Coder - Denials Specialist

Rush University Medical Center•Chicago, IL

41d•$27 - $43•Onsite

About The Position

This position is responsible for overseeing the billing, coding guidelines and entire charge capture process for physicians including research charges for Rush University. This includes reconciliation of all charge tickets, assigning ICD-9, and ICD-10, and CPT codes, correct use of modifier linkage, and ensuring correct coding and billing government guidelines are followed. In addition, this individual will play a pivotal contact role with other Rush Departments and physicians to ensure compliance with Rush billing protocols. The individual who holds this position exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures, including complying with all Rush University Medical Group Customer Service Standards. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.

Requirements

Three years' experience in medical billing setting with active, practical experience with ICD-9, ICD-10 and CPT coding.
Experience with the Center for Medicare and Medicaid regulations and 3rd party reimbursement.
Coding Certification thru AAPC or AHIMA.
RHIA/RHIT pending eligible.
Ability to act independently, as necessary in coding, analyzing, reconciling, and updating billing activity.
Strong communication, organization, critical thinking and problem solving skills.
Ability to multi-task.
Conscientious work habits, initiative, and dependability.

Nice To Haves

Associate or Bachelor's Degree.

Responsibilities

Coordinate outpatient and inpatient physician and/or facility charge capture.
Responsible for abstracting and interpreting medical record data to assign appropriate CPT,ICD-9 and ICD-10 codes per CMS guidelines and regulations pertaining to coding and billing.
Review physician documentation of evaluation and management coding within a patient's medical record for accuracy and compliance in billing codes.
Collect and report missing, incorrect or incomplete charge slips to supervisor and practice administrator and maintain follow-up binder system to facilitate complete charge capture.
Correct any claim errors relating to coding on charges entered into the work queues.
Responsible for working and resolving coding denials.
Provide education to providers and staff regarding proper workflows and correct coding and documentation practices per state and federal regulations.
Attend appropriate training sessions and continuing education on current coding practices to stay up to date on physician billing practices.
Must maintain necessary CME required by AAPC or AHIMA