Inpatient Reimbursement Coding Specialist – Health Information Management

Inpatient Reimbursement Coding Specialist – Health Information Management

Hiring Department: Health Information Management

Hiring Unit: University of Illinois Hospital & Health Sciences System (UI Health)

Location: Chicago, IL USA

Requisition ID: 1027253

Posting Close Date: 10/4/2024

Position Number: CF4086

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 at Chicago (UIC), UI Health comprises a clinical enterprise that includes a 495-bed tertiary care hospital, 22 outpatient clinics, and 13 Mile Square Health Center facilities, which are 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.

This is a full-time and benefits eligible position. UIC offers competitive salaries commensurate with experience. In addition all full time benefits eligible positions include a comprehensive benefits package which include; Health, Dental, Vision, Life, Disability & AD&D insurance, a defined benefit pension plan as well as paid leave which includes; Vacation, Holiday and Sick. In addition we offer tuition waivers for employees and dependents. Click for a complete list of Employee Benefits

UI Health is seeking an Inpatient Reimbursement Coding Specialist to join our Health Information Management team. This role will be responsible for accurately assigning ICD-10-CM and ICD-10-PC codes to complex inpatient hospital accounts. This position requires the ability to sequence the principal diagnosis, procedures, complications and cormorbid codes while adhering to coding guidelines. Also must be able to assign the the Present on Admission(POA) indicators to the diagnosis code. .

Duties & Responsibilities:

• Responsible for reviewing the inpatient documentation and applying ICD-10 CM diagnosis and ICD-10-PC procedure codes and apply Present On Admission (POA) indicator to diagnosis code while adhering to inpatient coding guidelines
• Ability to accurately sequence principal diagnosis, complications and cormorbid conditions and procedures to assign the correct Diagnosis Related Groups (DRG) and All Patient Refined (APR-DRG) while adhering to the inpatient coding guidelines
• 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 claim denials that are rejected by edits from the Patient Accounts department.
• Provide guidance to other departmental staff in identifying and resolving coding issues or errors.
• Keeps up to date with coding changes and guidelines governing 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.
• Perform other related duties and participate in special projects as assigned.

Minimum Qualifications Required:

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, which includes assigning complex inpatient ICD-10-CM diagnosis and ICD-10-PC procedure coding.

Preferred Qualifications:

• Minimum of 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.
• Ability to interpret medical documentation on complex inpatient accounts to assign the accurate ICD-10-CM diagnosis and ICD-10-PC procedure codes and the correct Diagnosis Related Groups (DRG) and All Patient Refined (APR-DRG) on inpatient accounts to ensure the correct reimbursement.

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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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