Revenue Cycle Coding Analyst

2 weeks ago

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

Position Overview:

Become a vital part of a prestigious academic healthcare institution, UChicago Medicine, as a Revenue Cycle Coding Analyst within our Revenue Cycle - Revenue Integrity Division. This role offers a hybrid work arrangement, allowing for both remote and on-site responsibilities as necessary.

Role Summary:

The Revenue Cycle Coding Analyst operates under the guidance of the Revenue Integrity team. This collaborative unit engages with healthcare providers to foster an efficient, effective, and compliant revenue cycle environment. Responsibilities include addressing coding discrepancies across various payers, ensuring revenue accuracy, and facilitating educational initiatives for healthcare professionals.

Key Responsibilities:

  • Collaborate with hospital departments and outpatient clinics to resolve coding and billing challenges across all payers, including managing denials and disputes.
  • Analyze medical documentation to accurately assign billing modifiers to insurance claims when applicable.
  • Manage daily work queues to ensure timely completion of assigned tasks.
  • Act as a primary resource for in-clinic healthcare providers, organizing educational sessions and maintaining open communication to enhance claims processing and revenue cycle operations.
  • Engage regularly with practice managers and medical directors to evaluate revenue cycle performance and identify strategies for improvement.
  • Conduct charge reconciliations and collaborate with providers to address any missing revenue, ensuring accurate posting and realization.
  • Identify trends and propose solutions to enhance billing and revenue cycle processes.
  • Stay informed about billing regulations and compliance policies, attending necessary training sessions.
  • Assist in onboarding new Revenue Cycle Coding Analysts.
  • Participate in team meetings to discuss coding and billing issues and contribute to task forces as needed.
  • Meet productivity and quality benchmarks while participating in scheduled audits.
  • Perform additional duties as assigned by management.

Qualifications:

  • Coding certification required within three months of hire, 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 healthcare information or finance is preferred.
  • Ability to analyze trends and recommend improvements to billing and revenue cycle operations.
  • Proficient knowledge of CPT and ICD coding systems is essential.
  • Familiarity with federal billing regulations for Medicare and Medicaid, as well as other managed care requirements.
  • Understanding of Local and National Coverage Determination policies and relevant coding initiatives.
  • Proficiency in Microsoft Excel and Word is necessary.
  • Strong analytical skills and excellent written and verbal communication abilities are required.
  • Exceptional organizational, time management, and multitasking skills, along with strong interpersonal abilities.

Preferred Qualifications:

  • Preferred coding or Health Information Management certification.
  • Two or more years of coding experience is strongly preferred.

Position Details:

  • Job Type: Full Time
  • Shift: Days, with flexible start times based on departmental needs.
  • Unit/Department: Revenue Cycle - Revenue Integrity

UChicago Medicine is committed to equal opportunity employment. We evaluate qualified applicants without regard to race, color, ethnicity, sex, sexual orientation, gender identity, marital status, religion, national origin, age, disability, veteran status, and other legally protected characteristics.

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