Department
BSD UCP - Professional Billing Coding - Medical Specialty
About the Department
Job Summary
Responsibilities
Assist department managerial and executive staff in the management of successful billing and compliance activities.
Ensure that all professional and hospital charges are posted accurately and timely, and that the department meets chart documentation, CPT and ICD-9-CM/ICD-10-CM requirements.
Review coding procedures, workflow issues, billing infrastructure, and the performance of Coders/Abstractors.
Inform department administrators, physicians, and Abstractor/Coders of regulatory changes.
Assist in departmental compliance efforts by participating in training sessions, performing audits, and promoting an understanding of procedures, policies, and expectations.
Develop and maintain standard operating procedures for billing, coding, and charge capture to ensure consistency and compliance.
Monitor work queues, charge lag, and key performance indicators to track and improve accuracy, productivity, and reimbursement.
Serve as the first point of escalation for coding or billing issues and collaborate with internal partners to resolve discrepancies.
Provide ongoing training, guidance, and feedback to Coders and Abstractors to maintain quality and compliance.
Partner with the Revenue Cycle, Compliance, and Finance teams to identify process gaps and implement improvements.
Review and analyze denial trends to identify root causes and implement corrective measures.
Participate in system upgrades, workflow design, and process testing related to billing and coding functions.
Maintain current knowledge of payer requirements, CMS updates, and industry best practices, communicating changes to staff and leadership.
Support departmental planning and budgeting by monitoring workload and staffing needs.
Prioritizes chart documentation and maintaining requirements within the department. Ensures all processes involved in accurately posting professional fees.
Has a moderate/solid understanding of coding procedures, workflow issues, billing infrastructure, and performance of Clinical Revenue staff. Informs department administrators, physicians, and Coder/Abstractors of regulatory changes.
Participates and may lead in training sessions, performing audits, and promoting an understanding of procedures, policies, and expectations in promotion of compliance efforts.
Performs other related work as needed.
Minimum Qualifications
Education:
Minimum requirements include a college or university degree in related field.
Work Experience:
Certifications:
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Preferred Qualifications
Education:
Bachelor’s degree.
Experience:
4-5 years of experience in (physician) healthcare billing and coding.
Thorough working knowledge of medical terminology, anatomy and physiology.
Certifications:
Certification through a nationally accredited body (e.g., AACP or AHIMA).
Registered Health Information Administrator [RHIA] or Registered Health Information Technician [RHIT].
Certified Coding Specialist-Physician-based [CCS-P], Certified Professional Coder [CPC], or Certified Coding Specialist [CCS]).
Preferred Competencies
Strong analytical, problem solving, interpersonal, verbal/written communication, organizational, project management and team development skills are necessary as is knowledge of health information systems and database technology.
Create coding-based curriculum and training materials, deliver effective oral presentations and prepare concise written reports for a variety of audiences and possess basic computer skills.
Comfortable speaking to groups of physicians, coders, or other professional audiences.
Interpret documents such as, but not limited to encounter forms, medical records, physician documentation, lab reports, dictated reports, operating instructions, and policy/procedure manuals.
Thorough working knowledge of federal and state regulations regarding reimbursement.
Comprehensive knowledge of third-party payer rules, procedures, and policies in all areas of billing and collection.
Expertise in decision-making and accountability.
Creativity and ability to recommend new procedures and implementation of said procedures.
PC experience which includes spreadsheets, word processing, presentations, and databases.
Working knowledge of healthcare billing and clinical systems.
Working Conditions
In Office when needed or upon request with minimal notice, usually only occasional / Otherwise, 100% Remote
Standard Office Environment.
Use Standard Office Equipment.
Sit for 4 hours or more.
Application Documents
Resume (required)
Cover Letter (preferred)
When applying, the document(s) MUST be uploaded via the My Experience page, in the section titled Application Documents of the application.
Job Family
Role Impact
Scheduled Weekly Hours
Drug Test Required
Health Screen Required
Motor Vehicle Record Inquiry Required
Pay Rate Type
FLSA Status
Pay Range
The included pay rate or range represents the University’s good faith estimate of the possible compensation offer for this role at the time of posting.
Benefits Eligible
The University of Chicago offers a wide range of benefits programs and resources for eligible employees, including health, retirement, and paid time off. Information about the benefit offerings can be found in the Benefits Guidebook.
Posting Statement
The University of Chicago is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender, gender identity, or expression, national or ethnic origin, shared ancestry, age, status as an individual with a disability, military or veteran status, genetic information, or other protected classes under the law. For additional information please see the University's Notice of Nondiscrimination.
Job seekers in need of a reasonable accommodation to complete the application process should call 773-702-5800 or submit a request via Applicant Inquiry Form.
All offers of employment are contingent upon a background check that includes a review of conviction history. A conviction does not automatically preclude University employment. Rather, the University considers conviction information on a case-by-case basis and assesses the nature of the offense, the circumstances surrounding it, the proximity in time of the conviction, and its relevance to the position.
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