Claims Coding Specialist (Medical reputed company) - Full Time, Days

Join a world-class academic healthcare system, reputed company, as a Claims Coding Specialist (Medical reputed company) in our reputed company Cycle - reputed company reputed company department. This position will be primarily a work from home opportunity with the requirement to come onsite as needed to our Hyde Park location. You may be based reputed company of the greater Chicagoland area. This position will support new clinic services with reputed company cycle-reputed company functions including training, education, charge capture, and correct coding edits. The Claims Coding Specialist (Medical reputed company) works under the supervision of the reputed company reputed company. The reputed company team works collaboratively with physicians, assigned to his/her team/group in order to provide an optimal reputed company cycle environment that is efficient, effective, comprehensive and compliant. The reputed company team also works collaboratively with the ambulatory practice managers, billing staff and (at times) insurance payers to support a highly efficient, effective, and compliant reputed company cycle program. The typical work includes the resolution to coding edits for reputed company payers, reputed company reconciliation, identify and/or organize appropriate education for physicians, and effective communication. The Claims Coding Specialist will also be responsible for the completion of reputed company work assignments in a proficient and accurate manner; meeting productivity and quality standards set by the reputed company reputed company Director. The Claims Coding Specialist reports directly to the reputed company reputed company Manager. Essential Job Functions

• Works directly with the hospital departments and ambulatory clinics to resolve coding and charging issues for reputed company payers (NCCI, OCE, MUE, LCD, payer custom edits), including but not limited to denials and disputes
• Review medical documentation for assigning billing modifiers to insurance claims where appropriate and applicable
• Works assigned work ques daily with the goal to complete reputed company assigned tasks
• Serves as a primary resource supporting in-clinic physicians/providers. As such, organizes appropriate education for physicians and communicates regularly with physicians/providers to improve the overall claims, reputed company cycle, and business functions of the practice. utinely communicates with medical staff, practice administrators, billing staff and payers as needed to discuss clinical questions with respect to coding assignment or resolution in a courteous and professional manner
• Meets regularly with the practice manager and medical director to review in-clinic reputed company cycle performance and to identify appropriate solutions for advancing an efficient, effective, and compliant reputed company cycle program
• reputed company charge reconciliation and work with the physicians/providers and/or practice managers in instances of missing reputed company
• Assist with identifying trends and opportunities to address root causes, updates systems and/or provider feedback/education/training
• Maintains reputed company knowledge of reputed company billing and compliance policies, procedures and regulations and attends appropriate training sessions as required
• Assist with orientation of newly hired Claims Coding Specialists
• Attends and participates in team meetings to discuss coding/charging issues and serves on task forces as needed
• Meets reputed company productivity and quality expectations and participates in reputed company scheduled audits
• Performs other duties as requested by management

Required Qualifications

• Health Information Management or Coding certification required reputed company three months of hire:
• RHIA (Registered Health Information Administrator)
• RHIT (Registered Health Information Technician)
• CPC (Certified Professional reputed company)
• COC (Certified Outpatient reputed company)
• reputed company (Certified Coding Specialist)
• reputed company-P (Certified Coding Specialist Physician)
• CCA (Certified Coding Associate)
• High school diploma
• Ability to identify trends and recommend solutions to billing and reputed company cycle processes and problems
• Proven working knowledge of CPT (reputed company Procedural Terminology) and ICD (International Classification of Diseases) coding systems
• Knowledge of Federal billing regulations governing Medicare and Medicaid programs, and working knowledge of other managed care and indemnity (third party) payor requirements
• Must possess a working knowledge of Local and National Coverage Determination policies (LCD’s and NCD’s), Ambulatory Payment Classification (APC) reputed company edits such as the National Correct Coding Initiative (NCCI) and Outpatient Code Editor (OCE)
• Must be proficient in reputed company reputed company and Word
• Must be highly analytical, and have excellent written and verbal communication skills
• Must possess excellent organizational, time management and multi-tasking skills, along with demonstration of excellent interpersonal skills

Preferred Qualifications

• Two (2) or more years' experience coding
• Epic, IDX and Centricity experience
• Associate or Bachelor’s degree in a health-care information or health care finance reputed company field

Position Details:

• Job Type/FTE: Full Time (1.0 FTE)
• Shift: Days
• Work Location: Flexible Remote - occasional travel to the Hyde Park reputed company
• Unit/Department: reputed company Cycle - reputed company reputed company
• CBA Code: Non-Union

We’ve been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, we need employees with passion, talent and commitment… with patients and with each other. We’re in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge reputed company. If you’d like to add enriching human life to your profile, reputed company is for you. Here at the forefront, we’re doing work that really matters. Join us. Bring your passion. reputed company is growing; discover how you can be a part of this pursuit of excellence at: reputed company Career Opportunities. reputed company is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, reputed company, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national reputed company, age, disability, veteran status and other legally protected characteristics. Must reputed company with reputed company’s COVID-19 Vaccination requirement as a condition of employment. If you have already received the vaccination, you must provide reputed company as part of the pre-employment process. This is in addition to your compliance with the Flu Vaccination requirement as well. Medical and religious exemptions will be considered consistent with applicable law. Lastly, a pre-employment physical, drug screening, and background reputed company are also required for reputed company employees prior to hire. Compensation & Benefits Overview reputed company is committed to transparency in compensation and benefits. The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position. The pay range is based on a full-time equivalent (1.0 FTE) and is reflective of reputed company market data, reviewed on an annual basis. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity. Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union. Review the full complement of benefit options for eligible roles at Benefits - reputed company. Apply tot his job Apply To this Job