Physician Billing Auditor
Physician Billing Auditor
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$ 65520 - 107120
1 Vacancy
Job Description
Ann & Robert H. Lurie Childrens Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence kids and their families are at the center of all we do. Ann & Robert H. Lurie Childrens Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.
Location
Job Description
K.S.A.s:
- High School Diploma required; College degree preferred.
- Certified Professional Coder (CPC) or Certified Coding Specialist- Physician Based (CCS-P) required or Registered Health Information Administrator (RHIA) and/or Registered Health Information Technician (RHIT) certification in conjunction with physician based coding experience to include evaluation & management (E/M) may be considered contingent upon CPC or CCS-P certification acquired within the first 90 days of employment.
- A minimum of three (3) years coding experience is required.
- Prior experience with claims processing preferred.
- Prior experience working in a hospital or clinical setting is preferred.
- Must be able to demonstrate thorough knowledge of CPT and ICD9 coding by passing a test.
- Strong communication and organizational skills.
Job Duties:
- Follows a pre-determined or assigned audit schedule for provider and coder audits. Participates in special audits as assigned.
- Using CPT ICD-10 HCPCS provider documentation and other approved resources evaluates the proper assignment of procedure modifier and diagnosis codes to Physician Billing charges to validate for accuracy and compliance.
- Reviews charge information claim forms and insurance correspondence to determine if coding billing claim follow-up payment receipts posting activities and credit processing is being performed in an accurate and timely manner and is supported by documentation.
- Analyzes billing trends to identify areas of non-compliance and prepares regular reports on audit findings to appropriate committees.
- Reviews assigned Claim Edit and Follow-up Work queues to resolve reimbursement issues based on coding and payer guidelines. Identifies inconsistency or improvement opportunities that impact reimbursement and/or reduce denials.
- Establishes effective communication to provide feedback to providers coders and leadership.
- Maintains knowledge of coding compliance and reimbursement procedures.
- Attends department meetings webinars seminars to maintain coding certificate requirements.
- Performs job functions adhering to service principles with customer service focus of innovation service excellence and teamwork to provide the highest quality care and service to our patients families co-workers and others.
- 1Other job functions as assigned.
Education
High School Diploma/GED (Required)Pay Range
$65520.00-$107120.00 SalaryAt Lurie Childrens we are committed to competitive and fair compensation aligned with market rates and internal equity reflecting individual contributions experience and expertise. The pay range for this job indicates minimum and maximum targets for the position. Ranges are regularly reviewed to stay aligned with market conditions.In addition to base salary Lurie Childrens offer a comprehensive rewards package that may include differentials for some hourly employees leadership incentivesfor select roles health and retirement benefits and wellbeing programs. For more details on other compensation consult your recruiter or click the followinglink to learn more about our benefits.
Benefit Statement
For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes:
Medical dental and vision insurance
Employer paid group term life and disability
Employer contribution toward Health Savings Account
Flexible Spending Accounts
Paid Time Off (PTO) Paid Holidays and Paid Parental Leave
403(b) with a 5% employer match
Various voluntary benefits:
Supplemental Life AD&D and Disability
Critical Illness Accident and Hospital Indemnity coverage
Tuition assistance
Student loan servicing and support
Adoption benefits
Backup Childcare and Eldercare
Employee Assistance Program and other specialized behavioral health services and resources for employees and family members
Discount on services at Lurie Childrens facilities
Discount purchasing program
Theres a Place for You with Us
At Lurie Childrens we embrace and celebrate building a team with a variety of backgrounds skills and viewpoints recognizing that different life experiences strengthen our workplace and the care we provide to the Chicago community and beyond. We treat everyone fairly appreciate differences and make meaningful connections that foster belonging. This is a place where you can be your best so we can give our best to the patients and families who trust us with their care.
Lurie Childrens and its affiliatesare equal employment opportunity employers. All qualified applicants will receive consideration for employment without regard to race color sex sexual orientation gender identity or expression religion national origin ancestry age disability marital status pregnancy protected veteran status order of protection status protected genetic information or any other characteristic protected by law.
Employment Type
Full-Time
