at University of Illinois at Chicago in Chicago, Illinois, United States
Job Description
Reimbursement Coding Representative - College of Medicine, Dermatology
Hiring Department: College of Medicine, Dermatology
Location: Chicago, IL USA
Requisition ID: 1016409
Posting Close Date: 6/15/2023
About the University of Illinois Chicago
UIC is among the nation's preeminent urban public research universities, a Carnegie RU/VH research institution, and the largest university in Chicago. UIC serves over 34,000 students, comprising one of the most diverse student bodies in the nation and is designated as a Minority Serving Institution (MSI), an Asian American and Native American Pacific Islander Serving Institution (AANAPSI) and a Hispanic Serving Institution (HSI). Through its 16 colleges, UIC produces nationally and internationally recognized multidisciplinary academic programs in concert with civic, corporate and community partners worldwide, including a full complement of health sciences colleges. By emphasizing cutting-edge and transformational research along with a commitment to the success of all students, UIC embodies the dynamic, vibrant and engaged urban university. Recent "Best Colleges" rankings published by U.S. News & World Report, found UIC climbed up in its rankings among top public schools in the nation and among all national universities. UIC has nearly 260,000 alumni and is one of the largest employers in the city of Chicago.
This is a full-time and benefits eligible position. UIC offers competitive salaries commensurate with experience. All full-time benefits eligible positions include a comprehensive benefits package which includes Health, Dental, Vision, Life, Disability & AD&D insurance, a defined benefit pension plan as well as paid leave which includes Vacation, Holiday and Sick. In addition, we offer tuition waivers for employees and dependents. Click for a complete list of
Position Summary:
Under general supervision, the Reimbursement Coding Representative will be responsible for coding patient services for the Dermatology clinic. The Reimbursement Coding Rep will provide appropriate, timely and accurate physician billing service while working with providers and clinic staff to bill appropriate and timely claims to insurance companies. The Reimbursement Coding Rep will obtain necessary referrals/authorizations as needed to submit claims successfully.
Duties & Responsibilities:
Assigns codes for ancillary, hospital services, and medical providers using standardized coding systems such as ICD-10, HCPCS and/or CPT, or verifies coding performed by clinical staff for accuracy; uses codes in referral processing for outpatient visits and procedures.
Verifies coding performed by clinical staff for accuracy; uses codes in referral processing for outpatient visits and procedures.
Ensures that pre certifications/authorizations and referrals are obtained for successful claims.
Assists in development of policies and procedures related to coding of medical providers, ancillary, and/or hospital services using ICD-10, HCPCS, and/or CPT.
Communicates with medical providers assisting with coding, billing and documentation.
May review charge tickets and or documentation to determine accuracy of CPT and diagnosis coding.
Tracks claims and appeals to ensure appropriate strategies are employed and to adjust accordingly; assists in resolving day-to-day coding related issues; serves as a resource person for billing/coding purposes.
Keeps abreast of bulletins, newsletters, and periodicals; attends workshops to stay current on coding issues, trends, and changes in regulations governing medical record coding documentation.
Adheres to HIPPA guidelines related to release of patient information.
Communicates with patients and physicians on issues related to benefits, copayments deductibles after receiving services.
Reviews, analyzes and corrects or resolves any denied or pending claims in coordination with Accounts Receivables Department
Perform other related duties and participate in special projects as assigned.
Qualifications:
1. High school graduation or equivalent.
2. Any one or any combination totaling 18 months from the following categories:
A. Work experience in a healthcare setting (i.e., hospital, physician's office, nursing home, billing agency) utilizing ICD-10, and CPT coding systems, Healthcare Common Procedure Coding System (HCPCS), and the Current Procedural Terminology... For full info follow application link.
The University of Illinois may conduct background checks on all job candidates upon acceptance of a contingent offer. Background checks will be performed in compliance with the Fair Credit Reporting Act.
The University of Illinois at Chicago is an affirmative action, equal opportunity
institution/employer and does not discriminate on the basis of race, color, national origin, sex, religion, age, sexual orientation, gender identity, veteran or disability status, height, weight, or marital status in employment or the provision of services.
