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Medical Coding Specialist
2 months ago
Salary:
$20.45 Hourly
Job Type:
Civil Service
Remote Employment:
Flexible/Hybrid
Department:
SIU HealthCare Coding-SMS
Division:
Administration
FLSA:
Non-Exempt
Bargaining Unit:
AFSCME Local 370
Shift:
Days
Position Overview:
The primary responsibility of this role is to accurately assign ICD-10 CM, CPT, and HCPCS codes for both inpatient and outpatient services by meticulously reviewing medical records documentation provided by healthcare professionals.
Key Responsibilities:
The following duties are representative of the work performed by individuals in this position and are not exhaustive:
- Analyze documentation and assign diagnosis and procedure codes for ancillary and physician services utilizing standardized coding systems such as ICD-10-CM, CPT, and HCPCS.
- Examine records for precision in the application and assignment of modifiers for Evaluation and Management services along with any applicable procedure modifiers.
- Address inquiries from Patient Business Services regarding the correction of claim information related to coding, service dates, provider details, etc.
- Draft appeal letters for submission to insurance companies for reconsideration of denied claims.
- Provide expert advice and support to administrators, faculty, and staff regarding coding practices and documentation in accordance with third-party payer regulations.
- Assist fellow coding staff in the unit to ensure coverage as needed and participate in training sessions for new coders when requested.
Qualifications:
High school diploma or equivalent required.
A combination of 18 months of experience in the following areas is preferred:
- Work experience in a healthcare environment (e.g., hospital, physician's office, nursing home, billing agency) utilizing ICD-10 and CPT coding systems, as well as the Healthcare Common Procedure Coding System (HCPCS).
- College coursework related to healthcare operations covering topics such as Medical Terminology, Human Anatomy and Physiology, ICD-10 Coding, and CPT Coding, or similar subjects. 6 semester hours equals 6 months, 12 semester hours equals 12 months, and 18 semester hours equals 18 months.
Additional Information:
The mission of Southern Illinois University School of Medicine is to enhance the health of the community through education, patient care, research, and service. The SIU School of Medicine is an Affirmative Action/Equal Opportunity employer, providing equal employment and educational opportunities for all qualified individuals without discrimination.
Benefits:
Includes 13 paid holidays annually. Accrual rates vary based on employment type and years of service. Paid sick time is available for personal illness or family emergencies. Health, Dental, and Life insurance options are provided, along with optional life insurance for dependents. Prescription drug benefits are included in state health plans. Flexible spending accounts are available for medical expenses and dependent care. Voluntary retirement accounts include the State of Illinois Deferred Compensation Plan (457) and Tax Deferred Annuity (403b). Tuition waivers and reimbursement programs are offered to support continued education.
