Job Description:Join a world-class academic healthcare system, UChicago Medicine, as a Claims Coding Specialist (Medical Coder) in our Revenue Cycle - Revenue Integrity department. This position will be primarily a work from home opportunity with the requirement to come onsite as needed to our Hyde Park location. You may be based outside of the greater Chicagoland area. This position will support new clinic services with revenue cycle-related functions including training, education, charge capture, and correct coding edits.The Claims Coding Specialist (Medical Coder) works under the supervision of the Revenue Integrity. The CCS team works collaboratively with physicians, assigned to his/her team/group in order to provide an optimal revenue cycle environment that is efficient, effective, comprehensive and compliant. The CCS team also works collaboratively with the ambulatory practice managers, billing staff and (at times) insurance payers to support a highly efficient, effective, and compliant revenue cycle program. The typical work includes the resolution to coding edits for all payers, revenue reconciliation, identify and/or organize appropriate education for physicians, and effective communication. The 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 Integrity Director. The Claims Coding Specialist reports directly to the Revenue Integrity Manager.Essential Job Functions
Works directly with the hospital departments and ambulatory clinics to resolve coding and charging issues for all payers (NCCI, OCE, MUE, LCD, payer custom edits), including but not limited to denials and disputes
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
Serves as a primary resource supporting in-clinic physicians/providers. As such, organizes appropriate education for physicians and communicates regularly with physicians/providers to improve the overall claims, revenue cycle, and business functions of the practice. utinely communicates with medical staff, practice administrators, billing staff and payers as needed to discuss clinical questions with respect to coding assignment or resolution in a courteous and professional manner
Meets regularly with the practice manager and medical director to review in-clinic revenue cycle performance and to identify appropriate solutions for advancing an efficient, effective, and compliant revenue cycle program
Perform charge reconciliation and work with the physicians/providers and/or practice managers in instances of missing revenue
Assist with identifying trends and opportunities to address root causes, updates systems and/or provider feedback/education/training
Maintains current knowledge of all billing and compliance policies, procedures and regulations and attends appropriate training sessions as required
Assist with orientation of newly hired Claims Coding Specialists
Attends and participates in team meetings to discuss coding/charging issues and serves on task forces as needed
Meets all productivity and quality expectations and participates in all scheduled audits
Performs other duties as requested by management
Required Qualifications
Health Information Management or Coding certification required within three months of hire:
RHIA (Registered Health Information Administrator)
RHIT (Registered Health Information Technician)
CPC (Certified Professional Coder)
COC (Certified Outpatient Coder)
CCS (Certified Coding Specialist)
CCS-P (Certified Coding Specialist Physician)
CCA (Certified Coding Associate)
High school diploma
Ability to identify trends and recommend solutions to billing and revenue cycle processes and problems
Proven working knowledge 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) payor requirements
Must possess a working knowledge of Local and National Coverage Determination policies (LCD’s and NCD’s), 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
Must possess excellent organizational, time management and multi-tasking skills, along with demonstration of excellent interpersonal skills
Preferred Qualifications
Two (2) or more years' experience coding
Epic, IDX and Centricity experience
Associate or Bachelor’s degree in a health-care information or health care finance related field
Position Details:
Job Type/FTE: Full Time (1.0 FTE)
Shift: Days
Work Location: Flexible Remote - occasional travel to the Hyde Park campus
Why Join Us:We’ve 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. We’re in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward. If you’d like to add enriching human life to your profile, UChicago Medicine is for you. Here at the forefront, we’re 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 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 Medicine’s COVID-19 Vaccination requirement as a condition of employment. If you have already received the vaccination, you must provide proof as part of the pre-employment 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 pre-employment physical, drug screening, and background check are also required for all employees prior to hire.Compensation & Benefits OverviewUChicago 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 full-time 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 .
