Inpatient Reimbursement Coding Specialist
4 hours ago
The University of Illinois Hospital & Health Sciences System (UI Health) is seeking a highly skilled 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.
Key Responsibilities- Review inpatient documentation and apply ICD-10 CM diagnosis and ICD-10-PC procedure codes, while adhering to inpatient coding guidelines.
- Sequence principal diagnosis, complications, and comorbid conditions, and procedures to assign the correct Diagnosis Related Groups (DRG) and All Patient Refined (APR-DRG).
- Collaborate with Clinical Documentation Improvement (CDI) to clarify or resolve conflicting documentation prior to assigning final codes on inpatient accounts.
- 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.
- High school diploma or equivalent.
- 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).
- 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.
- 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.
The University of Illinois Hospital & Health Sciences System (UI Health) provides comprehensive care, education, and research to the people of Illinois and beyond. As 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.
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 includes health, dental, vision, life, disability, and AD&D insurance, a defined benefit pension plan, as well as paid leave, which includes vacation, holiday, and sick time.
In addition, we offer tuition waivers for employees and dependents. Click for a complete list of Employee Benefits.
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