Physician Surgical Claims Coding Specialist - Full-Time Day

Join UChicago Medicine Care Network as a Revenue Claims Coding Specialist UCM Care Networkin the Burr Ridge IL location. In this role you will primarily support Administrative Support Workers. This position will be primarily a work from home
opportunity with the requirement to come onsite as needed. You may be based outside of the greater Chicagoland area.

Revenue Claims Coding Specialist (RCCS) works under the supervision of the Manager Revenue Claims Coding Specialist. The RCCS team works collaboratively with Primary Healthcare Associates (PHA) physicians assigned to his/her team/group in order to provide an optimal revenue cycle environment that is efficient effective comprehensive and compliant. The RCCS team also works collaboratively with the PHA practice managers billing staff and when needed insurance payers to support a highly efficient effective and compliant revenue cycle program. The typical work includes the entry of professional charges from charge tickets into EPIC resolution of coding edits for all payers revenue reconciliation identify and/or organize appropriate education for physicians. Effective communication with management providers and practice directors will be key. The Revenue Claims Coding Specialist will also be responsible for the completion of all work assignments in a proficient and accurate manner; meeting productivity and quality standards set by the Revenue Claims Coding Specialist Manager.

Essential Job Functions

• Works directly with manager as assigned to charges from PHA providers for nonoffice based services i.e. inpatient outpatient surgery dialysis and nursing home visits to facilitate charge entry resolve coding and charging issues for all payers (NCCI OCE MUE LCD payer custom edits) including but not limited to denials and disputes
• Serves as a charging/coding resource supporting physicians/providers revenue capture. As such organizes charge tickets for timely entry into EPIC
• Review medical documentation for assigning billing modifiers to insurance claims where appropriate and applicable. Works assigned work ques daily with the goal to complete all assigned tasks
• Perform charge reconciliation and work with the physicians/providers and/or practice managers in instances of missing charges/ revenue
• Routinely communicates with manager and where possible providers practice administrators billing staff and payers as needed to discuss clinical questions with respect to coding assignment or resolution of edits in a courteous and professional manner
• Provide appropriate feedback to manager and provider for education on trends identified from errors or payer denials
• Participate in meeting with provider practice manager as assigned by manager to improve the overall claims revenue cycle and business functions of the practice
• Attends and participates in team meetings to discuss coding/charging issues and participates on projects as requested. Maintains current knowledge of all billing and compliance policies procedures and regulations and attends appropriate training sessions as required
• Meets all productivity and quality expectations and participates in all scheduled audits and performs other duties as assigned

Required Qualifications

• Ability to identify trends and recommend solutions to billing and revenue cycle processes and problems
• Coding certification through AAPC or AHIMA required
• High school diploma
• Proven working knowledge of professional billing of CPT (Current Procedural Terminology) and ICD (International Classification of Diseases) coding systems
• Knowledge of Federal billing regulations governing Medicare and Medicaid programs and working knowledge of other managed care and indemnity (third party) payer requirements
• Must possess a working knowledge of Local and National Coverage Determination policies (LCDs and NCDs) Ambulatory Payment Classification (APC) related edits such as the National Correct Coding Initiative (NCCI) and Outpatient Code Editor (OCE).
• Must be proficient in Microsoft Excel and Word
• Must be highly analytical and have excellent written and verbal communication skills

Preferred Qualifications

• Epic experience
• Associate or bachelors degree in a healthcare information or health care finance related field
• Prior experience with Provider E/M

Position Details

• Job Type/FTE: Full Time 1.0 FTE)
• Shift: Days
• Work Location: Flexible Remote/ Burr Ridge IL
• Unit/ Department: Revenue Cycle
• CBA Code: NonUnion

Weve been at the forefront of medicine since 1899. We provide superior healthcare with compassion always mindful that each patient is a person an individual. To accomplish this we need employees with passion talent and commitment with patients and with each other. Were in this together: working to advance medical innovation serve the health needs of the community and move our collective knowledge forward. If youd like to add enriching human life to your profile UChicago Medicine is for you. Here at the forefront were doing work that really matters. Join us. Bring your passion.

UChicago Medicine is growing; discover how you can be a part of this pursuit of excellence at:UChicago Medicine Career Opportunities.

UChicago Medicine is an equal opportunity employer. We evaluate qualified applicants without regard to race color ethnicity ancestry sex sexual orientation gender identity marital status civil union status parental status religion national origin age disability veteran status and other legally protected characteristics.

Must comply with UChicago Medicines COVID19 Vaccination requirement as a condition of employment. If you have already received the vaccination you must provide proof as part of the preemployment process. This is in addition to your compliance with the Flu Vaccination requirement as well. Medical and religious exemptions will be considered consistent with applicable law. Lastly a preemployment physical drug screening and background check are also required for all employees prior to hire.

Compensation & Benefits Overview

UChicago Medicine is committed to transparency in compensation and benefits. The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position.

The pay range is based on a fulltime equivalent 1.0 FTE) and is reflective of current market data reviewed on an annual basis. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations such as internal equity. Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union.

Review the full complement of benefit options for eligible roles at Benefits UChicago Medicine.