Inpatient Reimbursement Coding Specialist - UI Health, Health Information Management

University of Illinois Chicago•Chicago, IL

18h•Remote

About The Position

The University of Illinois Hospital & Health Sciences System (UI Health) is seeking an experienced Inpatient Reimbursement Coding Specialist to join their Health Information Management team. This role involves applying ICD-10-CM and ICD-10-PC codes and POA indicators to Inpatient hospital accounts. The position requires expertise in sequencing, diagnosis, and procedures according to coding guidelines for complex accounts to assign the correct DRG or APR-DRG. Additionally, the specialist will collaborate with a Clinical Documentation Specialist (CDS) to ensure accurate documentation and coding on accounts.

Requirements

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.

Nice To Haves

At least 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.
Candidate must be able to collaborate with Clinical Documentation Specialist to assist with clarification of documentation for complete and accurate coding.
Certified Coding Specialist (CCS)

Responsibilities

Ability to sequence and assign ICD-10-CM/PCS diagnosis and procedure codes to complex inpatient visits by following the coding guidelines.
Proficient in interpreting medical documentation to determine the principal diagnosis and procedures codes and to assign the correct Present on Admission (POA) indicator to all codes.
Assigns the correct Diagnosis Related Groups (DRG) and All Patient Refined (APR-DRG) while adhering to coding guidelines for sequencing.
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 coding denials from insurances companies and patient accounts.
Follows internal workflows for accounts that has documentation or other errors that has to be resolved before coding.
Follows the official ICD-10-CM, ICD-10-PC guidelines for coding and reporting.
Keeps up to date on coding changes and other changes to regulations that governs medical record coding and documentation.
Ability to maintain the national standards for coding accuracy and internal standards for productivity.
Maintains continuing educations hours as dictated by certification standards.
Maintains confidentiality of patient health information.
Perform other related duties and participate in special projects as assigned.