Reimbursement Coding Representative (Uicomp Pediatric Cardiology)

Reimbursement Coding Representative (UICOMP Pediatric Cardiology)

Hiring Department: Pediatrics

Location: Peoria, IL USA

Requisition ID: 1026001

Posting Close Date: July 2, 2024

This position is located on the Peoria campus 170 miles southwest of Chicago. (On-Site Work

• Not Remote).

The University of Illinois College of Medicine Peoria (UICOMP) educates 265 medical students and more than 300 physician residents and fellows annually. Additionally, it provides clinical care to more than 31,000 patients annually and conducts basic science, clinical and outcomes research.

UICOMP is a regional campus of the University of Illinois College of Medicine, a part of the University of Illinois Chicago and University of Illinois System. The College of Medicine Peoria is home to the Cancer Research Center, Center for Wellbeing, and is a collaborator in Jump Simulation. Learn more about UICOMP at http://peoria.medicine.uic.edu.

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 over 300,000 alumni, and is one of the largest employers in the city of Chicago.

Description:

Position Summary

The Peds Reimbursement Coding Representative operates under the direct supervision the Director of Administrative Operations and indirect supervision of a Reimbursement Coding Specialist. They code standard diagnoses and medical services for the purpose of receiving maximum allowable reimbursement from payors. The position performs other coding related functions such as patient registration and review of coding, billing, and documentation issues.

Duties & Responsibilities

Codes standard charge documents for ancillary and physician services using standardized coding systems such as ICD-9-CM, ICD-10 and CPT, or verifies coding performed by clinical staff and lower level coders for accuracy. Completes data entry of paper billing claims into Epic when system does not allow for electronic charge entry.

Processes all electronic & paper claims that are entered manually. Assists with submissions of additional documentation on individual claims to increase reimbursement levels and provide additional/supplementary documentation needed for payor consideration of non-routine charges. Reviews documentation in order to verify accuracy of codes, dates of service, and assures documentation supports codes.

Communicates with physicians and ancillary personnel to resolve problems with specific charges. Verifies that demographic and insurance carriers are accurate within patient registration. Reviews Epic workques (Charge Review) and corrects all errors that are delaying claim submission.

Reviews Epic workques & make corrections: Claim Edit & Denials workques. Contacts the clinics/departments to determine the correct code to submit for coding errors and makes necessary changes.

Attends coding & reimbursement workshops to maintain level of competence & coding certification. Performs other related duties as assigned. Assists in the preparation of general coding reports as requested.

Qualifications:

Minimum 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. Preferred Qualifications

FY 24 Benefit Booklet: FY 2024 Benefit Choice

• State Employees Group Insurance Program (illinois.gov)

NOTE: Each posting requires a separate on-line application.

Applications cannot be re-used. Submission of application including complete work and education history is required; all information submitted will be verified. 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 within 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 https://www.hr.uillinois.edu/cms/one.aspx?portalId=4292&pageId=5705 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.

The University of Illinois conducts background checks on all job candidates upon acceptance of a contingent offer of employment. Background checks will be performed in compliance with the Fair Credit Reporting Act.

As an EOE/AA employer, the University of Illinois encourages applications from individuals regardless of an applicant's race, color, religion, sex, gender identity, sexual orientation, national origin, and Veteran or disability status.

The university provides accommodations to applicants and employees. Request an Accommodation at https://jobs.uic.edu/request-and-accomodation/