at SIU Medicine in Springfield, Illinois, United States
Job Description
Description
This position is an entry-level coding position and is responsible for assigning of ICD-10, HCPC and CPT codes to all inpatient and outpatient services provided by the physicians and mid-level providers. This position reviews all charges to ensure documentation is appropriate in accordance with the medical documentation and SIU policy.
Examples of Duties
I. Coding and Reimbursement 75%
A. Assign appropriate coding for all ancillary, hospital and medical provider's charges within the department.
B. Assist medical providers and billing staff with coding and billing questions. Provides documentation as necessary.
C. Perform periodic chart reviews to determine that all chart documentation supports services indicated on the encounter form. Ensure all teaching physician requirements are met for resident services .
D. Assist with the teaching of residents for appropriate coding practices for all levels of inpatient and outpatient services .
E. Assure that all services and procedures performed are correctly recorded with the appropriate ICD-10, diagnosis code(s), CPT procedure codes(s) and modifier(s) for reporting to all federal, state and third party payors. Work with billing providers to make any necessary changes to meet requirements.
F. Monitor the ETM task list in Centricity Business for coding edits in the TES system Transaction Editing System prior to extraction to the BAR system - Billing and Accounts Receivable . Correct edits as needed.
G. Advise providers of any new CPT and ICD-1O change of codes. Update any electronic charge tickets as needed.
H. Identify any coding or documentation issues that arise. Bring to the supervisor 's attention when found.
I. Keep updated on all Medicare and Medicaid regulations as they apply.
J. Attend any required Billing and Coding meetings to increase knowledge of ICD-10 , CPT coding etc.
II. Billing: 25%
A. Review denied claims sent by Patient Business Services for coding error. Correct and/or provide chart documentation for resubmission to the claims payor for proper reimbursement.
B. Work with the billing department to authorize and resolve any charge adjustments needed on patient accounts. Examples include are but not limited to, correcting service date or location , providing missing or requested documentation, etc.
C. Compose correspondence letters to third party payers to resolve billing problems.
D. Work pending and missing charge report to identify missing or incomplete documentation issues and then contacting the provider to resolves issues.
E. Notify manager of any patterns or trends found.
F. Other duties as assigned.
Qualifications
High school graduation or equivalent.
Any one or any combination totaling 18 months from the following categories:
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 (CPT) systems of coding to assign codes for services provided to patients.
College course work relating to healthcare operations includes the following topics such as Medical Terminology, Human Anatomy and Physiology, ICD-10 Coding, and CPT Coding, or closely related courses.
6 semester hours equals 6 months
12 semester hours equals 12 months
18 semester hours equals 18 months
Current designation as Certified Professional Coder-Apprentice (CPC-A), Certified Professional Coder (CPC) or a Certified Outpatient Coder (COC) by the American Academy of Professional Coders (AAPC) (formerly CPC-H certification) or current certification as a Certified Coding Associate (CCA), Certified Coding Specialist (CCS) or Certified Coding Specialist-Physician-based (CCS-P) or Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) by the American Health Information Management Association (AHIMA) satisfies all the requirements for this classification.
Supplemental Information
If you require assistance, please contact the Office of Human Resources at or call 217-545-0223 Monday through Friday, 8:00am-4:30pm.
The mission of Southern Illinois University School of Medicine is to optimize the health of the people of central and southern Illinois through education, patient care, research and service to the community.
The SIU School of Medicine Annual Security Report is available online at . This report contains policy statements and crime statistics for Southern Illinois University School of Medicine in Springfield, IL. This report is published in compliance with Federal Law titled the
"Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act."
Southern Illinois University School of Medicine is an Affirmative Action/Equal Opportunity employer who provides equal... For full info follow application link.
Southern Illinois University School of Medicine is an Equal Opportunity Employer.
