases.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed