Reimbursement Coding Specialist - Imaging and Diagnostic Services University of Illinois - Chicago

Reimbursement Coding Specialist - Imaging and Diagnostic Services

Reimbursement Coding Specialist - Imaging and Diagnostic Services

Hiring Department : Imaging and Diagnostic Services

Location : Chicago, IL USA

Requisition ID : 1033595

FTE : 1

Work Schedule : Monday-Friday 8am-4pm

Shift : Days

# of Positions : 1

Workplace Type : On-Site

Posting Close Date : May 6th, 2025

Salary Range (commensurate with experience): $25.83 - 50.30 / Hourly Wage

About the University of Illinois Hospital & Health Sciences System (UI Health)

The University of Illinois Hospital & Health Sciences System (UI Health) provides comprehensive care, education, and research to the people of Illinois and beyond. A part of the University of Illinois Chicago (UIC), UI Health comprises a clinical enterprise that includes a Joint Commission-accredited tertiary care hospital and outpatient clinics, and the Mile Square Health Center network of federally qualified health centers. It also includes the seven UIC health science colleges: the College of Applied Health Sciences; the College of Dentistry; the School of Public Health; the Jane Addams College of Social Work; and the Colleges of Medicine, Pharmacy, and Nursing, including regional campuses in Peoria, Quad Cities, Rockford, Springfield, and Urbana. UI Health is dedicated to the pursuit of health equity. Learn more:

Benefits eligible positions include a comprehensive benefits package which offers: Health, Dental, Vision, Life, Disability & AD&D insurance; a defined benefit pension plan; paid leaves such as Vacation, Holiday and Sick; tuition waivers for employees and dependents. Click for a complete list of Employee Benefits .

Position Summary

The Reimbursement Coding Specialist will perform coding for physician and ancillary department medical services for the purpose of receiving maximum allowable reimbursement from payers. The Reimbursement Coding Specialist will also perform other coding related functions such requesting prior authorization for imaging and diagnostic services. Lastly, the Reimbursement Coding Specialist will assist with training, research of coding issues, and provide education to Imaging and Diagnostic leadership.

Duties & Responsibilities

Reviews outpatient documentation to assign the appropriate ICD-9-CM, ICD-10, CPT, and/or HCPCS diagnosis and procedures codes while adhering to coding guidelines;

Codes complex charge documents for imaging/diagnostic, procedural and physician services using standardized systems such as ICD-10-CM and CPT, with review of previous day's procedural charges for completeness and accuracy verifying coding performed by clinical staff

Application of modifiers as necessary

Completes analysis and correction of coding errors as received from Patient Accounts department

Reconciliation of ICD-10 and procedural coding

Interacts with Radiology and Cardiology attending to obtain supporting clinical documentation

Education of outside referral MD offices for order selection

CPT codes for third party payer submission for approval/authorization for procedures

Reference contact for billing questions from department

Research and keeps abreast of policy changes mandated by state and federal reimbursement programs; notifies affected personnel on a routine basis

Maintains applicable assigned work queues and expected lead times.

Obtains and / or coordinates with third-party payer to obtain authorizations for imaging and diagnostic services.

If necessary, contact patient / guarantor to notify them of denial or financial risk.

Perform other related duties and participate in special projects as assigned.

Minimum Qualifications

1. High school diploma or equivalent.
2. 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).
3. 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.

Preferred Qualifications

• Skilled in researching complex coding questions, customer service, EPIC- scheduling and registration experience.
• Excellent attendance, interpersonal and communication skills.

To Apply: For fullest consideration click on the Apply Now button, please fully complete all sections of the online application including adding your full work history with specific details of your duties & responsibilities for each position held. Fully complete the education, licensure, certification and language sections. You may upload a resume, cover letter, certifications, licensures, transcripts and diplomas within the application.

Please note that once you have submitted your application you will not be able to make any changes. In order to revise your application you must withdraw and reapply. You will not be able to reapply after the posting close date. Please ensure the application is fully completed and all supporting documents have been uploaded before the posting close date. Illinois Residency is required within 180 days of employment.

The University of Illinois System is an equal opportunity employer, including but not limited to disability and/or veteran status, and complies with all applicable state and federal employment mandates. Please visit Required Employment Notices and Posters to view our non-discrimination statement and find additional information about required background checks, sexual harassment/misconduct disclosures, and employment eligibility review through E-Verify.

The university provides accommodations to applicants and employees. Request an Accommodation

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