Certified Coding Specialist or Medical Billing Specialist - Business Services - Hybrid (On-Site Training)

Christie Clinic•Champaign, IL

25d•$18 - $33•Hybrid

About The Position

Christie Clinic's Business Services department is seeking a full-time Certified Coding Specialist or Medical Billing Specialist at its University clinic in Champaign, Illinois. The schedule is Monday through Friday, 7:00 a.m. to 3:30 p.m., with no night or weekend requirements. The role begins with on-site training; hybrid remote work may be possible in the future after successful completion of training and departmental competencies. The Certified Coding Specialist accurately codes office and hospital procedures to support proper reimbursement, provides providers with coding and electronic health record documentation education, and helps ensure coding and billing compliance. Duties include reviewing records and claims, assigning diagnosis and procedure codes, analyzing provider documentation, addressing denials, and working with coding systems and workqueues. The Medical Billing Specialist audits claims before submission, enters and verifies data from paper MSRs, works coding-related issues and reports, and sorts and distributes incoming documents. The role also includes telephone coverage and other billing and coding support duties.

Requirements

High school diploma or equivalent.
For the Certified Coding Specialist role: 3–5 years of coding experience.
For the Certified Coding Specialist role: CPC-A or CPC certification through the American Academy of Professional Coders (AAPC).
For the Medical Billing Specialist role: CPC-A or CPC certification through AAPC prior to or within one year of employment.
Ability to work under pressure and stress due to the diversity of providers and team members.
Ability to use office equipment such as computer terminals, telephones, fax machines, scanners, and photocopiers.
The work requires prolonged sitting, frequent bending, stooping, or stretching, and may require lifting up to 50 pounds.
The work requires hand-eye coordination, manual dexterity, ability to distinguish letters, numbers, or symbols, and a normal range of vision and hearing.

Nice To Haves

Medical claims processing experience.
Microsoft Office Suite experience.
Epic experience.
Some coding experience.

Responsibilities

Audit records and claims for accuracy and proper submission before billing or filing charges with insurance.
Code office and hospital procedures and assign appropriate ICD-9-CM, ICD-10-CM, HCPCS, and CPT-4 codes to assigned claims.
Review provider documentation to determine valid and complete diagnoses and procedures and appropriate Evaluation & Management levels.
Train and update providers on coding information and proper completion of electronic health records.
Follow coding guidelines, legal requirements, compliance policies, and the Code of Conduct; report compliance problems appropriately.
Review hospital information and use scheduling reports, signed-note reports, and Epic schedules to identify coding opportunities.
Work assigned Epic Workqueues, including Charge Review, Claim Edit, Follow Up, and Charge Router workqueues.
Review and complete Charge Review emails in a timely manner.
Analyze assigned claim denials and provide additional information.
Enter data from paper MSRs into the billing system and verify data entry for accuracy.
Sort and complete paper MSRs; sort and distribute incoming faxes and mail.
Process no-pay EOBs and work reports, including the End of Process Report.
Send paper 1500 forms to insurance companies for remote team members.
Answer telephones, take messages, and provide information.
Attend required seminars, in-services, meetings, and professional development programs; make procedure recommendations under the Coordinator's direction.
Provide coverage for other coding team members when needed and perform other related duties as assigned.