University of Illinois at Chicago
Reimbursement Coding Representative - Endoscopy Lab Scheduling
University of Illinois at Chicago, Chicago, Illinois, United States, 60290
Hiring Department : Endoscopy Lab SchedulingHiring Unit:
University of Illinois Hospital & Health Sciences System (UI Health)Location : Chicago, IL USARequisition ID : 1027267Posting Close Date : 10/9/2024Position Number : CF4191About the University of Illinois Hospital & Health Sciences System (UI Health)The University of Illinois Hospital & Health Sciences System (UI Health) provides comprehensive care, education, and research to the people of Illinois and beyond. A part of the University of Illinois at Chicago (UIC), UI Health comprises a clinical enterprise that includes a 495-bed tertiary care hospital, 22 outpatient clinics, and 13 Mile Square Health Center facilities, which are Federally Qualified Health Centers. It also includes the seven UIC health science colleges: the College of Applied Health Sciences; the College of Dentistry; the School of Public Health; the Jane Addams College of Social Work; and the Colleges of Medicine, Pharmacy, and Nursing, including regional campuses in Peoria, Quad Cities, Rockford, Springfield, and Urbana. UI Health is dedicated to the pursuit of health equity.This is a full-time and benefits eligible position. UI Health offers competitive salaries commensurate with experience. In addition, 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.Position Overview:UI Health is seeking a Reimbursement Coding Representative to join our Endoscopy Lab Scheduling team. This role assists in coding hospital and professional charges for endoscopy lab procedures, obtaining insurance pre-authorizations, and managing denials and retro authorizations.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.Assists medical providers, clinic, and billing staff with coding, billing, and documentation issues.Maintains general reports such as tracking unbillable charges.Under the direction of the supervisor, updates and informs clinical staff of all changes in the fee schedules.Composes simple correspondence to third-party payers to resolve billing/charge problems; works denials for resubmission.Works with the billing department to resolve and authorize adjustments on patients’ accounts; may assist with daily deposits by verifying the accuracy of payments; may review outsourced billing practices for accuracy in billing.Research and/or locate missing information regarding managed care payer requirements. Work with denial committee on denial related issues.Maintains applicable assigned work queues and expected lead times.Obtains and/or coordinates with third-party payers authorizations for services.Documents and updates all authorizations obtained in UI Health systems.If necessary, contacts patient/guarantor to notify of denial or financial risk.Informs patient of cancellation/rescheduling options and completes appropriate workflow. If necessary, informs patient of UI Health self-pay policy.Ability to complete registration and coverage verification, as necessary.Determines if patient is eligible for intended care at UI Health.If necessary, contacts patient to obtain correct insurance information, or informs patient of UI Health self-pay policy. May perform patient estimates, as necessary.Updates all demographic/coverage/eligibility information in UI Health system.Provides excellent customer service to patients, providers, and clinic staff in person and via telephone. Completes interactions with respect and courtesy.Provides general information regarding UI Health when appropriate.Continues education on payers/payer requirements and UI Health contracts.Maintains technical knowledge of items necessary for financial clearance at UI Health for intended services.Stays up to date as policies and necessary documentation and payer requirements change. Maintains competence and technical knowledge.Maintains a working knowledge of necessary registration and eligibility systems.Manages multi-step patient cases in an electronic health record (EHR) system which could include monitoring outstanding tasks, investigating insurance issues, and/or cancelling or rescheduling services.Investigates and resolves insurance denials which could include responding to documentation requests, communicating with patient/providers to resolve insurance issues, and/or cancelling or rescheduling services.Assists with responding to patient inquiries concerning healthcare benefits, healthcare facility policies, and/or financial liabilities.Performs other related duties and participates in special projects as assigned.Minimum Qualifications Required:High school graduation or equivalent.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 (CPT) systems of coding to assign codes for services provided to patients.B. 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 months12 semester hours equals 12 months18 semester hours equals 18 monthsCurrent 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) 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.To Apply:
For fullest consideration click on the
Apply Now button , please fully complete all sections of the online application including adding your full work history with specific details of your duties & responsibilities for each position held. Fully complete the education, licensure, certification, and language sections. You may upload a resume, cover letter, certifications, licensures, transcripts, and diplomas within the application.Please note that once you have submitted your application you will not be able to make any changes. In order to revise your application you must withdraw and reapply. You will not be able to reapply after the posting close date. Please ensure the application is fully completed and all supporting documents have been uploaded before the posting close date. Illinois Residency is required 180 days of employment.The University of Illinois System is an equal opportunity employer, including but not limited to disability and/or veteran status, and complies with all applicable state and federal employment mandates. Please visit Required Employment Notices and Posters to view our non-discrimination statement and find additional information about required background checks, sexual harassment/misconduct disclosures, and employment eligibility review through E-Verify.
