Revenue Cycle Coding Specialist

2 weeks ago

Chicago Illinois, United States The University of Chicago Medicine Full time

Job Overview:


Become a vital part of a prestigious academic healthcare institution, UChicago Medicine, as a Revenue Cycle Coding Specialist in our Revenue Integrity Division.

This position offers a hybrid work model, allowing for flexibility with occasional on-site responsibilities. The role primarily supports obstetrics services.

Position Summary:
The Revenue Cycle Coding Specialist operates under the guidance of the Revenue Integrity team.

This team collaborates closely with healthcare providers assigned to their respective groups to ensure a streamlined revenue cycle that is efficient, effective, and compliant.

Additionally, the team partners with ambulatory practice managers, billing personnel, and, when necessary, insurance providers to maintain a highly effective and compliant revenue cycle.

Typical responsibilities include resolving coding discrepancies for various payers, reconciling revenue, organizing relevant educational sessions for healthcare providers, and ensuring clear communication.

The Revenue Cycle Coding Specialist is accountable for completing all tasks accurately and proficiently, adhering to productivity and quality benchmarks established by the Revenue Integrity Director.



Key Responsibilities:


Engage directly with hospital departments and outpatient clinics to address coding and billing concerns across all payers, including but not limited to denials and disputes.

Review medical records to assign billing modifiers to insurance claims as appropriate.


Manage assigned work queues daily with the objective of completing all tasks efficiently.


Act as a primary resource for in-clinic healthcare providers, organizing relevant educational initiatives and maintaining regular communication to enhance overall claims processing and revenue cycle operations.

Communicate routinely with medical staff, practice administrators, billing teams, and payers to address clinical inquiries regarding coding assignments or resolutions in a professional manner.


Conduct regular meetings with practice managers and medical directors to assess in-clinic revenue cycle performance and identify solutions for enhancing efficiency and compliance.


Perform charge reconciliations and collaborate with healthcare providers and practice managers to address instances of unaccounted revenue, ensuring that all missing revenue is accurately recorded.

Assist in identifying trends and opportunities for improvement, updating systems, and providing feedback, education, and training to providers.


Stay informed about all billing and compliance policies, procedures, and regulations, attending necessary training sessions as required.


Support the onboarding of newly hired Revenue Cycle Coding Specialists.


Participate in team meetings to discuss coding and billing issues and serve on task forces as needed.


Meet all productivity and quality expectations and engage in scheduled audits.


Perform additional duties as assigned by management.



Qualifications:
Coding certification is required within three months of hire, including certifications such as RHIA, RHIT, CPC, COC, CCS, CCS-P, or CCA.

Experience with Epic, IDX, and Centricity is highly preferred.

A high school diploma is required; an associate or bachelor's degree in a healthcare information or finance-related field is preferred.

Ability to identify trends and propose solutions to billing and revenue cycle challenges is essential.

Proficient knowledge of CPT and ICD coding systems is required.


Familiarity with federal billing regulations for Medicare and Medicaid programs, as well as knowledge of managed care and indemnity payer requirements, is necessary.


Working knowledge of Local and National Coverage Determination policies, Ambulatory Payment Classification edits, and coding initiatives is required.

Proficiency in Microsoft Excel and Word is essential.

Strong analytical skills, along with excellent written and verbal communication abilities, are required.

Demonstrated organizational, time management, and multitasking skills, along with strong interpersonal skills, are essential.

Preferred Qualifications:
Certification in coding or Health Information Management is preferred.

Strongly Preferred:
RHIA, RHIT, CPC, COC, CCS, CCS-P, or CCA certification.

Two or more years of coding experience is strongly preferred.

Position Details:
Job Type:

FTE:
Full Time (1.0 FTE)

Shift:
Days- 8am-4:30 M-F (flexible to start earlier or later depending on departmental needs)

Unit/Department:
Revenue Cycle - Revenue Integrity

Why Join Us:
UChicago Medicine has been a leader in healthcare since its inception. We are committed to providing exceptional care with compassion, recognizing that each patient is an individual. To achieve this, we seek employees who are passionate, talented, and dedicated to our mission.

We're in this together:
We strive to advance medical innovation, meet community health needs, and enhance our collective knowledge. If you are looking to make a meaningful impact, UChicago Medicine is the place for you. Here, we are engaged in work that truly matters. Join us and bring your passion.

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