[Hiring] Coder II @Advocate Health

Role Description

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.

Qualifications

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

Requirements

• For Entry-Level Roles (Basic Inpatient/Simple Outpatient):
  • Foundational experience in facility coding (via education, externship, or applied work) covering basic outpatient and basic inpatient records.
  • Experience with Epic or similar electronic health record systems is a plus.
• For Proficient Roles (Complex Professional Coding):
  • 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 setting.
• Job may require occasional travel for training or meetings, therefore, may be exposed to road and weather hazards.
• May 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 day.
• Operates all equipment necessary to perform the job.

Benefits

• Base 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.
• 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.