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Medical Billing Specialist & Certified Coder- Laboratory

Carle Health

Job Location:

Champaign, IL - USA

Hourly Salary: USD 23 - 39

Posted: 4 September 2026 (11 hours ago)

Application Deadline: 2 December 2026

Vacancies: 1 Vacancy

Job Summary

Overview

The Laboratory Billing & Coding Representative is responsible for accurate and timely billing of Laboratory services. Responsible for understanding medical terminology patient registration insurance eligibility payer rules CPT/HCPCS bundling CCI modifiers and lab-related coding for problem resolution. Responsible for understanding and applying compliance and regulatory guidelines to resolve charge review edits claim edits billing-related issues and assigned work queues. Functions as a lab-billing resource for internal and external parties. This position uses Carle electronic medical record systems and Lab Information System to review clinical encounters and laboratory results.

Responsibilities

Responsible for resolving Lab-related CPT HCPCS and applicable ICD-10 inquiries for internal and external parties.
Responsible for editing laboratory test charges to ensure CPT/HCPCS codes are appropriate for tests being billed and appropriate modifiers are applied. Ensures all charges are corrected when additional tests are ordered or tests are cancelled at a later date.
Responsible for researching and resolving assigned billing reports and work queues on a daily basis for registration errors charge review claim edits etc.
Responsible for understanding and applying compliance regulatory and CPT/HCPCS bundling rules for Laboratory billing.
Facilitates maximization of revenue by ensuring correct coding initiatives and payer-specific guidelines are applied appropriately.
Works collaboratively with Revenue Cycle Coding and other departments to resolve patient or payer-related charge and account inquiries coding denials lab orders trends etc.
Reconciles Referred (send-out) Testing invoices calculates charges keys billable services into systems and reports discrepancies to appropriate internal and external parties.
Communicates issues and trends to management to maintain departmental compliance and improve processes. Attends and provides input at meetings and trainings.
Assists with Reference Laboratory billing processes.
Assists with financial and statistical reports.
Ensures quick responses to clients and patients regarding billing concerns.
Ensures daily work assignments are complete by promoting teamwork and good communication.
Assists with audits special projects and annual policy and procedure review process as requested.

Qualifications

Certifications: Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC); Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) Education: Work Experience: Revenue cycle; Coding

Carle Health Company Overview

Find it here.

Discover the job the career the purpose you were meant for. At Carle Health were committed to fostering a workplace where every team member feels valued respected and empowered where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health.

Our nearly 17000 team members and providers work together to support patient care across central and southeastern Illinois. Weve grown to include eight award-winning hospitals and a multispecialty provider group with more than 1500 doctors and advanced practice providers. Were developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine the worlds first engineering-based medical school and Methodist College. Carle BroMenn Medical Center Carle Foundation Hospital Carle Health Methodist Hospital Carle Health Proctor Hospital Carle Health Pekin Hospital and Carle Hoopeston Regional Health Center hold Magnet designations the nations highest honor for nursing care. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race color sex age national origin religion sexual orientation gender identity status as a veteran and basis of disability or any other federal state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and if necessary the Department of Homeland Security with information from each new employees Form I-9 to confirm work authorization. For more information:

Salary Range

The compensation range for this position is $23.58per hour - $39.38per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including but not limited to the candidates experience qualifications location training licenses shifts worked and compensation model.

Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit

Required Experience:

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