The Abstractor/Coder II performs complex, specialty-specific coding in support of orthopedic practices across multiple locations. This role applies advanced knowledge of CPT, ICD-10, and HCPCS coding systems, along with payer and regulatory requirements, to ensure accurate, compliant charge capture and documentation.
Working with minimal supervision, this position resolves coding edits, denials, and rejections, and partners with providers to improve documentation and optimize reimbursement. The role serves as a subject matter expert to clinical staff and supports revenue integrity through issue resolution and education.
This position also contributes to quality and compliance efforts by identifying coding trends and risks, conducting reviews, supporting training initiatives, and mentoring less experienced coders.
- High school diploma or equivalent required; associate's or bachelor's degree preferred
- 5 years of coding experience required, including 3 or more years coding highly complex specialty services
- 4 years of experience coding physician services, or a recent graduate from an HIM bachelor's program with an RHIA
- Experience with electronic billing and medical record systems such as Epic, Last Word, and IDX
- Experience in an academic medical center or large, complex hospital-physician billing group preferred
- Experience with medicine primary and sub-specialty physician and procedure coding strongly preferred
- Experience with Epic Professional Billing preferred
- Must hold one of the following certifications: RHIA, RHIT, CCS-P, CPC, or CCS
- Specialty certification preferred
- Proficiency with Microsoft Office suite required
- Knowledge of billing and coding practices required
- Strong understanding of CPT, ICD-10, HCPCS, modifier usage, medical terminology, HIPAA, and payer requirements
- Health benefits
- Retirement benefits
- Paid time off
- Eligible employee benefits programs and resources
Location
Illinois, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
1 month ago