Inpatient Reimbursement Coding Specialist - Health Information Management

University of Illinois Medical Center-posted 11 months ago
$25 - $50/Yr
Full-time • Entry Level
Chicago, IL
Educational Services
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The University of Illinois Hospital & Health Sciences System (UI Health) is seeking an Inpatient Reimbursement Coding Specialist to join our Health Information Management team. This role will be responsible for accurately assigning ICD-10-CM and ICD-10-PC codes to complex inpatient hospital accounts. This position requires the ability to sequence the principal diagnosis, procedures, complications and comorbid codes while adhering to coding guidelines. Additionally, the specialist must be able to assign the Present on Admission (POA) indicators to the diagnosis code. This position requires the establishment of Illinois Residency within 180 days of employment.

  • Responsible for reviewing the inpatient documentation and applying ICD-10 CM diagnosis and ICD-10-PC procedure codes and apply Present On Admission (POA) indicator to diagnosis code while adhering to inpatient coding guidelines
  • Ability to accurately sequence principal diagnosis, complications and comorbid conditions and procedures to assign the correct Diagnosis Related Groups (DRG) and All Patient Refined (APR-DRG) while adhering to the inpatient coding guidelines
  • Ability to write a compliant physician query and collaborate with Clinical Documentation Improvement (CDI) to clarify or resolve conflicting documentation prior to assigning final codes on inpatient accounts
  • Ability to utilize the Computer Assistant Coding (CAC) software to review medical documentation and select codes for billing and reporting purposes
  • Analyze and resolve claim denials that are rejected by edits from the Patient Accounts department
  • Provide guidance to other departmental staff in identifying and resolving coding issues or errors
  • Keeps up to date with coding changes and guidelines governing medical record coding and documentation
  • Ability to maintain the national standards for coding accuracy and internal standards for productivity
  • Maintains continuing education hours as dictated by certification standards
  • Perform other related duties and participate in special projects as assigned.
  • High school diploma or equivalent
  • Current certification as a 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), or current certification as a Certified Professional Coder (CPC) or a Certified Outpatient Coder (COC) by the American Academy of Professional Coders (AAPC) (formerly CPC-H certification)
  • One (1) year/twelve (12) months of work experience comparable to that performed at the Reimbursement Coding Representative level of this series or in other positions of comparable responsibility, which includes assigning complex inpatient ICD-10-CM diagnosis and ICD-10-PC procedure coding.
  • Minimum of 2 years of experience coding Inpatient accounts at an acute care preferably academic hospital that has a complex case mix index (CMI) with medical services such as transplant, neurosurgery, oncology, vascular surgery and cardiology
  • Ability to interpret medical documentation on complex inpatient accounts to assign the accurate ICD-10-CM diagnosis and ICD-10-PC procedure codes and the correct Diagnosis Related Groups (DRG) and All Patient Refined (APR-DRG) on inpatient accounts to ensure the correct reimbursement.
  • Health, Dental, Vision, Life, Disability & AD&D insurance
  • Defined benefit pension plan
  • Paid leave including Vacation, Holiday and Sick
  • Tuition waivers for employees and dependents
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