at SIU Medicine in Springfield, Illinois, United States
Job Description
Description
The primary purpose of this position is to assign ICD-10 CM, CPT, and HCPCS codes for Inpatient and outpatient services by reviewing medical records documentation for those services Provided by a physician or other qualified healthcare professionals.
Examples of Duties
The following information is intended to be representative of the work performed by incumbent in this position and is not all inclusive. The omission of a specific duty or responsibility will not preclude it from the position if the work is similar, related, or a logical extension of position responsibilities.
Review documentation and assign diagnosis and procedure codes for ancillary and other physician services using standardized coding systems such as ICD-10-CM, CPT, and HCPCS.
Review records for accuracy in the usage and/or assignment of modifiers for Evaluation and Management services along with any procedure modifiers as applicable.
Respond to requests from Patient Business Services for assistance in correction of claim information in regard to coding, dates of service, place of service, provider information, etc. This assistance is also inclusive of writing appeal letters that would be submitted to insurance for reconsideration of a denied claim.
Provide advice and guidance to administrators, faculty, and staff as it relates to coding and documentation along with any third party payer regulations.
Assist other coding staff in the unit to provide coverage as needed and assist in training other coders when requested.
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
Supplemental Information
If you require assistance, please contact the Office of Human Resources at hrrecruitment@siumed.edu 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 https://www.siumed.edu/police-security. 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 employment and educational opportunities for all qualified persons without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, protected veteran status or marital status in accordance with local, state and federal law.
Pre-employment background screenings required.
Southern Illinois University School of Medicine is an Equal Opportunity Employer.