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University of Illinois Hospital & Health Sciences System (UI Health)Location : Chicago, IL USARequisition ID : 1027267Posting Close Date : 10/9/2024Position Number : CF4191About the University of Illinois Hospital & Health Sciences System (UI Health)The University of Illinois Hospital & Health Sciences System (UI Health) provides comprehensive care, education, and research to the people of Illinois and beyond. A part of the University of Illinois at Chicago (UIC), UI Health comprises a clinical enterprise that includes a 495-bed tertiary care hospital, 22 outpatient clinics, and 13 Mile Square Health Center facilities, which are Federally Qualified Health Centers. It also includes the seven UIC health science colleges: the College of Applied Health Sciences; the College of Dentistry; the School of Public Health; the Jane Addams College of Social Work; and the Colleges of Medicine, Pharmacy, and Nursing, including regional campuses in Peoria, Quad Cities, Rockford, Springfield, and Urbana. UI Health is dedicated to the pursuit of health equity.This is a full-time and benefits eligible position. UI Health offers competitive salaries commensurate with experience. In addition, 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.Position Overview:UI Health is seeking a Reimbursement Coding Representative to join our Endoscopy Lab Scheduling team. This role assists in coding hospital and professional charges for endoscopy lab procedures, obtaining insurance pre-authorizations, and managing denials and retro authorizations.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.Assists medical providers, clinic, and billing staff with coding, billing, and documentation issues.Maintains general reports such as tracking unbillable charges.Under the direction of the supervisor, updates and informs clinical staff of all changes in the fee schedules.Composes simple correspondence to third-party payers to resolve billing/charge problems; works denials for resubmission.Works with the billing department to resolve and authorize adjustments on patients’ accounts; may assist with daily deposits by verifying the accuracy of payments; may review outsourced billing practices for accuracy in billing.Research and/or locate missing information regarding managed care payer requirements. Work with denial committee on denial related issues.Maintains applicable assigned work queues and expected lead times.Obtains and/or coordinates with third-party payers authorizations for services.Documents and updates all authorizations obtained in UI Health systems.If necessary, contacts patient/guarantor to notify of denial or financial risk.Informs patient of cancellation/rescheduling options and completes appropriate workflow. If necessary, informs patient of UI Health self-pay policy.Ability to complete registration and coverage verification, as necessary.Determines if patient is eligible for intended care at UI Health.If necessary, contacts patient to obtain correct insurance information, or informs patient of UI Health self-pay policy. May perform patient estimates, as necessary.Updates all demographic/coverage/eligibility information in UI Health system.Provides excellent customer service to patients, providers, and clinic staff in person and via telephone. Completes interactions with respect and courtesy.Provides general information regarding UI Health when appropriate.Continues education on payers/payer requirements and UI Health contracts.Maintains technical knowledge of items necessary for financial clearance at UI Health for intended services.Stays up to date as policies and necessary documentation and payer requirements change. Maintains competence and technical knowledge.Maintains a working knowledge of necessary registration and eligibility systems.Manages multi-step patient cases in an electronic health record (EHR) system which could include monitoring outstanding tasks, investigating insurance issues, and/or cancelling or rescheduling services.Investigates and resolves insurance denials which could include responding to documentation requests, communicating with patient/providers to resolve insurance issues, and/or cancelling or rescheduling services.Assists with responding to patient inquiries concerning healthcare benefits, healthcare facility policies, and/or financial liabilities.Performs other related duties and participates in special projects as assigned.Minimum Qualifications Required:High school graduation or equivalent.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 (CPT) systems of coding to assign codes for services provided to patients.B. 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 months12 semester hours equals 12 months18 semester hours equals 18 monthsCurrent 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) 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.To Apply:
For fullest consideration click on the
Apply Now button , please fully complete all sections of the online application including adding your full work history with specific details of your duties & responsibilities for each position held. Fully complete the education, licensure, certification, and language sections. You may upload a resume, cover letter, certifications, licensures, transcripts, and diplomas within the application.Please note that once you have submitted your application you will not be able to make any changes. In order to revise your application you must withdraw and reapply. You will not be able to reapply after the posting close date. Please ensure the application is fully completed and all supporting documents have been uploaded before the posting close date. Illinois Residency is required 180 days of employment.The University of Illinois System is an equal opportunity employer, including but not limited to disability and/or veteran status, and complies with all applicable state and federal employment mandates. Please visit Required Employment Notices and Posters to view our non-discrimination statement and find additional information about required background checks, sexual harassment/misconduct disclosures, and employment eligibility review through E-Verify.
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