Job Details: Job Location: University (CMC) - Champaign, IL, Position Type: Full Time, Education Level: High School, Salary Range: $17.54 - $32.58Hourly, Job Shift: 1st Shift, Job Category: Business Services, Christie Clinic's department of Business Services is seeking a full-time Certfied Coding Specialist or Medical Billing Specialist at the University clinic from Monday-Friday 7:00am-3:30pm, with no night or weekend requirements. There is a possibility of working hybrid remote in the future following the successful completion of training and competencies as determined by the department.
Certified Coding Specialist: Accurately codes office and hospital procedures for providers to ensure proper reimbursement. Provides education to the providers to insure proper completion of Electronic Health Records (EHR) and proper assignment of ICD-9-CM, ICD-10-CM, HCPCS and CPT-4 codes.
Medical Billing Specialist: Duties include daily keying of MSRs, auditing and correction of charges/claims prior to submission to insurance, working of reports & various sorting duties.
Job Qualifications and Expectations: Certified Coding Specialist:
JOB DUTIES: (This list may not include all of the duties assigned)
Audits records to insure proper submission of services prior to billing or on pre-determined selected charges
Receives hospital information to properly bill services for hospital patients
Supplies correct ICD-9-CM/ICD-10-CM diagnosis codes on all assigned claims
Supplies correct HCPCS codes on assigned claims
Supplies correct CPT-4 codes on all assigned claims
Contacts providers to train and update them with correct coding information
Attends seminars and in-services as required to remain current on coding issues
Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulations
Maintains compliance standards in accordance with the Compliance policies and the Code of Conduct. Reports compliance problems appropriately
Determines the final diagnosis and procedures as stated by the physician or other health care providers are valid and complete
Analyzes provider documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code
Answer telephones, take messages and provide information
Utilize Carle Scheduling reports, Carle Signed Note reports, OSF Scheduling reports and Epic Provider schedules to identify coding opportunities
Work various Epic Workqueues as assigned
Review and complete Charge Review emails timely
Provide coverage for other coding team members when needed
Analyze assigned claim denials and provide additional information
Performs other related duties, which may be inclusive, but not listed in the job description.
REQUIRED QUALIFICATIONS:
High School Diploma or equivalent
3-5 years coding experience
CERTIFICATION/LICENSE:
Certified Professional Coder Apprentice (CPC-A) or Certified Professional Coder (CPC) certification through the American Academy of Professional Coders (AAPC) required.
TYPICAL WORKING CONDITIONS:
Requires prolonged sitting. Requires frequent bending, stooping, or stretching. May require lifting up to 50 lbs. Requires hand-eye coordination and manual dexterity. Requires the ability to distinguish letters, numbers or symbols, Requires use of office equipment, such as computer terminals, telephones, fax machines, scanners or photocopiers. Requires normal range of vision and hearing. Requires the ability to work under pressure and stress due to the diversity of our providers and team.
Medical Billing Specialist:
JOB DUTIES: (This list may not include all of the duties assigned)
Audit new claims for accuracy, prior to charges being filed to insurance.
Remain current and knowledgeable of coding and diagnostic procedures.
Remain current and knowledgeable of federal legislative changes that may affect outcomes.
Attend various meetings and professional development programs on a regular basis; make recommendations for revision and/or new department procedures under the direction of the Coordinator.
Perform Coding related work as required.
Sorting and completion of paper MSRs.
Enter data from paper MSRs into the billing system. Verify information keyed to make sure it was all entered correctly.
Working through coding issues as assigned in the Charge Review Workqueues.
Working all coding related Claim Edit Workqueues.
Working Lab Specials in the Charge Router Workqueue.
Working through coding issues as assigned in the Follow Up Workqueues.
Answer telephones, take messages and provide information.
In depth review and correction of coding errors on new claims.
Sorting & distribution of incoming faxes.
Sorting & distribution of incoming mail.
Processing of no-pay EOBs.
Working of various reports including, but not limited to the End of Process Report.
Sending of paper 1500 forms to insurances for remote team members
Other duties as assigned.
REQUIRED QUALIFICATIONS:
High School Diploma or equivalent
PREFERRED QUALIFICATIONS:
Medical claims processing experience
Microsoft Office Suite experience
Epic experience
Some coding experience
CERTIFICATION/LICENSE:
Certified Professional Coder Apprentice (CPC-A) or Certified Professional Coder (CPC) certification through the American Academy of Professional Coders (AAPC) prior to or within 1 year of employment.
PAY AND BENEFITS:
The estimated pay range for this position is exclusive of fringe benefits and potential bonuses. Final offers are based on various factors, including skill set, experience, qualifications, and other job-related criteria.
This position allows for interchangeable credentialed roles with varying pay ranges:
Certified Coding Specialist pay range: $23.69 /hr. USD to $32.58 /hr. USD
Medical Billing Specialist pay range: $17.54 /hr. USD to $24.12 /hr. USD
We also offer a substantial benefits package, including:
Paid Time Off (Vacation, Sick, Personal, Holiday, Birthday)
Dependent Care Flexible Spending Account
401k Plan
Medical Flexible Spending Account
Health Insurance
Group Term Life Insurance
Dental Insurance
Identity Theft Protection
Vision Insurance
Long Term Disability
Accidental Death & Dismemberment Insurance