Abstractor/Coder
The University of Chicago Physicians Group (UCPG) team is responsible for the overall management of clinical revenue for physician billing. This includes frontend revenue capture, working of edits and conducting audits for physician education. Ensuring the workflow of charge capture through invoice creation. UCPG is seeking an Abstractor/Coder to work with providers and staff on professional billing and compliance activities. Strong knowledge of evaluation and management coding guidelines and requirements is strongly preferred. This position is eligible for a flexible work arrangement.
Responsibilities:
- Obtain appropriate reimbursement levels for professional services by reviewing and coding medical procedures, diagnoses, and physician visits.
- Analyze denial and rejection reports, and appeal wherever appropriate.
- Submit charges in a timely manner.
- Work in collaboration with the Clinical Revenue Supervisor and others, provide guidance to faculty and staff on the charge capture and documentation processes.
- Educate physicians and support staff on coding issues, including issues related to fraud and abuse as it relates to coding/professional billing/clinical documentation.
- Attend and participate in meetings related to clinical revenue production and compliance.
- Track physicians on inpatient service and ensure charges are captured for services provided.
- Manage tracking log.
- Audit and provide feedback to all providers rotating on inpatient service.
- Other duties as assigned.
Competencies:
- Thorough working knowledge of medical terminology, anatomy and physiology, as demonstrated by certification through a nationally accredited body (e.g., AAPC or AHIMA) required.
- Working knowledge of ICD and CPT coding classification systems, coding for third-party payers, including CMS guidelines and reimbursement compliance, and demonstrated knowledge of both specialty and primary care coding concepts to include the application of modifiers and documentation requirements required.
- Proficiency in Microsoft Word, Excel and Adobe required.
- Communicate effectively in English, both orally and in writing.
- Manage interpersonal relationships and interact/communicate with clarity, tact and courtesy with patrons, patients, staff, faculty, students and others.
- Identify priorities; recognize and resolve or refer problems; work effectively with supervision and as a part of a team; use or learn a range of position-related software applications.
Education, Experience, or Certifications:
- High School Diploma or equivalent required.
- 2-4 years of experience working in physician/healthcare billing and physician coding or a recent graduate from an HIM bachelors program with an RHIA required.
- Two or more years of experience coding physician services or a recent graduate from an HIM bachelors program with an RHIA required.
- Prior experience with electronic billing and medical record systems (i.e. Epic, Last Word, and IDX) is required.
- Prior experience in an academic medical center or large, complex hospital-physician billing group preferred.
- Prior experience working with Medicine primary and sub-specialty physician and procedure coding strongly preferred.
- Prior experience with Epic Professional Billing preferred.
- Prior experience coding in an academic medical center setting preferred.
- Must have one of the following: Registered Health Information Administrator [RHIA], Registered Health Information Technician [RHIT], Certified Coding Specialist-Physician-based [CCS-P], Certified Professional Coder [CPC], or Certified Coding Specialist [CCS]), required.
Technical Knowledge or Skills:
- Proficiency with Microsoft Office suite required.
- Knowledge and experience of billing and coding practices required.
Working Conditions and Physical Requirements:
- Standard Office Environment: Remote.
- Use Standard Office Equipment.
- Sit for 4 hours or more.
- Flexible work arrangements, including remote work options for coders in good standing.
Pay Range:
Required Documents: